...POLYMYOSITIS The following paper presents a summary of the latest information available on polymyositis physiopathology, the symptomatology, diagnosis, and treatment options and research protocols. History: Through medical history there have been reports of different ailments related to the muscular system. In the case of Polymyositis, the first case of a rare muscle disease was reported in 1863, with cutaneous lesions by E. Wagner in 1863 . He described a muscular disorder with a diversity of symptomatology and immunological alterations. In 1887, Hans Unvericht , wrote of an acute weakness, and pain in the arms, and legs, and back, including facial edema with swelling in the extremities, and evening fevers. The illness worsened rapidly to shortness of breath, hoarseness, difficulty swallowing and death. This became known as...
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...The Biological Transformations of Adolescence Contents Background………………………………………………………………………………… 3 What is Puberty? ..................................................................... 3 Changes in Puberty……………………………………………………………….. 3 Physical changes……………………………………………………………………. 4 Primary Sex characteristics……………………………………………………… 4 Secondary Sex Characteristics…………………………………………………. 4 Psychological Impact of Puberty………………………………………………….. 5 Pubertal Timing………………………………………………………………………. 6 Eating Disorders……………………………………………………………………….. 7 Steroid Use…………………………………………………………………………….... 7 Conclusion…………………………………………………………………………………… 8 References……………………………………………………………………………………. 9 Adolescence is the time of growth and maturation. It is a stage of transition from childhood towards adulthood (Larson, Wilson, & Rickman, 2009; Schlegel, 2009). This phase of life occurs approximately at the age of 10 and concludes in the early 20s. During the course of adolescence individuals exhibit a great deal of changes; one of them being the biological changes. During the biological manifestations of adolescence, individuals demonstrate physical changes and psychological changes The physical changes occurring during the adolescence is due to puberty. Puberty is derived from Latin, pubertas or “adulthood”...
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...Since women’s first involvement in the Olympic Games in 1900, great progress has been made in increasing the participation rates of women across most events. In 2000, women represented 44% of the competitors at the Sydney Summer Games, although this was not matched by coverage of women’s sports in the major newspapers of Belgium, Denmark, France and Italy. In these countries, women’s sport at the Sydney Olympics represented only 29.3% of the articles and 38% of photographs (Capranica et al. 2005). The number of published research studies on females to support the increased participation, can be reflected in the number of publications in the Journal of Applied Physiology in the first 5 months of 2006. This data suggests that there is still a short fall in the proportions of female studies when compared to those on male. Of those articles specifically referring to exercise in humans (n=36), 61 % were on males only, 5 % were on females only, 8 % were on males and females with the genders being studied separately and 26 % were on males and females, with no acknowledgment of the mixed gender. Collating these facts, together with the observation that many of the early findings on females and exercise have been found to be invalid because of poorly-controlled studies, it is clear that there is still much to be done. The aim should be to ensure that training sessions are optimised for performance enhancement in the female population and that training and performance are not detrimental to...
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...Statement: Cocaine is a highly addictive stimulant that has gratifying yet dangerous short term effects, and devastating long term effects. The problems related to cocaine abuse have an effect world wide; therefore it is a problem that society cannot ignore. I. From High Class to Skid Row II. History of Cocaine III. Why so Much Abuse IV. Short Term Effects A. Physical B. Psychological V. Long Term Effects A. Physical B. Psychological C. Social VI. Abuse Statistics VII. History Relived VIII. Summary I. From High Class to Skid Row- INTRODUCTION Today Cocaine and Crack can be found in almost every city and is used by people of all walks of life. During the 1970’s and mid 1980’s cocaine use was at its peak. It was the drug of choice for the rich and famous and was part of what some called a glamorous life the “Champagne of Drugs”. Around 1985 came the arrival of a new form of cocaine, called crack. This new smoke able form became the drug of choice on the street. Crack has more intense and faster effects than the traditional forms of cocaine use, which are primarily snorting and injecting. Crack which is cheaper to produce became accessible to people of all socioeconomic statuses. Cocaine in the form of crack is now more widely abused (Levinthal, 2002, 83-5). Cocaine in any form has had devastating effects on society, yet has been glamorized by media, especially in the movie industry. ...
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...Please read my summary of 50 first dates? I need to shorten this to 350 words. It is 367 right now, and you might hink "hey thats thirteen words, you can do it". but it was originally 415 words and I shortened it to the point that i cannot even read it anymore without getting a headache lol. i feel like every bit of info i have is important! But i'm hoping you'll see some stuff i can take out. Anything helps. Also, if you think something's worded wrong or stuff like that, please let me know. Thanks! 50 First Dates is a romantic comedy starring Adam Sandler and Drew Barrymore. Henry Roth (Sandler) is a veterinarian who admits to having difficulty with relationships. Lucy Whitmore (Barrymore) is an art teacher living in Hawaii. The two meet in a café one morning and hit it off, so they decide to meet again. The next day, Henry comes to the cafe and starts talking to her, but she doesn’t recognize him. A café waitress explains that Lucy has anterograde amnesia (which is actually referred to as “Goldfield Syndrome” in the movie) from a car accident that occurred several months ago. Lucy cannot recall anything between the day of the accident and the present. At night, during her sleep, all memories from the past day are erased, and she wakes up believing every day is October 13, 2002. Lucy’s father, Marlin, and brother, Doug, have to re-enact the same events every day so that Lucy doesn’t learn about her accident. If she knew, not only would she have to deal with her severe condition...
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...Patient Education Plan This is a 65 year-old female who has a weight of 77.1 kg. She presented to the emergency room with increased lower abdominal pains (cramps), diarrhea for past five days, and decrease nutrition consumption because of pain. She states she has lost some weight over the past week but does not know how much. She has increased fatigue and weakness. She has allergies to Lipitor, Demerol, Florinef Acetate, penicillin, Vancomycin. The patient lives at home with her spouse and has a few friends she sees on a regular basis. The patient states she has never smoked, nor has she ever drunk alcohol and no one in the house does either. She does consume 3-4 diet pops a day that contain caffeine. The patient states she has no medical training or knowledge other than the conditions, which she has a history of. She seems to have memory deficits of unknown etiology and very high anxiety issues with very high dependency or separation issues (needing someone near her at all times and demanding). The patient’s medical history consists of kidney stones, urinary tract infection (UTI), high cholesterol, irritable bowel syndrome, diabetes mellitus (Type 1), acid reflux, allergic rhinitis, addison’s disease, osteoporosis, osteopenia, anxiety, and depression. She has a surgical history of: cholecystectomy, colonoscopy, liver biopsy, and hysterectomy. After asking the patient how she learns best, she states “I learn better with a hard copy and someone going over the information me...
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...Bridget Acosta Anatomy and Physiology RHEUMATOID ARTHRITIS * INTRODUCTION Rheumatoid arthritis (RA) is an inflammatory disease that exerts its greatest impact on those joints of the body that are lined with synovium, a specialized tissue responsible for maintaining the nutrition and lubrication of the joint. The distribution of joints affected (synovial joints) is characteristic. It typically affects the small joints of the hands and the feet, and usually both sides equally in a symmetrical distribution, though any synovial joint can be affected. In patients with established and aggressive disease, most joints will be affected over time. Joint inflammation is characterized by redness, warmth, swelling, and pain within the joint. In addition to affecting the joints, rheumatoid arthritis may occasionally affect the skin, eyes, lungs, heart, blood, or nerves. * SIGNS AND SYMPTOMS The initial trigger for RA is unknown. There is evidence to suggest abnormalities in components of the immune system that lead to the body developing abnormal immune and inflammatory reactions, particularly in joints. These changes may precede the symptomatic onset of RA by many years. Whatever sets the pathology in motion results in a large increase in blood flow to the joint (giving heat and sometimes redness), proliferation of the synovial membrane with an increase in synovial fluid (swelling), and pain (due to stretching of pain receptors in the soft tissues around, and the bone...
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...Running head: HOLISTIC HELP Holistic Help for the Terminally Ill Rebecca Clements University of Phoenix Research Writing (Axia) - COM220 Farah Briones, MSC May 11, 2010 The issue of cannabis as a controlled substance has and is debated throughout the years. This paper looks at patients’ testimonies, doctors concerns of medical ethics, their medical oath and the medical decisions between the physicians and patients terminally ill or at end stage of life, science and research developments and the arguments that cannabis in its natural form, needs reclassified and allowed to become an enhancement to medical treatment plans for the terminally ill. Such arguments published by agencies such as the DEA, Federal Government, clinical research and science departments, and finally the patient. The strongest argument, that is, in its natural form, cannabis is a versatile and safe therapeutic active substance with medicinal values. Holistic Help for the Terminally Ill The use of cannabis to treat illnesses is still one of the most controversial issues between the American Medical Society and the nation’s legal system. Cannabis was used for many years to help in treatments for a variety of conditions and ailments and legal in the United States for different purposes of recreational and medicinal use until 1937 when the Marijuana Tax Act established by the Federal Government came into law. A well-known physician from the American...
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...hydration and treatment with agents that decrease serum calcium concentrations (hypocalcemic drugs) can produce symptomatic improvements within a few days, diagnosis may be complicated because symptoms may be insidious at onset and can be confused with those of many malignant and nonmalignant diseases. However, diagnosis and timely interventions not only are lifesaving in the short term but also may enhance the patient’s compliance with primary and supportive treatments and may improve quality of life.[5] When a patient has a refractory, widely disseminated malignancy for which specific therapy is no longer being pursued, the patient may want to consider withholding therapy for hypercalcemia. For patients or families who have expressed their wishes regarding end-of-life issues, this may represent a preferred timing and/or mode of death (as compared with a more prolonged death from advancing metastatic disease). This option is best considered long before the onset of severe hypercalcemia or other metabolic abnormalities that impair cognition, so that the patient may be involved in the decision making. In this summary, unless otherwise stated, evidence and practice issues as they relate to adults are discussed. The evidence and application to practice related to children may differ significantly from information related to adults. When specific information about the care of...
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...Advanced General Psychology PSY492 A01 Argosy University 1 Each class of drugs has a property that is very distinguishing, and drugs that are within each class more than often produces effects that are similar. However, all substances that are controlled, despite of their class, share quite a few number of features that are common. This introduction will familiarize you with these features that are shared as well as define them in terms that are associated frequently with these drugs. All substances that are controlled have abuse that is potential or are precursors that are immediate when it comes to abuse that is potential. With the exception of anabolic steroids, substances that are controlled are abused when it comes to mood altering, feeling, and thought through their actions on the CNS or central nervous system, which is the brain and spinal cord. Some of these drugs are relievers of pain, depression as well as anxiety. Some are energizers and some are inducers of sleep. Even though some substances that are controlled are useful therapeutically, the effects that considered to be “feel good” of these drugs will more than likely prove to be primary contributors when it comes to their abuse. The extent to which these substances are reliably capable...
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...DOES CULTURE MATTER? BY SHRUTI BALABHADRA DM16144 In the yearly part of the 21st century Thomas L. Friedman published the bestseller “The World is Flat: A brief History of the 21st century” which was an international hit. The author stated that the world has become a flat and levelled field with respect to commerce thus in turn giving equal opportunity to competitors across the globe. Further, it stated that we have reached a time where geographical, cultural and historical divisions have become insignificant in terms of a trade culture. Friedman stated ten “Flatteners” that have levelled the global map: * The Berlin wall collapse: the downfall of communism was a primary breakthrough in terms of freedom of trade, content creation and an opportunity for the world to connect with each other. * Netscape: when the company went public, it gave rise to a new era of digitization where anyone could access and information form any part of the world. * “Workflow software”: the rise of new programming languages and machines resulted in the rise of a global platform for new multinational collaborations. Also called as the “Genesis Moment of the flat world”, it gave rise to the rest of the global flatteners. * Uploading: people were uploading and working together on online assignments from different parts of the world. * Outsourcing: this has helped companies in mass distribution where services and other activities like manufacturing have been segregated for better...
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...NURSES: PARTNERS IN ASTHMA CARE NIH P UBLICATION N O . 95-3308 OCTOBER 1995 N ATIONAL I NSTITUTES OF H EALTH National Heart, Lung, and Blood Institute i T ABLE OF C ONTENTS PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NURSES’ ASTHMA EDUCATION WORKING GROUP . . . . . . 1. PATHOPHYSIOLOGY OF ASTHMA . . . . . . . . . . . . . . . . . 2. PRACTICAL GUIDE TO ASTHMA MANAGEMENT . . . . . . GOALS OF ASTHMA MANAGEMENT . . . . . . . . . . . . . . . GENERAL PRINCIPLES OF ASTHMA MANAGEMENT . . . FOUR COMPONENTS OF ASTHMA MANAGEMENT . . . . Asthma Management Component 1: Objective Measures of Lung Function . . . . . . . . . . . . Spirometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Peak Flow Monitoring . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Objective Measures . . . . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 2: Environmental Control Measures. . . . . . . . . . . . . . . . Allergens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irritants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Environmental Control . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 3: Pharmacologic Therapy . . . . . . . . . . . . . . . . . . . . . . . Two Major Groups of Asthma Medications: Anti-inflammatory and Bronchodilator . . . . . . . . Step-Care for Chronic Asthma...
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...A PROJECT REPORT ON MARKETING RESEARCH &SALES PROMOTION WITH REFERENCE TO CIPLA LTD [pic] A PROJECT REPORT SUBMITTED TO THE Osmania University Hyderabad in partial fulfillment for the award of the degree of MASTER OF BUSINESS ADMINISTRATION Submitted BY M.RAMBABU (Roll No: 04808140) DEPARTMENT OF MANAGEMENT STUDIES St.Mary’s P.G COLLEGE Deshmukhi, Nalgonda Dist Andhra pradesh (2008-2010) A PROJECT REPORT STUDY ON MARKETING RESEARCH & SALES PROMOTION Submitted BY M.RAMBABU [Roll. No: 04808140] St.Mary’s P.G COLLEGE Deshmukhi, Nalgonda Dist Andhra Pradesh. In partial fulfillment for the award Of Master of Business Administration DEPARTMENT OF MANAGEMENT STUDIES St.Mary’s P.G COLLEGE Deshmukhi, Nalgonda Dist Andhra pradesh (2008-2010) DECLARATION I here by declare that the project titled “marketing research &sales promotion WITH SPECIAL REFERENCE TO CIPLA LTD”, HYDERABAD, submitted to ST.MARY’S P.G COLLEGE, in partial fulfillment of the requirement for the award of the degree of “Master Of Business Administration” DATE: PLACE: (M.RAMBABU) ACKNOWLEDGEMENT The satisfaction and euphoria that I feel after the successful completion of my project would be incomplete...
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...BUILDING EVIDENCE-BASED ARGUMENTS DEVELOPING CORE PROFICIENCIES ENGLISH LANGUAGE ARTS / LITERACY UNIT GRADE 7 “Doping can be that last 2 percent.” OD LL DUCATION www.odelleducation.com OD LL DUCATION Page 1 EVIDENCE-BASED ARGUMENTATION Literacy – the integrated abilities to read texts closely, to investigate ideas and deepen understanding through research, to make and evaluate evidence-based claims, and to communicate one’s perspective in a reasoned way – is fundamental to participation in civic life. Thus, the importance of a literate citizenry was understood and expressed by Thomas Jefferson early in the life of our democratic nation. Today, students face the prospect of participating in a civic life that stretches beyond the boundaries of a single nation and has become increasingly contentious, characterized by entrenched polarization in response to complex issues. Citizens have access to a glut of information (some of which is nothing more than opinion passed off as fact) and are often bombarded by bombast rather than engaged in reasoned and civil debate. Learning the skills and habits of mind associated with argumentation – how to conceive and communicate “arguments to support claims, using valid reasoning and sufficient evidence” [CCSS W1] as well as how to “delineate and evaluate the argument[s]” and “the validity of the reasoning and relevance and sufficiency of the evidence” presented by others [CCSS R8] – is therefore...
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...Notes on The World is Flat (Friedman, 2006) Summary and excerpts from Thomas Friedman’s The World is Flat (2006) by Bill Altermatt CHAPTER 2: THE TEN FORCES THAT FLATTENED THE WORLD page 1 What Tom Friedman means by the phrase “The World is Flat” is that “the global competitive playing field is being leveled…It is now possible for more people than ever to collaborate and compete in real time with more other people on more different kinds of work from more different corners of the planet and on a more equal footing than at any previous time in the history of the world” (p. 8). Friedman believes that this “flattening” of the world is the result of ten factors, which he outlines in chapter 2 of his book: Flattener #1: “11/9/89, The New Age of Creativity: When the Walls Came Down and the Windows Went Up.” On 11/9/89, the Berlin Wall fell (“the Walls Came Down”) and the citizens of the former Soviet empire were suddenly able to participate in the global economy. Friedman uses the fall of the Berlin Wall as a symbol for a general global shift towards democratic governments and free-market economies (where consumers determine prices based on what they’re willing to pay) and away from authoritarian governments and centrally planned economies (in which prices are set by government officials). India made the conversion from a centrally planned economy to a free-market system two years after the Berlin Wall fell, when its economy was on the brink of collapse. Their annual rate of India’s...
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