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Gastroesophageal eflux Disease (GED)
Gastroesophageal reflux disease (GED) can be caused by a number of different medical conditions. People suffering from obesity are more likely to develop GED, and given the obesity epidemic in the United States and other western countries this explains why the prevalence of GED approaches 20% in these countries. Pregnant women, smokers, diabetics, asthmatics, and anyone who suffers from slow digesting also have an increased risk of developing this disease.
Some people may suffer from genetic or medical conditions that predispose them to developing GED. A hiatal hernia results when the upper portion of the stomach pushes up into the tube that connects the mouth to the stomach, the esophagus, and if the hernia is severe enough then GED may develop. Schleroderma is a rare, progressive disease that causes the skin and other connective tissues to harden, which may interfere with the proper functioning of…
Lacy, Brian E., Weiser, Kirsten, Chertoff, Jocelyn, Fass, Ronnie, Pandolfino, John E., Richter, Joel E. et al. (2010). The diagnosis of gastroesophageal reflux disease. American Journal of Medicine, 123, 583-592.
Mayo Clinic Staff. (2011). GERD. MayoClinic.com. Retrieved 29 Mar. 2011 from http://www.mayoclinic.com/health/gerd/DS00967 .
Chronic Health: Comprehensive Case Study
Setting: Skilled nursing facility. The facility largely offers residential care for senior citizens – mostly from the age of 65 and above.
The patient is a 72-year-old Caucasian male who has been undergoing rehabilitation treatment, specifically orthopedic physical therapy, deemed necessary from a medical point of view.
Chief complaint: Client complains of abdominal pain and “heartburn.”
HPI: Patient points out that he has been experiencing serious pain (described as burning) in his abdomen for the last 2 days. Pain originates from the midepigastric area. At its worst, the patient gives an 8/10 rating to the pain. The patient points out that he has been having similar pain – which comes and goes - over the last 3 weeks. Discomfort mainly experienced in night-time and after ingesting spicy foods. The patient denies vomiting, and also denies having suffered any kind of trauma…
Chait, M. (2010). Gastroesophageal reflux disease: Important considerations for the older patients. World J Gastrointest Endosc., 2(16), 388-396.
Jeffrey, Q. & Timothy, M. (2018). In adult patients with GERD, do histamine (H2) blockers reduce symptoms and improve quality of life? Evidence-Based Practice, 21(1), 11-18.
Sandhu, D.S. & Fass, R. (2017). Current Trends in the Management of Gastroesophageal Reflux Disease. Gut Liver, 12(1), 7-16.
Wang, Y., Hsu, W., Wang, S.S., Lu, C., Kuo, F., Su, Y., …Kuo, C. (2013). Current Pharmacological Management of Gastroesophageal Reflux Disease. Gastroenterology Research Practice, 4(1), 73-79.
The digestive fluids that are secreted by the stomach glands aimed at breaking down solid food and to kill bacteria in the stomach are referred to as gastric juices. Gastric acid is produced by the gastric parietal cell located on the walls of the stomach. The region where the gastric juices are secreted into the lumen is the most acidic environment in the human body and is known as the secretory canaliculus (Schubert & Peura, 2008). The secretion of the gastric acid into the lumen occurs in response to a variety of messages from the paracrine, hormonal, and neurocrine inputs. Gastrin, produced by the G cells that are located in the pyloric mucosa of the stomach is the primary hormonal stimulation for gastric acid production. There are various inputs that will stimulate the parietal cells in order for them to secrete hydrogen ions that will flow into the gastric lumen,…
It is clear that the Roman and Jewish authorities were concerned about the development of the early church. Craig points out that, had the tomb been occupied, it would have been an easy matter for those authorities to indicate Jesus' dead body as a means of disproving the notion that he resurrected. However, there is no evidence to suggest that they did so.
In his second rebuttal, Ludemann reiterates his disbelief that a supernatural resurrection could have occurred. Then, he goes on to say that he will offer an alternative explanation for the events. He believes that Paul's experience with Jesus, which Ludemann has previously explained away as a vision, does capture the nature of all of the disciples' experience with a post-mortem Jesus. He also reiterates the point that the Gospels are not reliable as a historical source given how far removed they were from the events in question.…
Copan, Paul and Ronald K. Tacelli (eds). Jesus Resurrection Fact or Figment: A Debate between William Lane Craig and Gerd Ludemann. Downers Grove, IL: Intervarsity Press, 2000.
Gerd Theissen and Annette Merz bridge a gap between trade book and scholarly discourse with their 642-page tome The Historical Jesus: A Comprehensive Guide. This joint effort by Theissen and Merz explores the subject matter of the historical Jesus in light of primary sources, especially relying on the Gospels, both canonical and apocryphal. The book is divided into four main sections, in addition to a meaty Introduction, a "Retrospect" called "A Short Life of Jesus," and two helpful indexes, one of Biblical
Theissen, Gerd, and Merz, Annette. The Historical Jesus: A Comprehensive Guide. Minneapolis: Fortress, 1998.
Psychology of Multiculturalism: Identity, Gender, And the Recognition of Minority Rights
This paper looks at the issue of multiculturalism, its development, its use by society and the ways in which the field of psychology have reacted towards, and used, multiculturalism. Firstly, a brief history of the meaning of multiculturalism will be entered in to, next a brief discussion of the work of five authors (in particular Kymlicka, Taylor and Gerd) who have been influential in the development of research about multiculturalism will be presented, and then the psychology of multiculturalism will be discussed, from the viewpoint of how multiculturalism has been embraced by psychologists.
What exactly is multiculturalism? Everyone has a different idea of the meaning of this word in their minds, and consequently many different meanings of multiculturalism float around in the literature and in popular speak. Multiculturalism has gained particular significance in the United States, where there have…
Gerd, B. (1999). The Multicultural Riddle: Rethinking National, Ethnic, and Reliogious Identities (Zones of Religion). Routledge.
Gordon, W and Newfield, W. (2000). Mapping Multiculturalism.
Kymlicka, Will. (1995). Multicultural Citizenship: A Liberal Theory of Minority Rights. Oxford University Press.
Kymlicka, W. And Norman, W. (2000). Citizenship in Diverse Societies. Oxford University Press.
For a fifty-seven-year-old man with a fairly unremarkable past medical history, surgery was recommended. Also, performing the surgery could have a positive impact upon his diverticulosis, urinary hesitation, Gerd, BPH (benign prostrate hyperplasia, or enlarged prostate) and mild anemia. A surgery to correct the inguinal hernia had been successfully performed in 1998 without incident, as did the patient's other surgeries, including his varicose vein stripping done in 1987 and eye surgery in 1995.
During an inguinal hernia repair procedure, first, the surgeon makes an incision and separates the muscle and tissues to expose the hernia sac. The sac is cut open and the contents are replaced into the abdomen, the neck of the hernia sac is tied, and the muscles and tissues are sutured. During a laparoscopic procedure the procedure is performed through tiny incisions, using an instrument with a camera attached and a video monitor to guide the repair.…
Culvert, Lee L. (2004). "Inguinal Hernia Repair." Gale Encyclopedia of Surgery.
General Anesthesia Information." (2007). Surgery. Retrieved 15 Sept 2007 at http://www.justbreastimplants.com/surgery/general_anesthesia.htm
Goverman, Jeremy (23 Jan 2006). "Hernia" Medline Encyclopedia Online. Retrieved 15 Sept 2007 at http://www.nlm.nih.gov/medlineplus/ency/article/000960.htm
R'os, J. Rodr'guez, P. Munitiz, D. Alcaraz, P. Perez, Flores. (Sept 2001)."Parrilla using a prosthesis." Hernia. 5(3): 1265-4906 (Print) 1248-9204 (Online). http://www.springerlink.com/content/a04wbnfjp82v60t2/
Gastric Acid Stimulation and Production
Pathophysiology of gastric acid stimulation and production
The parietal cells in the stomach are responsible for the production of gastric acid. Parietal cells contain secretory canaliculus, which produce gastric acid and release it into the gastric lumen. Gastric acid is produced as a response to the messages received through hormonal, paracrine, and neurocrine messengers (Schubert & Peura, 2008). The production of gastric acid undergoes three phases namely cephalic phase, gastric phase, and intestinal phase. Gastrin, the major hormonal trigger of gastric acid production is produced by the G cells located in the pyloric mucosa of the stomach. The G cells will release gastrin in response to a meal. However, the Histamine 2 receptors are thought to be the primary stimulus for the secretion of gastric acid.
How GED, PUD, and gastritis affect the stimulation and production of gastric acid
Gastroesophageal reflux disease (GED) is a…
Boeckxstaens, G. E., & Rohof, W. O. (2014). Pathophysiology of gastroesophageal reflux disease. Gastroenterology Clinics of North America, 43(1), 15-25.
Chait, M. M. (2010). Gastroesophageal reflux disease: Important considerations for the older patients. World journal of gastrointestinal endoscopy, 2(12), 388.
Kahrilas, P. J. (2003). GERD pathogenesis, pathophysiology, and clinical manifestations. Cleveland Clinic journal of medicine, 70(5), S4.
Konturek, P. C., & Konturek, S. J. (2014). Peptic Ulcer Disease Metabolism of Human Diseases (pp. 129-135). New York: Springer.
There is also a specific technique involving this method that is specifically intended to relieve the withdrawal symptoms of addiction (Addicted to caffeine).
In the final analysis, it was a combination of a healthy diet and a planned exercise program, complemented by yoga and a changing mindset that helped Nick to finally overcome his problem. One of the cardinal factors in his rehabilitation process was the understanding of what caffeine was doing to his body and his life. The most important factor in his recovery was the realization that he was in fact addicted and that his problem was not helped by a regular intake of coffee but was in fact worsened by the excessive amount of caffeine that he was ingesting. Once he realized that caffeine was not an aid but rather the central cause of his stress and anxiety he soon began to change his habits. At first…
Addicted to caffeine. Retrieved September 25, 2009, from http://www.queendom.com/advices/advice.htm?advice=241 >
Am I Addicted to Caffeine? Retrieved September 25, 2009, from http://www.wisegeek.com/am-i-addicted-to-caffeine.htm
Common Sources of Caffeine. Retrieved September 25, 2009, from http://lds.about.com/library/weekly/aa121202b.htm
GERD. Retrieved September 25, 2009, from http://www.nlm.nih.gov/medlineplus/gerd.html
Prescription antifungal or antiyeast medications may also interfere with the action of omeprazole and should not be taken concurrently with it.
Omeprazole is a drug primarily used to treat the symptoms of heartburn and acid reflux. Acid reflux occurs when stomach acid shoots up into the esophagus, the tube connecting the throat to the stomach.
Although it is a prescription-only medication in many places, it is also sold over-the-counter in some countries. The drug is usually administered in a time-release tablet form, although some patients might prefer the powdered version because the tablets cannot be chewed.
Omeprazole is not an antacid (like olaids or Tums) and works on an entirely different principle. Unlike antacids, omeprazole is not taken to relieve symptoms of heartburn immediately. It is a drug that addresses the root cause of heartburn and acid reflux, and must be taken regularly for it to be effective.…
"Omeprazole." (2011). PubMed. Retrieved online: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000936/
Jesus soothed away their fear, reassuring them it was him (John 6:20). He then joined them in the boat, and they were moved from that place to the shore where they heading (John 6:20). Here, Jesus takes control over their action, and that place where they disciples are going. He moves them there, and shows that he has the power over nature to walk across the water, and the power over the force of the wind to move the boat back to the shore. He cannot be forced to do that which is not within God's plan for him to do. How can they overcome him and force him to do what they want him to do if he has this strength over nature, which they themselves do not have?
Healing of a Blind Man (Holy Bible, John 9:1-12)
In this passage, where Jesus heals the sight of man who…
Theissen, Gerd and Merz, Annette (1998). The Historical Jesus: A Comprehensive
Guide, Fortress Press, Minneapolis, MN. Book.
Williams, Matt (2007). The Miracles of Jesus: Six in-depth Studies Connecting the Bible
to Life. Zondervan, Grand Rapids, MI. Book.
The Japanese myth partly resembles that of Adam and Eve present in the Bible and in the Quran. However, the first beings in Japan are considered to hold much more power than their equivalents in the west. Another resemblance between the Japanese legends and those in the west is the fact that the kami are considered to live in the high planes of Takamagahara, somewhat resembling mount Olympus, from Greek mythology. Japanese mythology is different from other mythologies through the fact that all of the deities involved in it are good in their character.
In the sixteenth century, when Buddhism entered Japan, the locals had a hard time keeping Shinto as their main religion, since it had not been an organized religion. Even with the fact that Buddhism had been spreading quickly around the country, the presence of Shinto could be felt everywhere, in people's lifestyles and in their culture.…
1. Amudsen, Christan. (1999). "Insights from the Secret Teachings of Jesus: The Gospel of Thomas." 1st World Publishing.
2. Herman A.L. (1991). "A Brief Introduction to Hinduism: Religion, Philosophy, and Ways of Liberation." Westview Press.
3. Kato, Etsuko. (2004). "The Tea Ceremony and Women's Empowerment in Modern Japan." Routledge.
4. Kumagai Fumie, Keyser Donna J. (1996). "Unmasking Japan Today: The Impact of Traditional Values on Modern Japanese Society." Praeger.
Non-Cardiac Chest Pain
Background- Chest pain is one of the most common reasons people call for or visit the Emergency Room for help. Heart attack education has brought to light the urgency of seeking immediate medical treatment if one suspects they are having heart issues. However, chest pain does not always signal a heart attack, and may be totally unrelated to issues with the cardiovascular system. Often no clear reason for such pain presents itself during examination, but understanding the perception and pain experience can help medical professionals understand different experiences that lead to patient panic about chest pain (Jerlock, Gaston-Johansson, & Danielson, 2005). Typically, if chest pain is related to a cardiac issue it is usually associated with one of the following symptoms: 1) pressure, fullness or extreme tightness in the chest; 2) crushing or searing pain that radiates to the back, upward through the jaw, and especially through…
Unexplained Chest Pain Can be Due To Stress. (2009, February 9). Retrieved from Science Daily: http://www.sciencedaily.com/releases/2009/02/090209094551.htm
Cunha, J. (2011, March). Chest Pain - Overview, Causes, Symptoms. Retrieved from eMedicineHealth: http://www.emedicinehealth.com/chest_pain/article_em.htm
Hershcovici, T., Navarro-Rodriguez, T., & Fass, R. (2011). Non-Cardiac Chest Pain: An Update. CML Gastroenterology, 30(2), 37-54.
Jerlock, M., Gaston-Johansson, F., & Danielson, E. (2005). Living with unexplained chest pain. Issues in Clinical Nursing, 14(2), 956-64.
Iranian Cinema After the evolution
An introduction to Iran:
Iran or Persia as it was previously known was founded more than 4,000 years ago and is thus one of the oldest surviving nations of the world. Iran had been primarily ruled by series of dynasties including such illustrious families as the Achaemenids (500-330 B.C.), the Sassanians (A.D. 226-650), and the Safavides (1500-1722). Iranian dynasties have been synonymous with victories and land acquisition but at the present Iran has s 1,648,195 square kilometers of Middle Eastern territory under its command. It is situated close to former ussia and two former Soviet republics (Azerbaijan and Tajikistan) are its close neighbors. Some other prominent neighbors include the Caspian Sea in the north, Turkey and Iraq in the west, and Afghanistan and Pakistan in the east. And in the south it has the Persian Gulf and the Gulf of Oman as its neighbors. The…
1. Akrami J. ( 1987). "Persian cinema and politics in Iran." In J. DH Downing (Ed.), Film and politics in the Third World . New York: Praeger.
2. Akrami J. (1990). "Feature film in Persia." In Encyclopedia Iranica. Costa Mesa, CA: Mazda.
3. Asadi A. & Mehrdad H. (1975). Nagsheh rasaneh-ha dar poshtibani toseaeh farhanghi [The role of media in support of cultural development]. Tehran: Iran Communication and Development Institute.
4. Gaffary F. (1990). "History of cinema in Iran." In Encyclopedia Iranica. Costa Mesa, CA: Mazda.
Jennifer experienced fever and palpable cervical nodes. This means she could have an infection as a result her tonsils. The infection could have led to lymphadenopathy. Since most patients that contract lymphadenopathy experience localized lymphadenopathy, Jennifer most likely has localized lymphadenopathy. "Distinguishing between localized and generalized lymphadenopathy is important in formulating a differential diagnosis. In primary care patients with unexplained lymphadenopathy, approximately three fourths of patients will present with localized lymphadenopathy and one fourth with generalized lymphadenopathy" (Ferrer, 2015, p. 1).
Palpable nodes are often swollen nodes that can be a result of an infection. Because her fever climbed over time and stayed relatively high, Jennifer may be experiencing acute infection since her patient history revealed no signs of previous disease. Causes for lymphadenopathy are often obvious.
"The cause of lymphadenopathy is often obvious: for example, the child who presents with a sore throat, tender cervical nodes and a positive…
Calhoun, D., Jones, D., Textor, S., Goff, D., Murphy, T., & Toto, R. et al. (2008). Resistant Hypertension: Diagnosis, Evaluation, and Treatment: A Scientific Statement From the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Circulation,117(25), e510-e526. doi:10.1161/circulationaha.108.189141
Ferrer, R. (2015). Lymphadenopathy: Differential Diagnosis and Evaluation - American Family Physician. Aafp.org. Retrieved 13 June 2015, from http://www.aafp.org/afp/1998/1015/p1313.html lni,. (2015). Clothing Dermatitis and Clothing-Related Skin Conditions. Retrieved 14 June 2015, from http://www.lni.wa.gov/sharp/derm
The Allied leaders all believed that all that the enemy could do at the time had been to wait for them to come. Montgomery and Eisenhower had been positive that the Nazis lacked both the petrol and the men to lead an offensive campaign.
Anyone else could agree with them at the time as it had been known that Hitler had lost most of his resources along with the loss of his allies. Furthermore, the world had been aware that Hitler had lost influence in Germany and that the bombing attempt had also crushed his confidence in his own men.
Nevertheless, Hitler managed to get together an impressive number of soldiers and resources. During the last months of 1944, his army seemed to have recovered and it appeared to be ready to lead an offensive. The Fuhrer knew that this had been his last chance of winning the war because…
Alan Bullok, "Hitler, a Study in Tyranny," Harper & Row, 1962.
Axel Axelrod, "The Complete Idiot's Guide to American History," Alpha books, 2003.
Bruce P. Schoch, "Battle of the Bulge," Merriam Press, 1999.
Patrick Delaforce, "The Battle of the Bulge: Hitler's final gamble," Pearson Education, 2004.
Michael Cooley (1972) has suggested that the drawing office has been downgraded in importance as a result of the finer division of labor in engineering that began in the 1930s. He described how the creative design element had become increasingly separated from the work of executing drawings. The fragmentation of shop floor jobs was, according to Cooley, paralleled by fragmentation of the job of the designer/drafter. Until the 1930s, drafters in ritain were responsible for designing a component, stress testing it, selecting materials for it, writing the specifications, and liaising with the shop floor and customers. ut starting in the 1930s, these functions were progressively broken down into separate jobs and taken over by various specialists, such as stress testers, metallurgists, tribologists, methods and planning engineers, and customer liaison engineers, leaving drafters with only the job of drawing (3D Systems Corporation, 2001).
In effect, in the ritain of the 1930s,…
3D Systems Corporation. 2001, 3D Systems. Retrieved Nov 3, 2011. from the World Wide Web: www.3dsystems.com/
Brown, Richard D. 2009, Knowledge Is Power: The Diffusion of Information in Early America, 1700 -- 1865. New York: Oxford University Press.
Chandler, Alfred D. Jr., 1977, The Visible Hand: The Managerial Revolution in American Business. Cambridge, Mass.: Harvard University Press.
Cooley M. 1972, Computer-Aided Design-Its Nature and Implications. Richmond, Surrey: AUEW/TASS.
Surface irregularities are often seen when using the scanning electron microscope, but these are absent using the AFM. One such analysis is described below:
Occasionally, the cartilage surface exhibits local discontinuities where an underlying fibrous network is distinguishable. Digestion of the cartilage surface with chondroitinase AC exposes this fibrous network more systematically so that the individual fibers are visualized with great clarity by AFM. When imaged at higher magnification, these distinct fibers exhibit a 60nm repeat, indicating that they are assembled from collagen fibrils. (Miller, Aebi, and Engel para. 4)
The AFM has been shown to be valuable in similar analyses of biological materials and processes. While AFM images also offer a view of the atomic detail of solids, the process is not useful for analyzing biomolecules such as proteins because they are designed to undergo conformational changes and form flexible supermolecular assemblies, meaning they are mechanically "soft" so that…
Automatic Tip Evaluation Broadens AFM Applications." R & D (1 July 1998). September 15, 2005. http://www.highbeam.com/library/doc3.asp?DOCID=1G1:21007984&num=31&ctrlInfo=Round17%3AProd%3ASR%3AResult&ao=&FreePremium=BOTH .
Atomic Force Microscopy." 2005. September 16, 2005. www.swan.ac.uk/chemeng/afm.htm.
Ball, Philip. Molecules. Oxford: Oxford University Press, 2003.
Baselt, David. "How AFM Works." Atomic Force Microscopy. 1993. September 16, 2005. http://stm2.nrl.navy.mil/how-afm/how-afm.html#General%20concept.
All this attention paid to their appearance demanded that a high-quality mirror be used. (Virtual, 3)
Hand-held mirrors were made of a sheet of metal hammered down to less than a millimeter (1/32") thick. They were sometimes decorated with solid gold and inlaid with precious stones. The handles were sometimes a sculpture of a maiden holding a cat, or other object, or with her hands raised to hold the mirror; abstract and symbolic designs were also utilized. The Egyptians felt that makeup and mirrors would be needed in the afterlife, so they were placed in the tombs of the deceased. The bronze on a mirror could not be touched, or it would ruin the shiny surface with the oils from fingers. If the mirror was simply cleaned occasionally with a damp cloth, the valuable and decorative object would last a long time. Some of these mirrors have survived until today,…
Ancient Empires site, 2006, Retrieved September 9, 2006 at http://www.ancient-empires.com/neroegmi.html
Horizon, Vol. V (3), 1963, New York: American Heritage Publishing Co., Inc. P. 2-69:
King Tut Shop web site, 2006, Retrieved September 10, 2006 at http://www.kingtutshop.com/freeinfo/Ancient-Egyptian-Clothes.htm
Stern, E. Marianne, and Birgit Schlick-Nolte 1994 Early Glass of the Ancient World 1600 BC - AD 50 Ernesto Wolf Collection. Gerd Hatje, Ostfildern, Germany. (130 # 5)
Many of the electric gadgets we use today like the cell phones and the home computers were invented in the 80s. Many multinational corporations came into existence in the 80s this spur the growth to a record 3.2% per year (Bellis, 2012). This was the highest nine-year rate in American history. This was occasioned by a number of factors some of which were economic, financial, legislative, and regulatory frameworks. This unprecedented growth led to failure of a number of banking institutions. From these failures, a term "corporate greed" was coined. This essay seeks to enumerate how technology advanced in the 80s (Coppens, 2012).
In 1980, Hepatitis B Vaccine was invented by Baruch Blumberg. This research physician discovered an antigen that provoked antibody response against Hepatitis B Other took queue from this discovery to develop a vaccine against this viral hepatitis. Baruch together with Irving Millman invented a vaccine…
Bellis, M. (2012). The 80s -- the technology, science, and innovations. Retrieved October 3, 2012 from http://inventors.about.com/od/timelines/a/modern_4.htm
Coppens, T. (2012). Major Inventions Timelines: 20th Century. Retrieved October 3, 2012 from http://teresacoppens.hubpages.com/hub/Major-Inventions-Timeline-20th-and-21st -
Kotelinkova, S. (2012). History of Genetic Engineering. Retrieved October 3, 2012 from http://sgugenetics.pbworks.com/w/page/47775520/The%20History%20of%20Genetic%2
The Gram-negative, motile, rod-shaped bacterium Pseudomonas aeruginosa is an opportunistic killer that takes advantage of people suffering from medical problems (Van Delden and Iglewski, 1998).For this reason, P. aeruginosa is one of the most common nosocomial infection that occurs in hospitals. P. aeruginosa is responsible for causing 16% of pneumonia cases, 12% of urinary tract infections, 10% of bloodstream infections, and 8% of surgical infections due to hospital care. Patients who are immune-compromised are also susceptible to P. aeruginosa infections, such as patients undergoing chemotherapy, suffering from HIV / AIDS, recovering in burn units, and suffering from cystic fibrosis. With death rates ranging from 30 to 60% for these patients, P. aeruginosa is considered to be a significant threat to patient health.
P. aeruginosa can switch between a free-swimming planktonic form and colonies enclosed within slime-protected biofilms attached to surfaces (Baltch and Smith, 1994,…
Baltch, A.L. And Smith, R.P. (Eds.). (1994). Pseudomonoas aeruginosa Infections and Treatment. New York, NY: Marcel Dekker, Inc.
Botzenhart, Konrad and Doring, Gerd. (1993). Ecology and Epidemiology of Pseudomonas aeruginosa. In M. Campa, M. Bendinelli, H. Friedman (Eds.), Pseudomonas aeruginosa as an Opportunistic Pathogen (pp. 1-18). New York, NY: Plenum Press.
Hawkey, Peter M. And Kerr, Kevin G. (2004). Laboratory investigation of health care-associated infection. In P. Hawkey and D. Lewis (Eds.), Medical Bacteriology: A Practical Approach (pp. 331-354). Oxford, UK: Oxford University Press.
Hurley, Matthew N., Camara, Miguel, and Smyth, Alan R. (2012). Novel approaches to the treatment of Pseudomonas aeruginosa infections in cystic fibrosis. European Respiratory Journal, published online ahead of print, 1-19. Retrieved 23 July 2012 from http://erj.ersjournals.com/content/early/2012/06/27/09031936.00042012.long .
Allied Airborne Invasion of Normandy on D-Day
The amphibious invasion of Normandy by Allied forces on 6 June 1944 was preceded by airborne landings to secure key objectives. The efforts of these airborne troops were an important factor in the success of the invasion. Three divisions took part in the airborne piece of the battle on D-Day. They were the American 82nd and 101st Airborne Divisions and the ritish 6th Airborne Division. All three units had combat jump experience and consisted of a combination of parachute and glider infantry regiments. The American portion of the airborne mission was code named Operation Neptune. In the sections below, I will examine the mission, operations, equipment, and leaders of these units on D-Day ("D-Day").
The paratroopers who participated in the D-Day invasion carried an average of seventy pounds of equipment. Officers averaged ninety pounds of equipment.…
Airborne Operations." D-Day and the Battle of Normandy. n.d. 21 February 2003 http://users.pandora.be/dave.depickere/Text/D-DayText/main.html .
Ambrose, Stephen E. Pegasus Bridge: June 6, 1944. New York: Simon and Schuster, 1985.
Bando, Mark. 101st Airborne: The Screaming Eagles at Normandy. Osceola: MBI
Publishing Company, 2001.
Physiological Changes Associated With Aging
Aging is the complex and inevitable process of tissue and organ system degeneration. Though largely influenced by genetics, aging is also dependent upon a number of environmental factors including exercise, diet, childhood personality, and exposure to ionizing radiation, pollutants, or microorganisms. The physiological changes that occur as an individual's age advances can be grouped into three, with the first category encompassing changes in such homeostatic mechanisms as extracellular fluid volumes, blood, and temperature; the second encompassing changes related to decreasing organ mass; and the third, changes in the body's functional reserve systems. Promoting the health of an aging population is crucial not only because it ensures the well-being of ageing individuals, but also because it significantly reduces the burden imposed upon a country's medical system. It is with this in mind that this text collates knowledge and research to examine, in a deeper sense, the…
Bherer, L., Erickson, K.I. & Liu-Ambrose, T. (2013). A Review of the Effects of Physical Activity and Exercise on Cognitive and Brain Functions in Older Adults. Journal of Aging Research, vol. 2013. Retrieved 8 April 2014 from [HIDDEN]
Glassock, R.J. (2009). The GFR Decline with Aging: A Sign of Normal Senescence, Not Disease. Nephrology Times, 2(9), 6-8.
Heckman, G., Gray, L.C. & Hirdes, J. (2013). Addressing Healthcare Needs for Frail Seniors in Canada: the Role of InterRAI Instruments. Canadian Geriatrics Society Journal of CME, 3(3), 8-16.
Saber, A. (2013). Perioperative Care of Elderly Surgical Patients. American Medical Journal, 4(1), 63-77.
1A) in the 18th and 19th centuries, food adulteration was common, and usually done for profit. Expensive ingredients were commonly diluted with filler material to lower cost, but there were no controls on these fillers and many were unsafe. Some additives were added to extend the shelf life of food, but in several cases these additives were harmful to consumers -- common preservatives included borax, formaldehyde and sulfuric acid.
1B) The poison squad was a team that tried foods with common additives. They were to find out what the effects of those additives on the human body are.
1C) The video highlights what food scientists are doing now to adulterate food in ways to make it more addictive, if not more appealing. The scientists look for ways to add low-cost ingredients that in theory are more appealing to the human palate so that people will eat more. This…
Neuroscience is the study of the nervous system. Neuroplasticity reflects the brain's ability to transform itself. This is an important concept, because it means that the brain is constantly changing, in that there is no constant self. The brain can thus be "re-wired," as a consequence of this neuroplasticity. When considering the brain and its role in our health, this is important because as the brain regenerates, we have the opportunity to change it. We do not need to be who we were, for example. Some of this is fairly common sense -- new experiences can change us -- but neuroscience has allowed this to be proven, that our brains are not set entities but can be transformed. Even more important is the finding that we can change our own brains over time with training (Draganski, et al., 2004).
Stress is one of the major influences on the…
AIS (2016). Stress effects. American Institute of Stress. Retrieved April 5, 2016 from http://www.stress.org/stress-effects/
Draganski, B., Gaser, C., Busch, V., Schuierer, G., Boghdan, U. & May, A. (2004). Neuroplasticity: Changes in grey matter induced by training. Nature. Vol. 427 (22 Jan 2004) 311-312.
Pradhan, E., Baumgarten, M., Langenberg, P., Handwerger, B., Gilpin, A., Magyan, T., Hochberg, M. & Berman, B. (2007). Effect of mindfulness-based stress reduction on rheumatoid arthritis patients. Arthritis Care and Research. Vol. 57 (7) 1134-1142.
Zautra, A., Burleson, M., Matt, K., Roth, S. & Burrows, L. (1994). Interpersonal stress, depression and disease activity in rheumatoid arthritis and osteoarthritis patients. Health Psychology. Vol. 13 (2) 139-148.
Black Women in White Male Industries
evise and esubmit
You have chosen in this paper a topic that has both national and international significance. How indeed inclusive, fair, and just are so called "inclusion or set-aside" initiatives? How open and accessible are the programs to new immigrants and minorities? These are all very interesting questions that your paper raises.
But you don't fully address whether or not the rational approach considers such programs to be either fair, effective, and even legitimate. Are these programs acceptable or legitimate in the eyes of a policy analyst or maker who subscribes to the rational choice perspective? Why and why not? Your paper also seems to contain a few sentences at the end that are not properly paraphrased but yet are not under quotation marks. This needs to be paraphrased or removed or quoted to avoid plagiarism.
Please find below your Paper 1 Grade…
Clemons, R., Mcbeth, M., (2001). Public Policy Praxis: A Case approach for understanding policy and analysis.
Gigerenzer, G., & Selten, R. (Eds.). (2001). Bounded rationality: The adaptive toolbox. Cambridge, MA: MIT Press.
Gigerenzer, Gerd. (2001). Decision-Making: Nonrational Theories, International Encyclopedia of the Social and Behavioral Sciences, Vol. 5, pp. 3304 -- 3309
Miller, G. (2004). Frontier Masculinity in the oil industry: The experience of women engineers. Gender, Work & Organization, 11(1): 47-73.
Teeth Enamel and Teeth, Generally
The hardest part of the human body is the tooth. Teeth help to chew and break down food particles into smaller units for easier digestion down the system. Teeth also help humans to articulate language ((Hoffman)). The enamel is the hardest part of a tooth. Calcium phosphate is its primary composition compound.
Enamel Formation and its Strength, Durability
The tooth crown constitutes a cellular material known as enamel. The enamel happens to be the hardest body tissue. The thickness of the material on the tooth depends on the part of the tooth and its shape. The thickest enamel is usually found at the cusp crest and incisal edges. The sloping part, the fissures, the cervix of the tooth, and the various pits of cuspid teeth have the thinner layers. The enamel on an adult human's teeth is high in energy and is home to significant…
(2015). Dentist in Glendale AZ | Phoenix Arizona Family Dentists. The Truth about Tooth Erosion: How to repair tooth enamel? Retrieved February 19, 2017, from http://www.arizonafamilydental.com/blog/weak-enamel-truth-about-tooth-erosion/
Hoffman. (n.d.). WebMD - Better information. Better health. The Teeth (Human Anatomy): Diagram, Names, Number, and Conditions. Retrieved February 19, 2017, from http://www.webmd.com/oral-health/picture-of-the-teeth#1
Terry, Trajtenberg, Blatz, & Leinfelder. (2008). DentalAEGIS. A Review of Dental Tissue Microstructure, Biomodification, and Adhesion | special-issues | dentalaegis.com. Retrieved February 19, 2017, from http://www.dentalaegis.com/special-issues/2008/02/review-of-dental-tissue-microstructure-biomodification-and-adhesion
(n.d.). WebMD - Better information. Better health. Tooth Enamel: Erosion and Restoration. Retrieved February 19, 2017, from http://www.webmd.com/oral-health/guide/tooth-enamel-erosion-restoration#2
Strategies for Reducing Asthma Attacks
Causes of Asthma
Asthma is a condition that causes the patient's airways to swell and narrow making breathing difficult triggering coughing (Shaheen, 2019). The patient might have a whistling sound when they breathe due to shortness of breath. Some people will only get a minor nuisance from asthma. However, for others, it will be a major issue, which interferes with their daily activities. It could also lead to a life-threatening asthma attack. The causes of asthma are not well known. Asthma is a condition that has puzzled many health professionals, but most of them have noted genetic and environmental factors do play a huge role (Shaheen, 2019). When a person has asthma, they will react to things in the world around them, and this reaction is referred to as asthma triggers. Exposure to certain substances and irritants that trigger allergies will result in signs and…
Gautier, C., & Charpin, D. (2017). Environmental triggers and avoidance in the management of asthma. Journal of asthma and allergy, 10, 47.
McCracken, J. L., Veeranki, S. P., Ameredes, B. T., & Calhoun, W. J. (2017). Diagnosis and management of asthma in adults: a review. JAMA, 318(3), 279-290.
Shaheen, S. (2019). Elucidating the causes of asthma: how can we do better? The Lancet Respiratory Medicine, 7(8), e25.
Nursing - Asthma
The limitation of airflow in asthma is reported as "recurrent and caused by a variety of changes in the airway." (Expert Panel eport 3, National Heart, Lung, and Blood Institute, 2007, p.1) Those changes include: (1) bronchoconstriction; (2) airway edema; (3) airway hyperresponsiveness; and (4) airway remodeling. Expert Panel eport 3, National Heart, Lung, and Blood Institute, 2007, p.1) Airway edema occurs with the progression of the disease and the inflammation is more progressive and exacerbated by "edema, inflammation, mucus hypersecretion and the formation of inspissated mucus plugs as well as structural changes including hypertrophy and hyperplasia of the airway smooth muscle." (Expert Panel eport 3, National Heart, Lung, and Blood Institute, 2007, p.1) Airway hyperresponsivenss is reported to be "an exaggerated bronchoconstrictor response to a wide variety of stimuli. Airway modeling speaks of the permanent structural changes in the airway reported to be associated with "loss…
Asthma (2013) The Merck Manual. Retrieved from: http://www.merckmanuals.com/professional/pulmonary_disorders/asthma_and_related_disorders/asthma.html
National Asthma Education and Prevention Program, Third Expert Panel on the Diagnosis and Management of Asthma. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Bethesda (MD): National Heart, Lung, and Blood Institute (U.S.); 2007 Aug. Section 2, Definition, Pathophysiology and Pathogenesis of Asthma, and Natural History of Asthma. Available from: http://www.ncbi.nlm.nih.gov/books/NBK7223/
Thomas J. Morrow, MD J (2007) Implications of Pharmacogenomics in the Current and Future Treatment of Asthma. Manag Care Pharm. 2007;13(6):497-505. Retrieved from: http://www.amcp.org/data/jmcp/pages%20497-505.pdf
The main factor of the pathophysiology for Jennifer is a marked pain in her throat. Her throat has become sore, specifically her cervical nodes (which is a sign clearly indicative of disease). Thus it is difficult to eat, which explains why she neglected to eat her breakfast. Another capital aspect of Jennifer’s pathophysiology which is particularly revealing is her fever, which is common in children (de Pont, 2015, p. 2). Initially her fever was low grade. However, in just a matter of days it exceeded 103 degrees. Her body is attempting to counteract the effects of the malady afflicting it via the fever. One of the foremost associated alterations of her adaptive responses is the current state of her skin. Her skin is desiccated and warm, which is indicative of the fever the child has experienced over the past couple of days. Her skin will likely continue to…
Comparison of pathophysiology of CVI and DVT
The pathogenesis of CVI is not completely understood; however, it's based on both venous reflux and obstruction; or an amalgamation of the two. Though venous reflux is actually based on a number of mechanisms, the key elements are venous valve ineffectiveness, vessel wall swelling, hemodynamic elements and additionally venous hypertension. These systems could be further exasperated by dysfunctional pumping devices (vascular and/or muscle pump), for example, in inert patients or even individuals with stiff joints (Goerge and Santler, 2017). Similarly, Deep Venous Thrombosis (DVT) is actually blood clotting in a deep vein of a limb (normally pelvis or the thigh or calf). Low-level extremity DVT frequently results from damaged venous return (for instance, in inert patients), endothelial injury or even dysfunction (for example post fractures of leg) as well as, hypercoagulability. Concurrently, upper-level extremity DVT frequently outcomes from endothelial injury because of pacemakers,…