...Fold along perforation before detatching cards abridge ˘ (´ BRI J) abstract ˘ (ab STRAKT) acclaim ¯ (´ KLAM) adulation ¯ (a j´ LA sh´n) ˘ adversary ˘ (AD vû(r) se r e ˘ ¯) adversity ¯) (a VÛ(R) s´ te ˘d advocate ˘ ¯ (AD v´ ka t) aesthetic ˘ ˘ (e THE tı k) ˘s affirmation ¯ (a f´ r MA shun) ˘ v. condense or shorten. v. applaud; announce with great approval. also n. adj. theoretical; not concrete; nonrepresentational. The NBC sportscasters acclaimed every American victory in the Olympics and decried every American defeat. To him, hunger was an abstract concept; he had never missed a meal. Because the publishers felt the public wanted a shorter version of War and Peace, they proceeded to abridge the novel. n. poverty; misfortune. n. opponent. n. flattery; admiration. We must learn to meet adversity gracefully. The young wrestler struggled to defeat his adversary. The rock star thrived on the adulation of his groupies and yes-men. n. positive assertion; confirmation; solemn pledge by one who refuses to take an oath. adj. artistic; dealing with or capable of appreciation of the beautiful. aesthete, n. v. urge; plead for. Despite Tom’s affirmations of innocence, Aunt Polly still suspected he had eaten the pie. The beauty of Tiffany’s stained glass appealed to Esther’s aesthetic sense. The abolitionists advocated freedom for the slaves. Fold along perforation...
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...Definition: Inflammation of a diverticulum or diverticula in the intestinal tract, esp. in the colon, causing pain, anorexia, fevers, and, rarely, intestinal perforation, hemorrhage, abscess formation, peritonitis, fistula formation, or death P/t at admission complain of lower left quadrant pain. On initial assessment temperature of 99.6◦F Etiology: Diverticulitis is triggered when fecal matter and bacteria are reserved in the diverticular outpouches, leading to the development of a hardened mass called a fecalith. The fecalith blocks blood supply to the diverticular area, producing inflammation, edema of the tissues, and likely bowel perforation and peritonitis. Globally, most experts suggest that the incidence of the disease most likely parallels that in the U.S., which is 6% to 22% of the population depending on the population series. The lifetime recurrence is 30% after the first episode of diverticulitis and more than 50% after a second episode. P/t had first occurrence 4 month ago....
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...removing them before they have a chance to develop into colon cancer (Cohen, Kastenberg, Mount, & Safdi, 2009), (Lichtenstein, 2009), (Nguyen & Wieland, 2010). Physicians prescribe bowel preparations prior to colonoscopy to cleanse the colon of stool. Colonoscopy has a number of primary risks involved. These include complications from anesthesia, side effects from preparation, perforation, missing a lesion, and being unable to complete the exam (Hendry, Jenkins, & Diament, 2007). Complications that arise because of poor preparation include increased complexity of the exam, decreased detection of colonic lesions, and increased healthcare spending (Roberts-Thomson & Teo, 2009), (Athreya, Owen, Wong, Douglas, & Newstead, 2011), (Nguyen & Wieland, 2010). The most important function of the colon is to absorb sodium, water, and some fats from the food we eat (Adamcewicz, Bearelly, Porat & Friedenberg, 2011). Complications arise from colon cleansing for a number of reasons. The patient may experience a suboptimal exam with multiple possible complications from poor preparation. These include more pain, perforation or tearing of the colon, bowel explosion, and complications of anesthesia (Roberts-Thomson and Teo, 2009). The one way a patient can actually assist the physician during the exam, is to prepare well, increasing the physicians ability to visualize the colon and its many folds. Studies show high quality bowel preparation for colonoscopy is one of the most crucial factors...
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...Even though brogues were popular at one time, people should not wear them because they do not look good, are outdated, and other dress boots do what they do, but better. First, people should not wear brogues because they do not look good. The distinguishing factor of brogues are the perforations lining the seams, which ruin the clean and distinguished look of the classic oxford shoe. Originally, brogues were created for travel through the swamps in Ireland (Hall, 71), where the breathability supplied by the perforations were useful. The perforations helped drain water out of the shoe, and reduced risk of trench foot and other fungal growths that occur when hiking through high-moisture areas. This of course was a serious trade-off, because what the shoe supplied in the means of protection, it lacked in appearance. In the end, there is no real reason to wear brogues, as superior boots have been produced for use in swampy environments. One could argue that brogues can look good with some outfits, and that the breathability that brogues supply has applications for casual or formal wear. The reason why these arguments are irrelevant is because brogues will never look “good” with anything. The perforation draws too much attention to the shoe, and altogether ruins the simple and sophisticated aesthetic that a dress boot should always carry. The breathability also is arbitrary, because a man should never dress for style and comfort at the same time. Breathability also should never be a...
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...colonic mucosa epithelium. Breakdown of cells results in protein loss through stool. Areas of inflamed mucosa form pseudo-polyps, tongue-like projections into the bowel lumen. C. Common signs & symptoms or clinical manifestations The common signs of ulcerative colitis include diarrhea, bloody stools, weight loss, abdominal pain, fever and fatigue. It is considered a chronic disorder a chronic disorder with mild to severe acute exacerbations that occur at unpredictable intervals over many years. The primary manifestations of ulcerative colitis are bloody diarrhea and abdominal pain. Pain may vary from the mild lower abdominal cramping associated with diarrhea to the severe, constant pain associated with acute perforations. With mild disease, diarrhea may consist of one to two semi formed stools daily that contain small amounts of blood. The patient may have no other manifestations. In moderate disease there...
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...Should Abortion be legal? Nearly half of pregnancies among American women are unintended, and about four in ten of these are terminated by abortion. In 1973 Roe V. Wade decision, the supreme Court ruled that women, in consultation with their physician, have a constitutionally protected right to have an abortion in the early stages of pregnancy. Abortion is a very serious and dangerous thing to decide 50% of women who have had abortions report experiencing emotion and psychological problems lasting for months or years. Only 12% women reported having a physical problem with their health among having an abortion like an infection called hemorrhage and uterine perforation. My personal experience having an abortion is when my mom had one in 2000. She said that she was not ready to raise other child at this moment in her life, because she just moved to North Carolina and was looking for a job. She felt no guilt about what she has done she thought it was the right thing to do at this point in her life. Most people would argue that abortion is not only wrong, but it is murder to an innocent child with no fault of its own. The first reason that abortion should be illegal because it is murder! For example, the fetus is a distinct individual therefore its DNA is completely its own while the baby is in the womb the baby will show definite signs of emotion. I think that when a human egg and a human sperm meet, the resulting individual is simply human. The number of American babies killed...
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...CLINICAL MANIFESTATION (Onset): * Headache * Chilly sensation * Aching all over the body * Nausea, vomiting & diarrhea * Fever is higher in the morning than it was in the afternoon * Breathing is accelerated * Furred tongue * Skin is dry & hot * Abdomen is distended & tender * Rose spots appear on the abdominal wall on 7th & 9th day * On the second week symptoms become more aggravated CLINICAL MANIFESTATION (Onset): * Headache * Chilly sensation * Aching all over the body * Nausea, vomiting & diarrhea * Fever is higher in the morning than it was in the afternoon * Breathing is accelerated * Furred tongue * Skin is dry & hot * Abdomen is distended & tender * Rose spots appear on the abdominal wall on 7th & 9th day * On the second week symptoms become more aggravated Patient’s manifestations Patient’s manifestations Signs & Symptoms Signs & Symptoms Process Process LEGEND LEGEND Typhoid Fever Typhoid Fever Macrophages & intestinal epithelial cells attract T cells & Neutrophils w/ interleukin 8 causing inflammation of the intestinal wall Macrophages & intestinal epithelial cells attract T cells & Neutrophils w/ interleukin 8 causing inflammation of the intestinal wall Toxins are injected into the intestinal cells Toxins are injected into the intestinal cells Peyer’s patches Peyer’s patches Bacteria...
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...Regina is a young woman that was admitted to the ward with a bowel obstruction from a prolonged ileus. She presented with symptoms of nausea and vomiting. She’s recently been suffering from poor nutrition, weight loss and anemia. She also has a long history of Crohns disease. In order to support and nurse Regina the following topics have been investigated to help create a care plan (The acute health issue/s, Aetiology, Pathophysiology, Clinical manifestation (signs & symptoms), Potential complications, Multidisciplinary care (treatment and management), Nursing care and management Regina’s acute health issues include bowel obstruction, nausea and vomiting, anemia and loss of weight. The most common causes for a bowel obstruction are intra-abdominal...
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...the car is by using corrosion protection. There are four different types of corrosion that can occur if not well taken care of. These are crevice, pitting, galvanic, and cosmetic. According to “A Guide To Corrosion Protection”, crevice corrosion is often associated with small volumes of stagnant solution or electrolyte trapped in crevices of joints or in surface deposits and poultices. Pitting corrosion is a localized attack, usually caused by chlorides as pits form, resulting in a roughened surface. Crevice and pitting corrosion can lead to steel perforation and premature functional failures. Galvanic corrosion occurs when dissimilar metals are in contact with one another. Corrosion that initiates on a visible surface of a vehicle, usually at nicks or scratches in a post-coating, is called cosmetic corrosion. In most instances, cosmetic corrosion is an appearance issue; however, it can lead to damage including perforation. To prevent rust on the underbody structural components people will usually coat it to provide a first line of defense against corrosion. The most commonly used coatings are conversion, hot melt wax, electro coat, metallic, organic, auto deposition, and powder. Phosphate conversion coatings are employed to enhance paint adhesion, thereby indirectly enhancing corrosion resistance. Hot melt wax coatings are used extensively on underbody structural components to provide corrosion protection, and are usually applied through a dipping process...
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...A Report on Hydraulic Fracturing Salman Ahmed August 18, 2013 1. Hydraulic fracturing is a process of well stimulation, and a completion technique. It is used to extract underground natural resources, such as oil, natural gas, and geothermal energy. Industrial hydraulic fracturing is used to enhance subsurface fracture systems. The well stimulation process is used in nine out of ten gas wells in the United States. Generally, millions of gallons of water, sand, and chemical mixtures are pumped underground to break apart the rock formations to release gas. This method is used to facilitate the maximal extraction of natural gas by allowing it to move more freely from rock pores to production wells. This movement causes the oil or gas to come to surface where it can be stored in wells (US EPA, 2012). 2. The process of hydraulic fracturing starts with finding natural gas in underground formations, such as sandstones, carbonates, shale and coal. To gain access to the natural gas, vertical, horizontal, or multi-level wells are drilled to the target formation. Hydraulic fracturing is a completion technique used to create an effective connection between a well and the natural gas formation. Before drilling a well, a drilling and completion plan must be developed and approved by state regulators. Geoscientists and environmental employees then work to collect information about the surface geology of the potential drill site (ConocoPhillips, 2011). A well pad made of cement...
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...Volvuli can occur at many points along the gastrointestinal tract, including the sigmoid colon(65%), cecum(30%), transverse colon(3%), or splenic flexure(2%).1 Cecal volvulus involves the cecum, terminal ileum, and proximal ascending colon, affecting approximately 2.8 to 7.1 per million persons annually.2 While it frequently progresses to ischemia of the bowel, a delay in diagnosis may lead to bowel infarction, perforation, sepsis, and/or death.3 The mean age of diagnosis within the US is 53 years, younger than in patients with sigmoid volvulus, which typically occurs in elderly patients.4 There are 2 types of cecal volvuli, axial volvulus and cecal bascule. Axial volvulus involves rotation of the cecum around the ileocolic mesenteric vessels,...
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...The Silent Society: Being Deaf Deafhood and Epistemology When considering the epistemology of deafness, one must consider the history of how deafness has evolved. The history of deafness comes from the ignorance of those who could not understand how people who had a disability were different from them. It was easier to place these types of “folks” in intuitions and not deal with their needs. Understanding the deaf community comes through understanding the culture and the history that allows the deaf to have a “voice” and provide them with the necessary services that make the deaf more human. Through mental health, hearing assessments, and trauma, there is an understanding that even though they may not live in the hearing world, there are still apart of society. How they function as a community is important, as they too have a voice. Deafhood is described as “static”, not a medical condition; however, it is a process-a struggle that is endured by every child, adult, and family to explain themselves, and each other their own existence within their world (Hauser, O’Hearn, Steider, &Thew, 2010). Epistemology can be defined as the philosophy that investigates the origin, nature, methods, and limits to human knowledge. When dealing with deaf epistemology, there are many facets to which it can be understood and misunderstood. The authors discuss the visual learning process that a Deaf child goes through by being raised by either a Deaf parent or a hearing parent....
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...------------------------------------------------- Peptic ulcer A peptic ulcer, also known as PUD or peptic ulcer disease,[1] is the most common ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful. It is defined as mucosal erosions equal to or greater than 0.5 cm. As many as 70–90% of such ulcers are associated with Helicobacter pylori, a spiral-shaped bacterium that lives in the acidic environment of the stomach; however, only 40% of those cases go to a doctor. Ulcers can also be caused or worsened by drugs such as aspirin, ibuprofen, and other NSAIDs.[2] Four times as many peptic ulcers arise in the duodenum—the first part of the small intestine, just after the stomach—as in the stomach itself. About 4% of gastric ulcers are caused by a malignant tumor, so multiple biopsies are needed to exclude cancer. Duodenal ulcers are generally benign. ------------------------------------------------- ------------------------------------------------- [edit]Classification By Region/Location * Duodenum (called duodenal ulcer) * Oesophagus (called esophageal ulcer) * Stomach (called gastric ulcer) * Meckel's diverticulum (called Meckel's diverticulum ulcer; is very tender with palpation) Modified Johnson Classification of peptic ulcers: * Type I: Ulcer along the body of the stomach, most often along the lesser curve at incisura angularis along the locus minoris resistantiae. * Type II: Ulcer in the body in combination...
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...Papiers: a4 et a3 Superior 80g Inacopia 80g Multi office 80g Navigator 80g 90g 100g 160g Mondi 80g Pioneer 80g Target 80g Papier blanc claire fontaine 80 100g 120g 160g 190g 210g 250g 300g. Papier couleur : clairfontaine 80g maestro 80g papier photo : a5 a4 et a3 hp epson apli. Papier carte visite : Apli Etiquettes adhésives : Apli Papier listing et bobines : Armor Duvrai Courrier : Envelope : g.p.v Directo Unipapel Pochette : Directo Unipapel Etiquettes : Apli Formtec. Ecriture et correction: stylo abile : bic reynolds pelikan lantu staelder. Stylo feutre : Fabercastel Staedler Mon ami Rollers : Bic Pilot Mon ami Faber castel Uniball Crayons: Bic Staedler Fabercastel maped mon ami portes mines 0.5/0.7 avec mine bic faber castel pentel energize pencel marqueurs bic mon ami pelikan pentel. surligneurs= staedler mon ami stabilo faber catsel. gommes staelder faber castel maped bic archivage: boites archives exacompta 40mm exacompta 60mm alpha ocean sicla. Caisse archive : Biella Sacs archives : Sicla. classement: chemise : exacompta sicla, folder mate chemise cartone mapama colore chemise a fastner kinary chmises a souflet chmises bull safripac chemises boite sicla classeurs et interclaires : exacompta sicla esselte deli exel leitz intercalaire: alpha, intercalaire atlas sicla trieurs et parapheurs sicla esselte boites et modules...
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...INTRODUCTION Abortion is the premature expulsion of an embryo or fetus from the Uterus.Spontaneous abortions are called MISCARRIAGES.They usually results from hormonal disorders or serious abnormalities of developing embryo.But an induced abortion maybe used to terminate an unwanted pregnancy.Induced abortion involves dilation of suction or surgical means.Possible side effect of induced abortion includes prolonged bleeding,perforation of the uterus and emotional trauma. The so-called abortion pill,mifepristone(RU 486) is an progesterone antagonist.It causes the endometrium to breakdown,thereby detaching the embryo or fetus,wich is passed from the uterus after administration of prostagladine to promote the uterine constructions.It use to limited to the first five weeks of pregnancy and requires the supervisions and care of a physician. Abortion is the ending of pregnancy by removing fetus or embryo before it cn survive outside the uterus. An abortion is a medical procedure used to terminate pregnancy.There are different methods of abortion commonly performed depending on length of pregnancy.One is through a medication and the order methods are procedures which takes place in a clinic,including aspiration (the most common method) and D&E (dilation and evacuation).All of these methods ,when performed by health care professionals,are very safe.Abortion is safest in the first 6-10 weeks of pregnancy. BODY When allowed...
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