Essays on Bleeding

1. COPD: COPD exacerbation (in-patient): Administer Duoneb (albuterol/ipratropium) q6H once the patient is stable to prn, prednisone 40mg qd x 5days, abx (IV levo). Similarly, once the stable switch to po. Closely monitor the patient for any side effects of fever. Follow up the patient in 7-10days to assess infection. Discharge: when discharging the patient, give her Tiotropium / Olodaterol 2.5 – 2.5 mcg to be taken once daily while at home. Also give the patient to carry home 90 mcg albuterol rescue inhaler, to take 1-2 puffs every 4-6 hours prn 2. Chronic COPD: Continue giving the patient ...

Module 1

Q 1. The pioneering works of Ellis and Kinsey played a significant role in transforming the beliefs and practices relating to sex in the contemporary society.

Ellis and Kinsey’s groundbreaking studies inspired other sexologists such as William Masters and Virginia Johnson.

Kinsey developed a comprehensive interviewing and coding system that ensured confidentiality, and accuracy. These parameters still govern the current studies sex research studies.

Ellis and Kinsey’s studies opened the topic of sexuality for debate and academic study

Q 5. Concerns to keep in mind when doing experimental sexual research as discussed in “Chapter 3-Sex Research” include the following; Extraneous factors such as race, culture, gender and age of the respondents. Ethical concerns: The sex research should conform to the policies established by the government and other relevant ...

Human sexuality can be considered as a controversial issue in today’s society. The emergence of the different concepts of gender and sexuality have solicited different perspective and points of view regarding the issue. However, one of the most technical, yet also practical way of approaching this topic, is through th application of evidences provided by science. 1.3 Self-Test 1. Two of the most well-known scientists when it comes to the study of sexuality are Havelock Ellis and Alfred Kinsey. The most notable contribution of Ellis in this field of study, is his thorough work on the Modern Sexual ...

Vitamin K

The body requires vitamin K as it plays a crucial role in the blood clotting process. Sources of this vitamin may be from food eaten and in some bacteria found in the intestines of human beings (CDC, 2016; a). New born babies need to be provided with the vitamin K medication at birth since, first of all they have got little of it stored in their systems as only a little amount can pass through the placenta, secondly, the bacteria responsible for manufacturing them cannot be found in their intestines and finally, the vitamin K contents found in breast ...

Status of the document.

This document is a project proposal for the development of starch-based hemostatic products. Acknowledgement. Much thanks to the project supervisor who offered guidance in every step of the development of this proposal. Developing starch based hemostatic products Project summary. Purpose: This proposal is envisioned to develop a hemostatic agent from purified plant starch. In this case, the product of the reaction should be developed by the formation of microporous hemosphere particles after etherification, esterification and crosslinking of glucose molecules to form ethyl propanetriol (glycerol-ether links (1-3 deoxy propanol)). The second intention of this study is to investigate the properties ...

{Author Name [first-name middle-name-initials last-name]} {Institution Affiliation [name of Author’s institute]}

Question 1: Pathophysiology of Mr. Jensen’s post-operative hypovolemia

Hypovolemia is a surgical condition that indicates the rapid fluid loss that may result in organ failures. The outcomes of the hypovolemia are mostly due to insufficient circulating volume or scarce perfusion. Often hypovolemia is secondary to hemorrhage the reason of which includes severe internal or external blood loss and GI, thoracic and abdominal bleeding maladies (Devitt, 2001). Hypovolemia involves significant fluid loss other than blood that can be further accompanied by refractory gastroenteritis and widespread burns. Hypovolemia may develop in post-surgical incidence, bone fracture, due to ...

Ebola virus disease, formerly described as Ebola hemorrhagic fever, refers to a severe illness that is usually deadly in humans. Wild animals transmit the virus to human populations where it spreads through direct contact with infected bodily fluids. Typically, the disease has a fatality rate of nearly 50% with past outbreak cases recording fatality rates ranging between 25% and 90% (World Health Organization (WHO), 2016). For example, an Ebola epidemic in West Africa reported in 2014 caused global panic because it was “the largest and most complex Ebola outbreak since the Ebola virus was first discovered” (WHO, 2016). In ...

Fairy tales and folklores are nothing but the reflections of the society. Authors and artists depict the world through their lens to highlight social elements. The Company of Wolves by Angela Carter is a fairy tale built on the theme of the Little Red Riding Hood. In a very subtle way it depicts the patriarchal structure of the society and what it means to be a liberated woman. In an interesting way she has shown what a feminist means, as it brings harmony and order into an otherwise sexist and chaotic society. Carter’s Company of Wolves might not ...

Disease pathophysiology

Definition of breast cancer Breast cancer is a malignant growth of cells in the breast. This type of cancer arises in the milk-producing glands when cells begin to divide in an uncontrolled way, forming a tumor. The most common neoplasm in breast cancer is the adenocarcinoma of the cells covering the terminal lobular unit (American Cancer Society, 2016; Stephan, 2016).

Prevalence of breast cancer

Breast cancer is the most common invasive cancer to affect women in North America, with more than 200,000 new cases each year, and worldwide, counting up more than 1,200,000. It is the second cause of cancer ...

Circumcision is the removal of the foreskin from the glans of the penis. This procedure is performed for a variety of religious, cultural, or medical reasons. Often, the parents of the baby are concerned about the benefits of a circumcision, how it is performed, the roles of the medical team during the procedure, and if it is painful for the baby. This paper will discuss these topics. One of the most common questions that parents will have is the benefits versus adverse effects of having a circumcision. While many people elect to have a circumcision for religious or cultural ...

Mark’s case is one among the many that healthcare providers face on numerous occasions. In this case, Mark presents at the clinic or within the ER having sustained serious injuries following a car accident. He is assessed to have significant internal bleeding and therefore in need of immediate blood transfusion to arrest the progression of the situation to a severity point. The doctor determined that three units of blood would be necessary for Mark’s situation and therefore placed the order for an immediate transfusion. At the time the transfusion was to occur, Mark was still conscious and ...

Novel drug sourced from snake venom

Abstract The cardiovascular and cerebrovascular diseases have continued to be some of the leading death causes across the globe. In the recent times, the field of medicine has received substantial advancements, particularly in the areas of pharmacological treatment and the prevention of the disorders such as the plasminogen activators, platelets GPIIb/IIIa antagonists and the direct thrombin inhibitors. The development of the novel drug, the tirofiban sourced from the Echis carinatus venom been highly reported to be of great importance. Tirofiban, an anticoagulant factors isolated from Echis carinatus has a variety of immune responses that includes both acute inflammatory responses ...

Age: 34 Yrs

LMP: October 28, 2015 EDC: August 10, 2016 Gestation: 40 weeks Obstetric History: Elena is a 34-year-old female who presents to the maternity clinic with labor pains. The client is a G3 P3 T3 A0 L2. The previous children were delivered by normal vaginal birth. She had a pre-pregnant weight of 137 lbs and a current weight of 176 lbs.

First Stage of Labour

The patient reports that contractions started seven hours ago at home. The contractions are regular occurring after approximately five minutes with a duration of 45 to 60 seconds. The cervical dilation is at 6cm. After two hours, the contractions ...

Abortion classifications

Abortion is the termination of a pregnancy before the completion of the gestation term. A spontaneous abortion results in the death of the fetus or expulsion of the conception material before the twentieth week. Abortions are classified in two, early abortion which occurs before the twelfth week and late abortion occurring between the twelfth to twentieth week. There are four classifications of spontaneous abortion: the inevitable abortion where the uterus rupture, prompting vaginal bleeding and the dilation of the cervix, causing expelling the pregnancy. The difference between complete and incomplete abortion is that incomplete abortion, all the conception products ...

Based on the clinical vignette, this patient is anemic and presents to the emergency department for symptoms relating to her condition. Based on the past medical history and the preliminary workup, one can have an idea of which type of anemia is occurring in this patient has and its underlying cause. Anemia can be divided into three categories based on the mean corpuscular volume (MCV) of the red blood cells: microcytic, normocytic, and macrocytic. In the physician’s report in the emergency room, it said that the patient’s red blood cells appeared microcytic and hypochromic. This information would ...

Introduction

Endometrial cancer refers to a type of cancer that affects the endometrium, which is the inner lining of the womb or uterus. Endometrial cancer is one type of cancer that is somewhat different when compared to other types of cancer, as it affects others parts of the body depending on its severity. That means that poor management of this type of cancer may have significant impacts to other parts of the body attributed to the spread of this cancer to different organs. The cancer arises from an abnormal growth of cells within the womb thereby resulting in a situation ...

Advantages and disadvantages of having a circumcision

Various persons and groups have advocated for and against circumcision, often citing various advantages or disadvantages to back up their respective positions. Some advantages according to Elist (2013a), the National Health Service (NHS) (2016) and Webmd (2014) include the reduced risk of developing urinary tract infections (UTIs), sexually transmitted diseases (STDs) especially HIV, cancer of the penis and cervical cancer in female partners. It also acts as prophylaxis against balanitis, balanoposthitis phimosis and paraphimosis as well as facilitates the maintenance of penis hygiene (Elist, 2013b; NHS, 2016; Webmd, 2014; Wiswell, 1997). Disadvantages of the procedure include complications which may ...

Introduction

Osteoarthritis of the knee also known as the degenerative arthritis is a major and growing problem for the elder population all over the globe. Approximately, 27 million individuals have been reported to suffer from osteoarthritis by the Arthritis Foundation in United States (US). Women have been more commonly reported to suffer from osteoarthritis as compared to men. The prevalence of developing arthritis has been found to increase after the age of 45 . Although, mostly elderly population are most affected yet there are few evidences of young people suffering from it. Osteoarthritis is also commonly defined as wear- and- tear ...

This paper puts focus on baby Kim who, after a premature birth, tested positive for meth and a subsequent intracranial bleeding. Other manifest characteristics of baby Kim detailed poor development in feeding and learning. Following the difficulties, Kim was taken to a Child protective Services unit where it was put under the care of one McCallister.

Biophysical Considerations of the Case Study

The baby’s problems are associated with prenatal drug exposure. As evident in the case study, Kim’s mother is an ardent abuser of crystal meth, a drug whose impacts are both short term and long term. In the long term, abuse of ...

El Salvador rightwing opposition leaders are pushing for an extension of the penalties related to abortion from a range of two to eight years to a new range that will see women face a minimum of 30 years and a maximum of 50 years. That will be through a reform of the penal code article that gives guidelines on the penalties related to abortion. The leaders are hinging their demands on the Constitution of El Salvador that gives a right to live, then extrapolate that life begins at conception. Since 1998, all forms of abortion have been banned in ...

Advantages

Male circumcision is the surgical removal of the foreskin. Circumcision may be performed for various reasons such as medical reasons, religious and cultural reasons and HIV prevention. Firstly, circumcision might be done to treat the following conditions: Phimosis is a condition wherein the foreskin is too tight to be pulled back over the glans penis. This can be a cause for pain during erection and may cause urination to be painful and difficult.

Recurrent balanitis is the inflammation of the foreskin and head of the penis.

Paraphimosis wherein the foreskin can’t be returned to its original position Penile cancer Aside from the medical reasons mentioned above, circumcision is a religious and ...

The first indication of menopause is a broken thermostat. It’s either that or your weight. In any case, if you don’t do something, you could be dead by August.“ - D.B.Frank Discuss health challenges experienced by women in the menopause transition with reference to current aetiological theories, underlying mechanisms, and how it affects women’s lives.

Introduction

Menopause occurs when a woman reaches the age at which she is no longer in her reproductive prime. However, menopause does not have a sudden onset; rather, it occurs gradually over time as hormone balances shift. This period of time, when ...

Scene 1: At the Doctor’s Office

Doctor (D): Hi! Please come in and take a seat. Patient (P): Good morning, Doctor. Thanks.

D: How do you feel yourself today?

P: Better, but I’ve still got a stomach ache. D: Right. You see, when you came here 4 days ago and were unable to breathe on your own, we had to attach you to a respirator and ventilate your lungs in the ICU.

P: Yes, I remember that. But what is the ICU you are talking about?

D: ICU stands for the intensive care unit, which we use to treat seriously ill patients. You see, you were gasping for breath, and we had to put you in the ICU.

P: Got it. So what’s wrong with me?

D: I’m still not ...

Children's Bureau. Long-Term Consequences of Child Abuse and Neglect. Technical Report. Washington, DC: Child Welfare Information Gateway, 2013. Web. <https://www.childwelfare.gov/pubs/factsheets/sp_long_term_consequences.cfm>. The report addresses the life- long impacts of child abuse and categorizes the results into physical health, psychological, behavioral and societal. Abused children are at times inflicted with head injuries which may cause bleeding of the brain, which interferes with brain development. Relevant sections of the brain could also be tampered with hence causing incidences of long-term head trauma to the affected child. Child abuse according to the report is also linked to poor physical health where the ...

Question 1

It is evident that particulate matter is becoming increasingly concentrated in Asia as reported by WHO. Power plants, dust storms, fossil fuels burning in vehicles as well as various industrial facilities result in highly significant amounts of particulates in the Asian continent. People in countries such as Pakistan, Bangladesh, India, and Nepal are prone to and in most cases suffer from aggravating respiratory and heart diseases such as emphysema, bronchitis, and asthma. Bronchitis, characterized by coughing up of dry mucus which is sometimes colored, is an inflammation of the lining of the bronchial tubes that carry air to the ...

Post-operative haemorrhage reporting

Part 1 Postoperative haemorrhage is the bleeding observed after a procedure involving a surgical operation (Bonjer and Cuesta 224). The bleeding may be delayed, or it may happen immediately after the procedure.

The prevalence of postoperative haemorrhage

In 2000, the prevalence of postoperative haemorrhage in the United States was estimated to be as follows: An occurrence of 2.24 postoperative haemorrhages with evacuation or surgical drainage per 1000 surgical discharges, 1.02 postoperative haemorrhages of people with the age range of 0 to 17 per 1000 surgical discharges and 1.5 postoperative haemorrhages among people of ages 18 to 44 per 1000 surgical discharges.

A scenario involving post-operative haemorrhage

A 40year old ...

Definition:

Ebola virus, well known for its hemorrhagic effects produced inside as well as outside of body. This virus progresses with bleeding, which leads to organ failure and if not treated properly can also cause death. ("Ebola virus and Marburg virus - Mayo Clinic", 2016). Ebola is also termed as Ebola Hemorrhagic fever because of its hemorrhagic property and it is also known to cause the death of 90% effected people ("Ebola Virus: Symptoms, Treatment, and Prevention", 2016). There are 5 strains of this virus and four of them are known to cause deadly symptoms like hemorrhage. Ebola have its ...

Abstract

Hemophilia is a genetic condition that is traceable in generations. The disease is usually linked to the excessive bleeding of the patient at a point where the blood vessel is damaged. A lot of research on the disease has been carried out trying to define the origin of the disease and offer extensive support to the solution of the condition. Over time, the disease has attracted extensive attention as the cases of the disease increase. It has not been easy to control the disease since the condition has been overwhelmingly disturbing to the patients as well as the family ...

As Sadcheva and colleagues (162) reasonably note, “the question of whether morality is an objective truth gleaned from nature or a socially constructed concept has been important in the philosophical study of ethics as well». In the editorial titled The Moral Instinct, Steven Pinker cultivates a rather controversial and ambiguous issue of human moral judgments, moral decisions/choices and moral dispositions. Thereby, the provocative nature of the author’s argument reveals itself as early as the introduction points to the blurred and seemingly inexplicable standards we evaluate the worth of particular prominent figures in terms of their compliance with moral ...

Ventilator-associated pneumonia

Abstract The intensive care unit in most hospitals plays the role of providing care to patients dealing with life-threatening conditions. The technological and other set ups in these hospital units are vital in ensuring that these patients continue to receive the best regarding care while with the intentions of having them emerge with desirable outcomes. There are however challenges relating to the care that these patients receive since, in most cases, they are usually under mechanical ventilation. A patient under this condition faces the risk of developing ventilator-associated pneumonia if the ventilators are not handled with the required care. ...

The day I was born was a sad day for the entertainment industry across the world. This was due to a premature death of a popular soap opera actor, Bill Bayers, who succumbed to AIDs in Los Angles at the age of 37 years. There was also the death of Ollie Halsal, English born guitarist who died of heart attack in Spain. However, it turned out to be a good day for mothers and healthcare sector following the ruling of U.S judge Charles Richey blocking limitation on abortion guidance. Abortion counseling can be defined as the act of giving ...

Headache is a common complaint that afflicts most of the adult population at some point in their lives (Hainer & Matheson, 2013). Headaches are by and large a subjective phenomenon with few objectively measurable factors (McMurtray & Saito, 2014). Most headaches will be the benign, but a small percentage will indicate an underlying neurologic or systemic pathology (Hainer & Matheson, 2013). The purpose of this paper is to investigate the chief complaint, “I have headaches or a headache.” The paper will discuss the objective and subjective data that needs to be collected, headache triggers and drug treatments, and the health promotion strategies ...

1. The Ebola virus is a virus that belongs to the Filoviridae family of viruses. It causes a severe disease that has fatal consequences in the majority of the cases. Ebola appeared in 1976 in Africa when two deadly outbreaks happened. Besides, the Ebola virus is a general name that comprises a few species such as Bundibugyo ebolavirus, Zaire ebolavirus, Sudan ebolavirus, Reston ebolavirus, and Tai Forest ebolavirus, also known by its former name as Cote d’Ivoire ebolavirus (World Health Organization, 2011, p. 3). The majority of these subtypes (4 out of 5) originates from Africa and occurs ...

Risk Assessment

Teaching Plan A Model of Care Delivery to Reduce Falls in a Major Cancer Center Teaching Outline Objectives of Teaching Plan The person who will read this teaching plan will be able to: Describe falls Describe risk factors for falls Implement effectual interventions for prevention of falls Appropriately respond to the hazards of falls The Lesson This will be a learning guide for the colleagues and interdisciplinary team members. This guide will have all the necessary information like patient issue, risk factors, statistics, prevention and suggestions related to falls. This could help in fall prevention.

Preventing Falls in a Major Cancer Center

Patient Issue Falls are ...

Hit and run homicide

A hit and run are normally defined as being involved in a vehicle accident with either a pedestrian, another vehicle or an object and escaping from the scene without being identified or give any assistance to those in need. It is mostly defined by leaving the scene whether you caused the accident or not. However, if you return to the scene maybe you had gone to access emergency assistance will not be considered as a hit and run. In a hit and run accident, there are several wound and injuries that are common and they assist in reconstructing the ...

Introduction

It is critical to understand that mechanical interventions and thrombolytic therapy are the commonly used approaches to treat both venous and arterial thrombotic complications. However, this approaches offer several limitations that are hard to ignore. First and foremost, there is a possibility of excessive bleeding and damage to the walls of the blood vessel. Secondly, the approach may fail to reach reperfusion. Thus, the use and application of ultra-sound accelerated thrombosis offer an entire revolution in vascular medicine. Again, the technologyis meant to withstand the test of time. Cleary, the technology has reduced the body dosage that would be ...

Abstract

Traumatic brain injury (TBI) is the bruising of the brain due to an impact received on the head. The brain injury can be termed as primary if its caused directly by the impact blow or secondary if its caused by reaction processes such as swelling due to inflammation. Common types TBI include hematomas, contusions, diffuse axonal injury (DAI), concussion, and coup/contrecoup lesions. The type of injuries are characterized by symptoms such as dizziness, headaches, amnesia, loss of consciousness, going into a vegetative state or a coma or death in extreme cases. There is no clearly defined body of knowledge ...

(Name of author)

Introduction

A community sports project aims at increasing participation in a particular sport through nurturing talent and making playing the sport enjoyable for young people. These projects are carried out by sports coaches who provide quality coaching and physical activities for the children. The project I was involved in was coaching football to teenagers between the ages of 16 and 17 years at Barking Football Club. My experience coaching the teenagers was very helpful as I got to work on my weaknesses and utilize my strengths. Before the project, I did not have a lot of confidence ...

Theory/Author Name and Background

The theory on spiritual well-being in illness is a concept that was explored by Sr. Mary Elizabeth O’Brien. Sr. Mary began her career as a nurse at the Mercy Hospital in Pennsylvania and she worked closely with people with chronic illnesses. Over the course of the history of nursing and specifically on the issues that touch on chronic illnesses and end-of-life care, the aspect of spirituality holds significant influence as to the development of the care plan (O'Brien, 2003). Even in the contemporary healthcare system, nurses are expected to observe the code of ethics within the specifics of ...

According to the Centers for Disease Control and Prevention (CDC), stroke is the fifth leading illness that causes death in the United States. It is described as one of the primary causes of adult disability (Centers for Disease Control and Prevention). Approximately 800,000 people in the U.S alone suffer from a stroke annually. This figure translates to one American dying after every four minutes (Caplan 19). Owing to the serious prevalence the disease represents, the illness has received requisite attention regarding prevention and treatment techniques in an attempt to reduce its incidence. As a result of its quick ...

The process through which the English settlers became Americans was twofold: they claimed North America as their home and cut ties with the mother country. First, the Red Indian tribes that existed throughout the lands claimed North America as their home, albeit in separate units. For that reason, confrontations that closely resembled a tug of war ensued because two distinct groups were vying for the same resources. Now, the assimilation of one faction by the other was impossible as their traditions differed greatly. Hence, it is no wonder that David Edmunds’ Tecumseh and the Quest for Indian Leadership revolves ...

SOAP NOTE

Women’s Health / Primary Care SOAP Age Range: 20-30 Gender: Female Occupation: Home maker. Subjective: ID: M.M.

Reliability: Pt is reliable, dependable and a knowledgeable source of information.

Reason for seeking Care (CC): Patient states “I have missed last two menstrual cycles of mine. I just need to confirm if I am pregnant.” History of Present Illness: Patient is a 29-year-old Asian female with no significant medical illness in the past history. Patient is a new patient to the clinic, and has come to confirm if she is pregnant. Travel History past 30 days: Patient has returned from a trip to her home land last week..

Current Medications: She uses some Homoeopathic medicines for constipation and heartburn sometimes.

Allergies (Medication, ...

Surgical Anesthesia

Pharmacology and Indications Licocaine Licocaine is a type of medication used with an aim of numbing tissues and nerves within a given area of the body, which provides that anesthetic effect for the body. The most popular brand names for this particular drug are xylocaine and lignocaine. Some of the common effects associated with this particular medication include drowsiness, muscle twitching, nausea, and confusion (1). The severity of the side effects depends wholly on a patient’s reaction to the chemical composition of the drug. Regarding its mode of action, licocaine works by blocking the voltage-gated Na+ channels, which ...

Assignment 2

PART A - (Total 15 marks)

Cephalexin and Gentamicin The mechanism of action of amoxicillin is focused on the prevention of the synthesis of the bacteria’s cell wall through the binding and inhibiting of the cell wall transpeptidases (Katzung, Masters, and Trevor, 2012). Specifically, it attaches to the penicillin-binding protein 1A found in the cell wall of bacteria. Then, the agent disintegrates the lactam ring to allow the acylation of the penicillin-sensitive transpeptidase C-terminal domain. The formation of the cross-link of the linear peptidoglycan strands is prevented by the inactivation of transpeptidases. Since the third and last stage ...

INTRODUCTION

The given study involves a 25-year old girl who has met with an accident and fell off the bike on a mountain her right side, while jumping over a curb and presents with a significantly large abrasion and ecchymotic area on the right thigh. She reports to have been wearing her helmet and no loss of consciousness and absence of any swelling. The patient may be evaluated and diagnosed for occurrence of musculoskeletal disorder for pain in her hip, arms and thigh.

ANATOMICAL COMPONENTS OF THE MUSCULOSKELETAL SYSTEM

The musculoskeletal system comprises of bones, muscles, joints, and the other connective tissue constituents combining these structures . ...

Brief information, risk factors and symptoms

Colon cancer, that is also known as colorectal, is a type of cancer that starts from rectum or colon. As any other type of cancer, colon cancer is characterized by uncontrolled growing cells of the body. This type of cancer usually starts with a polyp – a kind of growth on the inner lining of the rectum or colon. However, it is important to know that not all polyps change into cancer, though some of them might do it after several years. The chances that a polyp will become cancer after some, depends on the type of polyps. There are ...

SOAP NOTE

Women’s Health / Primary Care SOAP Age Range: 25- 30 Gender: Female Occupation: Receptionist Subjective: ID: M.L.

Reliability: Patient is a knowledgeable and a reliable source of information.

Reason for seeking Care (CC): Complaint of heaviness and pain in the left breast on and off since the last 4 months. History of Present Illness: Not applicable. No history of change in surgical, medical or family history.

Travel History past 30 days: No history of travelling in the last 30 days.

Current Medications: Denies being on any medication currently or in the past. Allergies (Medication, Food, Environmental): Not allergic to any medication, food or environmental influences. Immunizations: Received all the immunizations in a timely manner. History of Present Illness: The patient was ...

INJECTABLE CONTRACEPTIVES

Contraceptives can be dated from way back in the biblical era and there have been significant efforts to make improvements over the years to the various birth control methods. In the more recent days there are more than a dozen birth control methods practiced in the society. Some of this birth control methods include hormonal, oral, surgical and more commonly the physical methods of contraceptive. For one to be significantly protected from sexually transmitted illness and the unplanned pregnancies the more important thing is awareness and education on various methods available to them.

Injectable contraceptive

Contraception could be defined as the ...

In her novel, Not so quiet, Smith demonstrates the changing effects the Great War had on culture and identity by presenting contrasting perspectives of the war and the importance of national service The theme of war is widely tackled in the book. Hellen Zenna Smith, through her diaries, portrays a scene where the negative consequences of war are explicitly stated. As an ambulance driver, she ferries soldiers who are victims of war as she worked at the French front (Smith 6). There are harsh living conditions and filthy environment that encourages the presence of lice. The women also have ...

This work seeks to summarize the article,” The Expanded Biology of Serotonin” authored by Berger, Gray, and Roth. According to authors, serotonin, a neurotransmitter that modulates neural activity and neuropsychological processes, is widely used in psychiatry and neurology. It is located mostly outside the central nervous system, and the 15 receptors of serotonin are found outside as well as inside the brain. It regulates a number of biological processes including, bowel motility, cardiovascular function, bladder control, and ejaculatory latency. However, they mention that serotonin regulates some other processes as well including platelet accumulation through receptor independent, but transglutaminase-dependent covalent ...

The scene of the incident doesn’t look like an altered one. The pick-up has heaps of glass outside the passenger door; this points to the probability that the window to the passenger window was broken on the scene. The pick-up doesn’t seem to be a four wheel drive since only the rear wheels have dug into the ground. The rear wheel having burnt off the rim; there is a possibility that the driver lost control of the pick-up and plunged into the fence, but the rear wheels continued to turn. The position of the lady at the ...

Sentiment was boiling with respect to the issue of slavery. There was a delicate balance in Congress----eleven Free states and eleven slave states. Missouri wants to join the union as a slave state, a challenge to the fragile equilibrium of the political era. Henry Clay helps to provide the answer with the Missouri Compromise. It simply stated that Missouri would join the union as a slave state, while Maine would detach from Massachusetts as a free state (Etcheson 1). Furthermore, slavery would be outlawed in lands north of the southern border of Missouri, except of course, Missouri (Etcheson 1). ...

The requirements to be filled on a patients admission form after an open reduction and internal fixation will include; the patient’s full name, the date of birth, weight, height, and vitals (such as; health status), the M/S on the bone status which will include; fractured right femur and humerus, muscle strength, extensor, abductor muscle strength, normal fixed supinated cavus type foot, the heartbeat rate and rhythm, and the capillary filling. This information will be vital in determining if K.B. needs to undergo surgery, hence cold pack is preferred as it will ease any pain and swelling. It will ...

Iron

Iron is a mineral that is abundant in plant foods, meat, seafood, and poultry. Green leafy vegetables have high levels of iron and are most suitable in cases of deficiency. Low levels of iron among young adult women can cause iron-deficient erythropoiesis (red blood cell production) and anemia (Harland et al., 2010, p. 325). These deficiencies can result in impaired immune and cognitive functions and can affect energy levels of an individual. Women of reproductive age usually experience menstruation on a regular basis. Heavy menstrual bleeding during this time increases the loss of iron, therefore, causing the deficiency.

Calcium

Calcium ...

[Class title]

Islamic Fasting

Introduction Fasting is a term used to denote the age old practice of abstaining from food. In general, it is defined as the conscious or willing abstention from all or some foods for a certain period of time. Scholars believe that fasting is an ancient practice that has been observed in the earliest history of human civilization and is universal in scope. Fasting, for instance, has been observed in the culture of Native Americans as well as in the natives of New Guinea and in almost every culture and civilizations around the globe (Piper 31). Fasting has ...

SOAP NOTE

Age in years: 42 Gender: Female Subjective CC (Chief Complaint): A 42 year old female presented to the Gynaecology clinic with the complaint of severe pain in abdomen with heavy menstrual bleeding (on the 3rd day of the menstrual cycle). History of Present Illness: The patient was apparently well almost 3 months back when she gradually developed extreme pain in the lower abdomen prior to and during the menstrual cycle. The cycles were normal before these three months. She never had such excruciating pain before. The pain used to commence a day or two prior to the cycles ...

Complementary and Traditional Interventions

The use of the complementary modalities in the treatment of different diseases has become a common phenomenon in medicine. For instance, complementary modalities are commonly used in the treatment of depression, back pain and anxiety. Besides complementary modalities, traditional interventions have also proven to be effective in the treatment of diseases for a longer period since the ancient times. Despite the fact that health practitioners integrate traditional interventions and conventional modalities when providing care so as to enhance the outcome of the patient, it is imperative for the health practitioner to be careful while choosing either of the interventions ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...

Blood Transfusion

Blood transfusion is the safe process of transferring blood from a donor to a recipient. Blood recipients are patients of various diseases and injuries who require blood to save their lives. The process is done to replace the lost blood during surgery, due to injuries or due to other complications and diseases, which render the body mechanism unable to make blood cells. In fact, about 90 million people around the world are in need of blood every year, while only about less than 12 million people are willing to donate blood each year (Pan American Health Organization, 2009). In the United ...

Abstract

This Paper illustrates the physiological effects of puberty during adolescence. It gives definitions of puberty and adolescents and tries to correlate the two in checking for the effects on each other. The paper gives the psychological changes brought about by the outward changes of an individual during the growth stage of adolescent. Every person has experienced this occasion of ambiguity known as puberty. It conveys instances of perplexity as adolescents are often trying to comprehend who they are and try to discover an identity. Santos (2007) describes puberty as “a period of quick bodily maturation involving hormonal and physical transformations ...