Monday, December 23, 2019

A Brief Note On Atherosclerosis And Its Effects On The...

1. MYOCARDIAL INFARCTIONS Atherosclerosis impairs proper perfusion through ischemia and has acute and long-term serious consequences on the body’s vasculature including unstable and stable angina, myocardial infarctions, sudden cardiac death, transient ischemic attacks, cerebrovascular disease and more. The most common cause of myocardial infarctions (MI) is ischemic heart disease, and in turn, MIs are one of the leading causes of heart failure because they directly alter the structure and function of the heart. Heart failure can be described as the inability of the heart to adequately fill or contract in order to meet the body’s metabolic demands. MIs affect the ability of the heart to properly fill and eject blood depending on the location and extent of infarct. The adrenergic response and renin-angiotensin aldosterone system (RAAS) both play a vital role in the regulation of heart rate and stroke volume. In the short-term, the death of myocardial cells due to occlusion and lack of oxygen and nutrients leads to overall decreased muscle cells, decreased stroke volume, and thus decreased cardiac output. Following an MI, cell death, inflammation, and neurohormonal mechanisms contribute to cardiac remodeling which has long-term detrimental consequences. Initially, persistent ischemia directly leads to cardiomyocyte loss from necrosis and apoptosis. Furthermore, inflammatory cells and their mediators such as the pro-fibrotic cytokines TGF-B1 and CTGF begin to clear necroticShow MoreRelatedA Brief Note On Atherosclerosis And Its Effects On The Heart Essay1138 Words   |  5 Pagesof the disease Atherosclerosis is a disease dealing with the heart. This disease causes hardening and narrowing (or even blockage) of the arteries, which makes the arteries thicken. Accumulations of fat, calcium and plaque build up are all components of having this disease known as atherosclerosis. 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She was discharged from the hospital 10 days ago and comes in today stating, â€Å"I just had to come to the hospital today because IRead MoreReflective Account.3366 Words   |  14 Pagesassignment I will be writing a reflective account which will identify a significant episode of care in which I had been involved with, by identifying the pathophysiology and the disease process for the chosen patient; this will be presented by giving a brief outline of the psychosocial influences of the illness for the patient and others who may have been involved with the care. I will also reflect upon this episode by using a reflective model and examining the nursing process, using a holistic perspectiveRead MoreLipoprotein A Essay9440 Words   |  38 PagesLp(a) is involved in the wound healing process.103 An increase in Lp(a) levels with inflammation, combined with Lp(a)’s affinity for extracellular matrix proteins, may well underlie the accumulation of Lp(a) in the artery in the early phases of atherosclerosis (9). Lp(a) levels are generally very resistant to changes in diet, although there is evidence that dietary fat lowers Lp(a) levels. Hornstra et al. documented a lowering of plasma Lp(a) levels in individuals placed on diets rich in saturated fatRead MorePathogram: Chronic Respiratory Failure Essays7624 Words   |  31 PagesCare |Assessment |Medical/Nursing Diagnoses |Treatment | |Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities | |Age: 86 years old

Sunday, December 15, 2019

Questions 4 Q4-Study Sources Free Essays

Questions 4 Paper- June 2010 Q4-Study Sources D and E Which of Sources D or E is more useful to the historian who is investigating surgical practice in the 1870s? Both Sources D and E are useful to the historian who is investigating surgical practice in the 1870s, however only to a certain extent because both sources explain a few of the negatives and positives of surgical practice. In source D, it says that ‘it took too long to keep washing everything’ and how people who would think of new ideas in surgical practice were often regarded as ‘odd’. This evidence shows us that surgical practice at the time may have been a more negative experience rather than a positive one. We will write a custom essay sample on Questions 4 Q4-Study Sources or any similar topic only for you Order Now Source E, on the other hand, talks a little less broadly about surgical practice as it explains, like source D, ‘infection was as common as ever’ and talks about the transitions from one operating theatre to the next. However, sources D and E are only useful to a certain extent as both sources tell us only one aspect surrounding surgical practice when there were many others. Both sources talk about infection in surgical practice and how it was an obstacle which mainly surrounds the negatives of surgery. This information is only useful to a certain extent as we are not told the positives of surgical practice and whether there were other factors that affected surgery at the time. Only one of the sources seem of reliable provenance as Source D is a book called History of Medicine written at a time further away from the 1870s than when source E was written. Although Source D was written by someone who we can not tell had any medical experience, we understand that, this being a book based on Medicine as a whole, it would have been reliable and checked by other professionals. On the other hand, Source E was an account that was remembered by a man in surgical practice 56 years later and so surgical practice was changing immensely at the time and could have altered his opinion. It is also only an account of one person and could therefore be biased as others may think differently. Overall, Source D mainly focuses on specific areas of surgical practice and tells us that surgical practice was tough as ‘it took too long to keep washing everything’ (being the equipment and other things that were used) and it also talks about how people who would come up with new ideas, would have their ideas rejected at first as they were regarded as ‘odd’. Source D also mentions Lister and his ideas about germs and how they were lso regarded as ‘odd’. From this we see that Surgical Practice was rough for many and that surgery in the 1870s was quite shallow as development and new ideas were pushed down. Source E on the other hand also had some facts such as ‘the building cost ? 600 000’ however, like source D, talked about how nothing changed and gave a method which was kept the same such as being ‘allowed to go straight from the post-modern room to work on the maternity ward’. In Conclusion, looking at both sources and the reliability of the sources from the provenance of the sources, both source are useful to a historian investigating surgical practice in the 1870s, however, Source D seems more reliable and therefore more useful to the historian, as looking at the provenance, it is based in a book that many historians would have read and so would be more reliable than an account made by one person who could have had shallow views as they wouldn’t have many mixed opinions and so side with what they believed. Q5. Study Sources A, F and G and use your own knowledge. ‘Lister’s antiseptic methods changed surgical practice in a short period of time. ’ How far do you agree with this statement? Use your own knowledge, Sources A, F and G and any other sources you find helpful to explain your answer. The Sources How to cite Questions 4 Q4-Study Sources, Essay examples

Friday, December 6, 2019

Imporant Decisions In Huck Finn Essay Example For Students

Imporant Decisions In Huck Finn Essay Important decisions made by the protagonist in The Adventures of Huckleberry FinnHuck Finn, the protagonist, made many story altering decisions throughout the novel. Three monumental decisions are lying to the bounty hunters about Jim, tearing up the letter to Miss Watson about Jim and himself, and hiding the gold the duke and the king conned out of the Wilks. Two of the choices by Huck decide the fate and freedom of a human being, Jim, making them very powerful decisions that he has to make. Huck often makes these decisions rashly but they turn out to work very well for him. The three important decisions and why and how he made them show deeply how Huck Finn thinks and feels. One of Hucks major decisions not involving Jim is turning his back on the king and the duke, by hiding the Wilks gold. Huck more or less goes along with the duke and the kings plans until this one because of how nice the Wilks girls are to him. Huck had many choices and could have stuck with the duke and the king but changes his mind after Mary Jane and Susan are so nice to him and scold Joanna for questioning him. After Mary Jane scolds her Huck says to himself this is the girl Im letting that old reptile rob of her money! (169). Mary Jane and Susan make Joanna apologize to Huck and Joanna apologizes so beautiful it was good to hear (169). Joanna apologizing and Mary Jane and Susan sticking up for him makes Huck like them so much that he feels so ornery and low down and mean that I says to myself, my minds made up; Ill hive that money for them or bust(169). Huck then goes to bed early and sneaks up to the king and dukes room to steal the money. When the king and the duke talk about just taking the six thousand they already have and knocking off and lighting out(170). it makes Huck feel pretty bad(170). Huck feeling bad shows that he still believes what he is doing is right and wants to punish the king and the duke and have them get caught and shown for the frauds they are. Over the long term Huck does regret being involved in the downfall of the royalty, he says when he sees the king and the duke tarred and feathered that I felt sorry for them pitiful rascals. . . and felt kind of . . . to blame(222). Another major decision by Huck about Jims freedom is Huck deciding to rip up the letter he was going to write to Miss Watson about where Jim is being held until the reward is paid.. Huck decides to write the letter in chapter thirty-one after he discovers that Jim has been sold by the king and the duke for money. Huck can not think of a plan to get Jim free and has no idea where Jim is so he says to himself Once I said to myself it would be a thousand times better for Jim to be a slave at home where his family was, as long as hed got to be a slave, and so Id better write a letter to Tom Sawyer and tell him to tell Miss Watson where he was (204). Huck then thinks that if Jim is given back to Miss Watson he will be treated badly or sold down the river again for being ungrateful and trying to run away. He also thinks that people will look at him badly for trying to help a slave run away. Huck is then hit by the hand of Providence (204). .u722ec82276fd1bd606d486b304091d59 , .u722ec82276fd1bd606d486b304091d59 .postImageUrl , .u722ec82276fd1bd606d486b304091d59 .centered-text-area { min-height: 80px; position: relative; } .u722ec82276fd1bd606d486b304091d59 , .u722ec82276fd1bd606d486b304091d59:hover , .u722ec82276fd1bd606d486b304091d59:visited , .u722ec82276fd1bd606d486b304091d59:active { border:0!important; } .u722ec82276fd1bd606d486b304091d59 .clearfix:after { content: ""; display: table; clear: both; } .u722ec82276fd1bd606d486b304091d59 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u722ec82276fd1bd606d486b304091d59:active , .u722ec82276fd1bd606d486b304091d59:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u722ec82276fd1bd606d486b304091d59 .centered-text-area { width: 100%; position: relative ; } .u722ec82276fd1bd606d486b304091d59 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u722ec82276fd1bd606d486b304091d59 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u722ec82276fd1bd606d486b304091d59 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u722ec82276fd1bd606d486b304091d59:hover .ctaButton { background-color: #34495E!important; } .u722ec82276fd1bd606d486b304091d59 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u722ec82276fd1bd606d486b304091d59 .u722ec82276fd1bd606d486b304091d59-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u722ec82276fd1bd606d486b304091d59:after { content: ""; display: block; clear: both; } READ: Ancient Greeks and Romans Essay and believes that Jim was taken and sold because it is Gods way of saying that he will not allow people who help slaves to run away go unpunished. God watching over him makes Huck so scared that he decides to pray and try to become a good person. Huck tries to pray to become a good person, but knows that he will and does not want to become one, and he can not pray a lie. So Huck decides to write