An Overview Of Liver Cirrhosis

An Overview Of Liver Cirrhosis The liver is a dark reddish brown organ weighing about 3 pounds located in the upper right hand portion of the abdominal cavity. It is the largest compact organ in human body. The word cirrhosis stem from a Greek word meaning yellowish, tawny, that is the orange à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ã¢â‚¬ yellow color of the diseased lever. Verrill et al, 2008 describe the term cirrhosis as a broad church that include at one end biopsies with extensive fibrosis with normal numbers of hepatocytes, and at the other end, liver samples in which only isolated nodules of hepatocytes remain. Shibli et al, 2006 summarizes cirrhosis as an advanced stage of liver diseases due to an array of insults to hepatic parenchyma including infections, autoimmune processes, genetic disorders and toxins. Widespread fibrosis with nodule formation and interruption of normal hepatic blood flow is distinctive in liver cirrhosis. A healthy lever is important because it is involved in numerous complex metabolic functions essent ial to life. It takes out nutrients from the blood and processes them for later use. The liver manufactures bile used by the digestive system in assisting in the absorption of fat and certain vitamins. The liver is also critical in the removal of medications and toxic wastes from the blood stream excreting them into the bile. These can be harmful to the body. The liver serves as the main factory for blood proteins especially clotting proteins necessary for blood to clot. Clotting tests can be done to measure liver function. Lever cirrhosis is scarring of the liver due to inflammation and repair of injured and killed cells. According to the American College of Gastroenterology (www.acg.gi.org) cirrhosis is among the top ten leading causes of illness and death in the United States in adults of ages between 25 and 64. They further argued that the number of people suffering from cirrhosis will continue to escalate. The most common causes of cirrhosis in the United States are excess alco hol consumption and chronic infection with hepatitis B and hepatitis C (Larson, 2010). Other causes include fatty liver disease; drug induced injury, autoimmune diseases, bile duct disorders and inherited disorders. In some patients lever cirrhosis may be due to a combination of the causes, for example excess alcohol and viral hepatitis. There is also cryptogenic cirrhosis which is due to unidentified causes. The consequence scar tissue bands disrupt the normal structure of the liver. This affects liver blood filtering to the heart from the digestive system. The scar tissue causes increased resistance to blood flow through the liver resulting in a condition called portal hypertension. Portal hypertension is a process whereby high pressures develop in the veins that drain into the liver. Consequently the blood will return to the heart through alternate low pressure veins that bypass the liver. The liver is thus unable to either add or remove substances from the bypassing blood. Sympt oms of Cirrhosis The signs and symptoms of liver cirrhosis may be invisible or non specific at early stages. The non specific symptoms include fatigue and itching. Fatigue is a common symptom of cirrhosis. It is important to screen out other causes of fatigue that may have nothing to do with liver cirrhosis. Itching is also a common symptom of cirrhosis. Itching in patients with liver cirrhosis is due to bile duct disorders. Itching due to liver cirrhosis can result in itching over large parts of the body and can be severe. As liver function deteriorates, a variety of liver related symptoms may develop. A condition called Jaundice may manifest through yellowing of the skin and whites of the eyes. Darkening of the urine and pale stool may occur prior to yellowing of the skin and whites of the eyes. The yellowing is a result of accumulation of bilirubin in the blood stream. Bilirubin is a yellow orange colored compound resulting from breakdown of hemoglobin from red blood cells. Liver cirrhosis patients may also develop varices inside the digestive system resulting in digestive tract bleeding. Varices are abnormally enlarged veins. They do not cause symptoms unless they rapture and bleed. Vomiting blood or passage of maroon or black tarry stools may be an indication of bleeding varices. Esophageal varices bleeding are a medical emergency that requires emergency treatment. Other symptoms and signs of liver cirrhosis include development of mental slowing, confusion, excess drowsiness, and slurring of speech, a condition known as hepatic encephalopathy.

MARKETING COMMUNICATIONS Essay Example | Topics and Well Written Essays - 1500 words

MARKETING COMMUNICATIONS - Essay Example The tools of communication include most importantly the direct marketing and public relations. These tools help the businesses in promoting and advertising themselves in a sophisticated manner depending upon their nature of products and services. Both of them are effective in enabling the businesses communicate with its customers. The concept of public relations pertains to the activity of carrying the flow of information between the public and the organization. This tactic gives the organization an opening to the audiences by utilizing the news items that do not need direct payments. The strategies of direct marketing primarily promote the products and increase their awareness amongst customers. While, the public relations activities involve making the image of the company and brand in the entire public. Direct marketing only promotes and advertises the individual products to the buyers. While, public relations is more important in the senses that it promotes the organization and product lines by building its image at the social level. The direct marketing tactics give an idea of the price at which the product can be sold by the marketers. While, the public relations person aims upon gauging the reactions and perceptions of public for the purpose of marketing the product. The tools of communication mix include advertising, personal selling, sales promotion, public relations and direct marketing. The retailers can use all this tools in an effective manner to promote their products and services. Advertising can be used by the retailers to create awareness about the store or the product for the purpose of creating a good image in the minds of customers. It convinces them by creating a desire in them to purchase the product and assists the store’s repositioning in their minds. The retailers can also utilize personal selling as one of the effective ways to deliver their products and services. A personal representative

Altered Hematology & Cardiovascular System Case Study

Altered Hematology & Cardiovascular System - Case Study Example Hypoxia of central nervous system causes faintness and headaches while myocardial hypoxia results in palpitations and increased heart rates (Kumar et al 2005). She has a history of chronic blood loss which is due to menorrhagia. Other causes of chronic blood loss include gastrointestinal bleeding, malignant diseases and urinary bleeding. Chronic blood loss anemia results from blood loss in small amounts, which occurs over a long period of time and it results in iron deficiency anemia because the iron stores of the body are depleted. Consequently, the oxygen-carrying capacity of the red blood cells is reduced and the patient presents with signs and symptoms of anemia. The clinical features of the chronic blood loss anemia are not severe until the hemoglobin levels of the blood are extremely low (Emmanuel et al 2001). The shortness of breath of the patient is explained by the decreased oxygen content of the blood cell which is exacerbated due to exertion (Kumar et al 2005). As mentione d in the case she presented with severity of symptoms while playing golf at a high course which induced exertion. Chronic blood loss is a very important and common cause of iron deficiency anemia which is caused when all iron stores are depleted due to external hemorrhage over a long period of time. Iron deficiency anemia (IDA) presents with a peripheral blood film of microcytic and hypochromic red blood cells. The serum reserves of ferritin and hemosiderin are utilized in the initial stages of blood loss, however, when these stores have also been consumed, the symptoms of anemia manifest. Serum iron, ferritin and transferring levels are also reduced (Kumar et al 2005). Another... The paper tells that proper amount of rest and limitation of the daily activities to a certain extent will help the patient to control the signs and symptoms of CHF. The restriction of daily physical exertion will put less amount of workload on the heart and hence, improve the condition of the patient. The second step in managing the case is a proper diet plan. The patient should be advised to reduce the sodium content in his food items as this will reduce water retention in his body lowering the cardiac workload. The sodium content should be limited to 1.5 to 2g per day. Alcohol consumption should also be lowered down to only one drink per day which plays an important role in lowering the systolic blood pressure by 2-4 points. Chronic alcoholism is a very important cause of cardiomyopathy and if the patient shows a positive history of alcoholism he should be advised to consume a low to moderate amount of alcohol. Weight control and a dietary calorie limitation are recommended in the obese patients. They are advised to a body mass index of 18.5 to 24.9 and eat a healthy balanced diet comprising of green vegetables, fruits, and low-fat food items. Exercise including aerobic and strength training in CHF patients in an adequate amount also helps in improving the patient’s condition. The patient should be advised to exercise for 30 minutes five to six times a week and increase his physical activity. However, if he complains of angina pain, shows symptoms of respiratory distress, CNS symptoms or increased fatigue exercise should be stopped.

machiavelli Essay -- essays research papers

The Church accused Niccolo Machiavelli of being Satan for writing his book The Prince. Machiavelli completed The Prince in 1513. He wrote it as a gift to Lorenzo Medici, called the Magnificent, ruler of Florence. The political views Machiavelli expressed in his book went against the theology of the Church, specifically the Ten Commandments and the Beatitudes. Machiavelli wrote to gain control of a principality one must be brutal. (I)f you are a prince in possession of a newly acquired state and deem it necessary. . . to annihilate those who can or must attack you. . . . , you must do so to protect your principality. He gave the example of Duke Valentino's slaying of his nobles to maintain order, saying if Valentino had not killed his men, Valentino would have lost power. The Bible strongly forbids the killing of anyone. The Sixth Commandment states You shall not murder. In what is known as the Beatitudes, from Jesus' Sermon on the Mount, the Bible also says those who are meek shall inherit the earth. A meek person certainly does not kill others for standing in his or her way like Machiavelli is suggesting to be done. Another verse from the Beatitudes says those who are peacemakers will be called sons of God. Peacemakers do not kill either. For Machiavelli to say if killing a person is for the betterment of your principality, then to do so went against God's rule and the Church's. True followers of the Church abide by the Church beliefs, because if you are not for God, ...

Kim Fuller Essay

In the early fall of 2002, Kim Fuller was employed as a district sales engineer for a large chemical firm. During a routine discussion with plant chemists, Fuller learned that the company had developed a use for the recycled material, in pulverized form, made from plastic soda pop bottles. Because the state had mandatory deposits all beverage bottles. Fuller realized that a ready supply of this material was available. All that was needed was an organization to tap that bottle supply, grind the bottles, and deliver the pulverized plastic to the chemical company. It was an opportunity Fuller had long awaited—a chance to start a business. In November 2002 Fuller began checking into the costs involved in setting up a plastic bottle grinding business. A used truck and three trailers were acquired to pick up the empty bottles. Fuller purchased one used grinding machine but had to buy a second one newï ¼â€ºSupplies and pans necessary to run and maintain the machines were also purcha sed. Fuller also purchased a personal computer with the intention of using it to keep company records. These items used $65,000 of the $75,000 Fuller had saved and invested in the company. A warehouse costing $162,000 was found in an excellent location for the business. Fuller was able to interest family members enough in this project that three of them, two sisters and a brother, invested $30, 000 each. These funds gave Fuller the$50,000 down payment on the warehouse. The bank approved a mortgage for the balance on the building. In granting the mortgage, however, the bank 0fficial suggested that Fuller start from the beginning with proper accounting records. He said these records would help not only with future bank dealings but also with tax returns and general management of the company. He suggested Fuller find a good accountant to provide assistance from the start, to get things going on the right foot. Fuller’s neighbor, Marion Zimmer, was an accountant with a local firm. When they sat down to talk about the new business, Fuller explained, â€Å"I know little about keeping proper records.† Zimmer suggested Fuller should buy an â€Å"off-the-shelf† accounting system software package from a local office supply retailer. Zimmer promised to help Fuller select and install the package as well as learn how to use it. In order to select the fight package for Fuller’s needs, Zimmer asked Fuller to list all of the items purchased for the business, a11 of the debts incurred, and the information Fuller  would need to manage the business. Zimmer explained that not al l of this information would be captured by the accounting records and displayed in financial statements. Based on what Fuller told Zimmer, Zimmer promised to create files to accommodate accounting and non-accounting information that Fuller could access through the company’s personal computer. As Fuller’s first lesson in accounting, Zimmer gave Fuller a brief lecture on the nature of the balance sheet and income statement and suggested Fuller draw up an opening balance sheet for the company. Confident now that the venture was starting on solid ground, Kim Fuller opened the warehouse, signed contracts with two local bottling companies, and hired two grinding machine workers and a truck driver. By February 2003 the new firm was making regular deliveries to Fuller’s former employer. Questions 1. What information will Fuller need to manage the business? Classify this information in two categories: accounting information and non-accounting information. 2. See what you can do to draw up a beginning of business list of the assets and 1iabilities of Fuller’s company making any assumptions you consider useful. How should Fuller go about putting a value on the company’s assets? Using your values, what is the company’s opening owners’ equity? 3. Now that Fuller has started to make sales, what information is needed to determine â€Å"profit and loss†? What should be the general construction of a profit and loss analysis for Fuller’s business? How frequently should Fuller do such all analysis? 4. What other kinds of changes in assets, 1iabilities, and owners’ claims will need careful recording and reporting if Fuller is to keep in control of the business?

Music that Inspires to Write

I cant stand silence. Theres always some background noise (mostly music) wherever I happen to be: at home its radio, at work and on the go its headphones. Moreover, music is a must-have whenever Im staring at a blank screen in the attempt to produce the first words of my new piece of writing. Thats the case with many of my acquaintances and I wondered: Why so? What is it all about music that we cant live without it? After a short research credible answers with explanations appeared. The Most Convincing Was the Neurological Approach As we all know, every piece of music has a rhythm. We perceive it as stressed and unstressed beats in patterns that continuously repeat. All our inner organs work under the influence of rhythm, which also plays an outstanding role in the ability of our mind to organize billons of electrical impulses into understandable, logically arranged mental pictures. If there is a movement of any kind, rhythm controls this movement. When theres a change of the rhythm of a movement, theres also a change of the final result of this movement. So, all in all rhythm controls the way the impulse is sent in the neurological system, controlling the way the message is perceived. In the long run it means that an external rhythm can change mental pictures in our head, or even the way we perceive reality. The conclusion is: music can help you create necessary mental pictures related to your writing. You simply need to know which music helps you get the desired effect. However, you need to be careful with the volume. If its too loud, you can literally lose touch with reality. So beware! Some researchers claim that music has the following effect on mental state in general: fights depression; relieves anxiety; improves learning abilities; boosts confidence. Whats more, theres a whole theory claiming that listening to Mozarts music can temporarily improve overall performance, IQ level including. This is the famous Mozart Effect that got popular in the late 1950s. This theory also suggests that: music increases concentration levels, improves memory; it increases creativity and problem-solving skills; makes learning easier; speeds healing (provokes development of endorphins). Music appears to be a very powerful tool, indeed! So How Can Music Help You Write? Believe it or not, but music dramatically helps the writing process: music can set you into the light mood; it can also tune you to philosophical thoughts; it can help you get concentrated and not distracted by other people or noises; it can simply serve as a subconscious trigger for the start of working; right music speeds up writing; it provides some prompts and ideas as to how to start your writing. And these are not empty words. Lots of writers claim to have separate writing playlists that help them concentrate. For example, Nahashon listens to HipHop and RnB when hes either about to finish or begin his work. He genuinely believes that music is soothing and relaxing. Naturally, not everybody is the listening-to-music nature. Sweetessays, for example, finds music distracting and disorienting. Thus, he treats himself with a bit of classics only at breaks or when hes about to work on a really difficult assignment. Either way, music can definitely have a positive effect on you and give you the inspiration to get going. William Shakespeare once wrote, If music be the food for love, play on. Well, I say if music be the food for writing, by all means, play on!

Hamlets Madness Feigned or Real Essay - 556 Words

One of the most analyzed plays in existence is Shakespeare’s tragedy Hamlet, with its recurring question: â€Å"Is Hamlet’s madness feigned or real?† This question can only be answered through the portrayal of his character when he is associated with the other characters in the play. In Shakespeare’s play Prince Hamlet pretends to insane or mad, in order to thwart and baffle those who prevent him in his quest for revenge. Hamlet poses a viable threat to Claudius throne whether sane or insane, and Hamlets supposed insanity provides justification for detrimental action. Hamlet clearly has some tricks up his sleeve and has well thought out this fabricated madness. To begin, ever since the death of the King, young Hamlet has been what seems†¦show more content†¦Hamlet is explaining to the Horatio that he might seem insane, but does not want him to stop him, for it is his plan to exact revenge upon Claudius. Hamlet hints at this in order to give the reader a better understanding of how he is going to accomplish his devised plan. Rather then immediately acting with vengeance and murdering Claudius, Hamlet decides to take an approach, which satisfies both his principles and ambitions. His false face of a mad man is worn, highlighting a clear indication of the many deceptive faces, which will arise. Through Hamlet’s personal agenda, and his use of actions, he is able to maintain his conscience. He is definitely depressed, but he does not let it get the best of him. Prince Hamlet is still able to display characteristics of a quick-witted and cunning young man. He uses these skills to his advantage in order to ultimately kill the kin g who gained power unjustly. Furthermore, Hamlet uses his ingenuity in front of the Guildenstern one of the King’s moronic spies. After worming out their secret mission from the King, Hamlet lifts the veil for the reader in the words: â€Å" I am but mad north-north-west/When the wind is southerly, I know a hawk from a handsaw† (2.2.402-403). Hamlet is making it clear to Guildenstern that he is only insane at certain times and that he can distinguish between things that do not resemble each other. Unfortunately, for Claudius’s his imbecileShow MoreRelatedThe Madness Of Hamlet By William Shakespeare1047 Words   |  5 Pages3 The Madness in Hamlet In William Shakespeare’s Hamlet, madness is a condition which is difficult to identify whether it is genuine or fraudulent. After the encounter with the ghost of Hamlet Sr. and Hamlet, Hamlet decides to put on an antic disposition. But thereafter he decides this, Hamlet s actions embody someone that is truly mad. This is how Shakespeare makes it difficult to determine if Hamlet is truly mad. 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Shakespeare left it up to the audience to decide whether he was truly crazy or not. Although, there are many deliberate acts of fabricated insanity repeated throughout the play. Hamlet’s life events such as the death of his father, loving someone he cannot have, andRead More Hamlet’s Madness in Craft Essay887 Words   |  4 PagesIn Act I, Scene V, after hearing the ghost’s demand for revenge, Hamlet says in advance that he will consciously feign madness while seeking the opportune moment to kill Claudius. Therefore, it is hard to conclude that he coincidentally became insane after making such a vow. Hamlet’s supposed madness becomes his primary way of interacting with the other characters during most of the play, in addition to being a major device that Shakespeare uses to develop his character. Still, the question remains:Read MoreHamlet : Revenge, Uncertainty, And Madness1252 Words   |  6 PagesShakespeare’s tragedy play surrounded with three major themes: Revenge, Uncertainty, and Madness. Throughout the play, the theme Madness is surrounding the protagonist, Hamlet. Although, nowadays, Hamletâ €™s madness is still an enigma to the readers. His words and actions are highly debated whether he is deeply submerged in the sea of madness or he is merely acting. According to the Merriam Webster Dictionary, madness is â€Å"the state of having serious mental sickness, or showing foolish actions and completelyRead MoreWilliam Shakespeare s Hamlet - Ophelia s Struggle And Madness1088 Words   |  5 Pages1 Pregnant with Madness— Ophelia’s Struggle and Madness in Hamlet Yi-Chi Chen Intergrams 11.2(2011): http://benz.nchu.edu.tw/~intergrams/intergrams/112/112-cyc.pdf ISSN: 1683-4186 Abstract Madness in Hamlet is one of the crucial themes for Shakespeare to depict the chaotic turbulence in the Hamlet family and the court of Denmark. Due to Claudius’s usurpation of the Old Hamlet’s crown and queen, characters such as Hamlet, Ophelia, and Gertrude suffer seriously from betrayal, resentment, and enragementRead MoreDear Friend Hamlet Essay947 Words   |  4 Pageshave been witness to your misery, triumph, and madness. I’m unable to tell if it was all an antic disposition? Or if were you really as insane as ‘the sea and the wind,’ both contending to be mightier in the storm? (4.1.7-8). I’ve come to the realisation that not everything that meets the eye is as it appears. A series of lies and manipulation have unravelled before my very eyes, ending in blood shed. Blood that is on my hands as much as it is on Hamlet’s. As his closest confidant, our bond was knitted