How Fast Food Affect A French Health - 907 Words

How Fast Food Affect a French Health Over time eating has become easier than ever. United States created fast food which the main purpose was to benefit people from eating on the go and today this eating efficiently has spread all over the world. Not only U.S. joined the new eating concept, but many other countries including France. Fast food has spread all over France, and it is the second country with the largest fast food consumer. It is very surprising to see an European country as the second largest fast food consumer due to the different culture they have. And with that, I have to say that globalization has affected France. United States has passed their eating habits and surprisingly all the inhabitants have accept the concept pretty good. Fast food is in demand due to how easy and fast it is. People eventually can eat in less than five minutes which for French people is very convenient. Most of French s have said that they have made fast food part of their life because most of them have a short lunch break and they do not have time to sit and actually have a decent lunch, making then fall back on fast food. Also most of them said that, they turn back to fast food due to how cheap it is but they problem is, people do not know the serious problem fast food can cause. Depending on the amount you eat and how many times you eat, it can actually rely on your health. When a person exceed the amount of unhealthy food it is more likely to gain weight and weight whichShow MoreRelatedObesity Of People : Obesity1004 Words   |  5 Pagestechnology to make our lives easier (and lazier),fast food chains on every block (unhealthy foods are much less expensive than the healthy foods we should be eating) and are all factors to weight gain in our country.Obesity can be divided into three main causes – diet, lifestyle and education. One of the chief causes is diet. Young Emiratis eat more and more high-carbohydrate, high-fat burgers and pizza in fast-food restaurants. However, some traditional fo ods are also very oily, and because of increasingRead MoreObesity And The United States1430 Words   |  6 PagesAccording to an article, â€Å"Obesity in Children†, published through the medicine health website, the issue on childhood obesity in the United States has increased within recent years. â€Å"Today, nearly a third of youths are overweight or obese. That’s more than 23 million children and teenagers,† (Childhood Obesity in the United States). Obesity can eventually lead to different and more serious health issues. Fast food restaurants attract the attention of our younger generation and are some of the mainRead MoreHow Fast Food Is Addictive1436 Words   |  6 Pagestopic of fast food, most of us will readily agree that it’s unhealthy. Where this agreement usually ends, however, is on the question of whether it causes addiction. While some are convinced that it doesn’t, others are convinced that advertisements help brain wash the new generation. Along with the chemicals added to the fast food to help contribute to the addiction cycle. My own view is that fast food is addictive. In my point of view fast food is addictive because it seems that the more fast foodRead MoreIn Praise Of Fast Food Summary877 Words   |  4 PagesEngland, Rachel Lauden grew up eating farm fresh foods. She later obtained an education and went on teaching at universities in many different places. Shortly after, she composed articles about the history behind cooking and culinary heritage (Faigley 269). Lauden is very passionate about gastronomy, the science of healthy eating (â€Å"Gastronomy†). Her passion for the intricate culinary history shows throughout her authored work, â€Å"In Praise of Fast Food†. The author catches the reader’s attention becauseRead MorePersuasive Speech Outline994 Words   |  4 Pagespeople call fast food disgusting. On a Friday night during my graveyard shift at McDonald’s a drunken customer passed by the Drive-Thru around 2:30a.m.While my coworker was taking his order the customer decided to cuss and call her really offens ive names because she couldn’t get his order right. She got mad and decided to spit in the customers Sweet Tea, she was immediately fired when another coworker told the manager. Since I started working at McDonald’s 3 years ago and actually noticed how nasty itRead MoreThe Impact of Globalization on Business Enterprises: Mcdonalds1234 Words   |  5 Pagesyears has become a vice to this fast-food chain as U.S. foreign policy around the globe is being met with resistance from enemies and allies alike. How will the McDonalds Corporation adapt to the new challenges of globalization in world of growing resentment of anything American? Found in 119 countries around the world, McDonalds has branched out into 30,000 locations serving nearly 50 million customers each day. (McDonalds, 2006) The global success of this fast-food giant can best be attributedRead MoreFast Food Receives Mixed Emotions For Example, A Common1575 Words   |  7 PagesFast food receives mixed emotions for example, a common occurrence, a guilty pleasure, or taboo. In the book The Omnivore’s Dilemma the author Michael Pollan talks about fast food in the chapter â€Å"The Meal: Fast food†. Everyone has some sort of relationship with it one way or another. Pollan not only talks about fast food, but, dissects what is actually inside of fast food. However, before we can jump in on another diet trend or on anyone who is talking about what people should be eating, we needRead MoreThe Benefits Of Junk Food710 Words   |  3 PagesDo you know how Im going to make America better? As President, I will make sure provided food is healthier. Junk food is defined as food with little nutritional value. Also, it is very high on calories and fats. Fats from unhealthy food trigger the brain to want more. If you eat unhealthy food, it can lead to heart disease. For the past 30 years, the number of overweight teenagers has been tripled and also the number of overweight children has been doubled. Making food healthier will benefit allRead MoreThe Effects Of Fast Food On Human Health Badly857 Words   |  4 Pagesair, water, and food. These essences are vital for people to live. There are a great number of various types of food in the world such as Japanese, Italian, French, Mexican, American, and so on. Nowadays, people have more options to eat compared with decades ago. On the one hand, some people argue that this situation is efficient for people because they can select whatever they want to eat any time and anywhere. On the other hand, others contend that fast food affect on human health badly. Many peopleRead MoreInformati ve Speech on French Culture Essay871 Words   |  4 PagesI. About France A. Background info 1. Location - Most people associate French culture with Paris, which is a center of fashion, cuisine, art and architecture, but life outside of the City of Lights is very different and varies by region. Historically, the French culture was influenced by Celtic and Gallo-Roman cultures as well as the Franks, a Germanic tribe. France was initially defined as the western area of Germany known as Rhineland but it later came to refer to a territory that was known

Analysis Of Martin Luther King s Make America Great...

In today s world, people are valued by the color of their skin and are assembled based on the amount of money one posses in their savings account. But in America today a very generalized group of Americans are being hunted everyday with inequality in workforce, American society, judicial system, education and etc. Racial Minorities are encountered in a very poorly manner, arguably minorities blame â€Å"white supremacy, white privilege† being the reason why a chain of black lives have been lost with â€Å"police brutality† . People in the United states are labeled by the exterior and often forgiveful in the reality of people being the same in the interior. Despite the rough patches America has faced, America will never be united if we don t leave the bigoted mindset and the segregation we do within our races. Many may argue that the famous quote â€Å"Make America great again â€Å" that is being shoved in our throats by political figures today is inaccurate due to our malicious history. On August 28, 1963, Martin Luther King gave a famous speech to a crowd of over a quarter million people. As of today, Martin Luther king speech is simply just words spoken and left in the air. It was a dream never brought to life fully, because even after many years we still live in America where many people agree is inequal. According to the Washington Post statistically 61 percent of Hispanics say â€Å"there is a lot of discrimination against blacks† and 71 percent say the same of themselves . TheseShow MoreRelatedEssay on Critical Analysis of Martin Luther King, Jr.s Speech1674 Words   |  7 PagesCritical Analysis of Martin Luther King, Jr.s Speech Introduction In this critical analysis I am going to look at Martin Luther King, Jr and the I have a dream speech. Martin Luther King, Jr is very distinguished due to the many outstanding achievements he accomplished throughout his life. He was an American clergyman and he accomplished the Nobel Prize for one of the principal leaders of the American civil rights movement. Kings defiance to segregation andRead MoreThe Civil Rights Movement : Martin Luther King Jr. Essay1690 Words   |  7 PagesA civil rights leader by the name of Reverend (PBS, 2016) Martin Luther King Jr. changed the world he occupied and changed the future course of the United States of America by advocating for desegregation. Martin Luther King Junior was on a mission to end the segregation of the African American community. Segregation was the post result of slavery throughout the United States of America which enslaved Africans. He challenged the status quo of the time. Protesting peacefully and advocating for socialRead MoreEleanor Roosevelt And Martin Luther King Jr.1057 Words   |  5 PagesWhat makes a great leader? Two great leaders from this century were Eleanor Roosevelt and Martin Luther King Jr. Despite their difference in gender and race and didn t have political experiences. Martin Luther King Jr. was an African-American, Baptist minister, who wa s born on January 15, 1968. He lead the civil rights movement. Eleanor Roosevelt, who was born on October 11, 1884, was an influential a First Lady. She was a great social reformer and she was a beyond educated well and came from herRead MoreLetter From A Birmingham Jail972 Words   |  4 PagesRhetorical Analysis: Letter from a Birmingham Jail Racism is part of America’s history. Historical leaders like Martin Luther King, Jr. brought the Injustice problems to the light. King, Jr. â€Å"Letters from a Birmingham Jail confronts racism in the United States of America through his response letter to the clergymen criticism, while he is in jail due to holding a protest in Birmingham, Alabama. King, Jr. wrote â€Å"Letter from a Birmingham Jail† to defend the non-violent protest. He claims that the protestRead MoreOne Of The Best Speeches - I Have A Dream3032 Words   |  13 Pagesup, there will also come more challenges. In Martin Luther King’s speech I Have a Dream, he was able to express the way he feels toward having the dream that one day everyone shall be united as one. By using repetition in the power of words, dedication and hard work, and other variables thrown in the mix of the speech, King was able to empower the people to make a stand and fight for the opportunity of equality and freedom. Keywords: Martin Luther King, I Have a Dream, speeches, 1963, Civil rightsRead MoreAnalysis Of Martin Luther King Jr. Essay1420 Words   |  6 PagesDesegregation is something that many different people over many years had to fight long and hard for, and Martin Luther King Jr. was one of them. King, the author of â€Å"Letters from Birmingham Jail†, was an ordained Baptist minister with a Ph.D. in theology from Boston University. He was an activist for racial equality and led many protest for desegregation. in the mid 1950’s and in the 1960’s. The letter, was composed while he and hundreds of other demonstrators were imprisoned for protesting againstRead More Martin Luther King, Jr.: Effective Nonviolence the Multiple Intelligences2987 Words   |  12 PagesMartin Luther King, Jr.: Effective Nonviolence the Multiple Intelligences Introduction Nonviolence can touch men where the law cannot reach them. These words, uttered by the late civil rights leader himself, were the fundamental tenet of Martin Luther King, Jr.s life. These words, though few in number, are great in power. These words, simple, plain, and concise, provide a rubric with which to investigate Martin Luther King, Jr.s creative genius and intelligence. Howard Gardner, eminentRead More freedom of speech Essay1195 Words   |  5 Pages â€Å" Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press† -First Amendment, U.S. Constitution. nbsp;nbsp;nbsp;nbsp;nbsp;According to the First Amendment of the U.S. Constitution, one of the basic principles our country is based on is the freedom of speech. Because of this, as eras and ages have passed in this still young and growing country, this amendment has had a greater use then statedRead MoreRadio Free Dixie1505 Words   |  7 PagesCritical Analysis: Radio Free Dixie The beginning of black militancy in the United States is said to have begun with the chants â€Å"Black Power† demanded by Stokely Carmichael and Willie Ricks during the 1966 March against Fear. While Carmichael and Ricks may have coined the phrase â€Å"black power†, the roots of the movement had been planted long before by Mr. Robert F. Williams. In Timothy Tyson’s book: Radio Free Dixie: Robert F. Williams and the Roots of Black Power, Tyson details the life ofRead MoreThe Entertainment of the Media over the Ages1020 Words   |  4 PagesAmerican pop culture history (Shuck). Standing as a story all on its own, a simple analysis of the lyrics reveals allusions and metaphors in abundance. Analyzing these allusions and metaphors exposes many rhetorical devices used by McLean. A cultural revolution all in its own, the 1960’s saw the rise and fall of many great civil rights leaders. John F. Kennedy, along with his brother, Robert Kennedy and Martin Luther King Jr., who were all paramount in the fight for civil rights, a very unpopular topic

Presentation and Management of Chronic Pain †MyAssignmenthelp.com

Question: Discuss about the Presentation and Management of Chronic Pain. Answer: Introduction The current assignment focuses upon pharmacological management of a patient in end of life care. The assignment discusses regarding the various aspects of pharmacological management. Here, emphasis have been placed upon the overall health condition of the patient, as the pharmacological management becomes considerably difficult when the patient is suffering from a number of co-morbid conditions. For instance, in case of acute gastroenterology pain, the medicines may not be effective in management of the patient condition (Weinberg, Smalley, Heidelbaugh Sultan, 2014, p.1147). The assignment focuses upon the removal of strong medicines, which could initiate side effects in the patient when continued for longer period of time and provision of alternate medication strategies. However, a number of hindrances are faced over here such as lack of cooperation from the patient as well as loss of hope of recovery. Some of these may act as discouraging aspects in the delivery of care. The current study focuses upon the aspect of pharmacological management for an end of life patient suffering from bowel cancer. Here, JR is an 80 years old female patient diagnosed with bowel cancer and has been affected with abdominal pain and constipation. The bowel cancer of JR is at an advanced stage and has been accompanied by a number of co-morbid conditions such as urinary tract infection, incontinence of urine and faecal, constipation, abdominal pain, hypertension and increased anxiety. The rejection to take chemotherapy can further alleviate the problem. However, she wants to discontinue with the use of the same and lead a comfortable and pain free life. Though, the patient has been on chemotherapy along with radiation therapy for a while. The abdominal pain and situation of constipation required the patient to use excess PRN medications. However, it had little therapeutic effect on the patient. Some of the medicine doses which were administered to the patient over here were endone 5 mg bd; panadole 500 mg X 2 bds; Movicol one X BD; Oxazepam; atorvastatin. The patient also reported allergy for keflex, which caused nausea in the patient. The patient is supported through the crisis by her husband and two children. The patient also had a past history of smoking which could contributed significantly in the development of colon cancer in the patient. Therefore, in order to relieve the patient from the present health situation it was required that an effective pain control mechanism be designed for the patient. Hence, the assessment will be mainly upon the control of pain owing to bowel cancer and constipation in the patient. Patient management plan Identified problems Goals and specific outcome criteria Patient and nurse practitioner actions Time for follow up Constipation Relieve the symptoms of constipation in the patient Outcome : Patient should show less dependence upon laxatives The nursing professional should put the patient under an effective care process where medicine administration will be balance with physiotherapy sessions to normalise the bowel movements pattern of the patient JR. The follow up should be done on weekly basis. Abdominal pain The pain in the patient to be controlled with the help of effective medication management The pain to be measured with the help of a Braden scale Outcome: The patient should be able to report less pain The patient to be provided with cognitive behavioural and therapeutic approaches which will help the patient develop a less critical response to pain. The entire process to be followed up on a weekly basis. (Source: Author) Assessment of patient condition through clinical reasoning cycle In order to administer effective constipation management and pain control treatment to the patient it was required to access the clinical condition of the patient. For the purpose of which the clinical reasoning cycle could have been used over here. The clinical reasoning cycle could be divided into a number of steps a few of them have been discussed over the following sections. The patient here had been suffering from bowel cancer and was previously subjected to chemotherapy and radiation therapy. Additionally, excess use of PRN medications has been seen to result in additional abdominal discomfort in the patient (Mayer et al., 2015, p.1915). The patient was put on some of the regular medications such as endone 5 mg which was provided to the patient for effective pain control. The Panadole was also administered to the patient for effective pain management as the paracetamol helped in the controlling of pain. The movicol was administered for the management of constipation in the patient. The patient was also put on anti-anxiety drugs such as oxazepam for the management of anxiety in the patient. However, as argued by Beaugerien and Itzkowitz (2015, p.1452), excessive intake of anti-anxiety drugs could have strong impact upon the digestive system by a altering the HCL secretion capacity of the stomach and produce further negative symptoms in colorectal cancer. Additionally, higher doses of analgesics could also lead to intestinal cramping or intestinal contractions. Processing of the information The vital signs in the patient could be related to the clinical conditions as follows: Abdominal pain the abdominal pain could arise due to bowel incontinence in the patient Constipation- the constipation or the inability to pass gas or stool could be referred to the presence of bowel obstruction in the patient. In this respect, the patient had been suffering from bowel cancer which made daily life difficult for the patient. The patient suffered from incontinence in the passing of bowel and suffered from incontinence. Due to this, the patient suffered from increased amount of abdominal pain and had to depend on huge amount of pain killer for controlling her pain. However, as supported by Cho et al. (2015, p.712), increased uptake of paracetamol could lead to intestinal coiling in the patient. Some of the most common causes of constipation are inadequate fluid intake and excessive intake of pain medications (Nalliah et al., 2017, p.139). However, considering the condition of the patient JR the constipation could be due to improper bowel movement, which could be again attributed to bowel obstruction. Establishment of goals In order to deal with the current health situation of the patient a number of goals could be designed. Some of which have been represented as follows: The patient to be provided with effective counselling sessions in order to alter or change the attitude of the patient towards pain which could reduce the feeling of anxiety towards pain in the patient The symptoms as well as the amount of pain faced by the patient to be monitored with the help of Braden scale. The lifestyle and eating patterns of the patient could be closely monitored as the focus should be to increase the quantity of roughage in the diet of the patient The patient need to be moved around more freely as being bound to the bed can obstruct the faecal movement in the patient further, as the bowel fails to move effectively through the intestine. The entire process to be followed up on a weekly basis. Here the goals would be reduce the pain symptoms in the patient by effective medication management. Additionally, reducing the dependence on painkiller or increasing the gap between the administrations of two such doses could be relieving the symptoms of constipation in the patient. At the end of the assessment the patient should report reduction in pain along with better expulsion of waste through the body. Critical discussion of pharmacological management of constipation In order to discuss regarding the management of constipation though medication it is necessary to understand the causes and side effects of constipation. Constipation is expressed in several forms and the symptoms vary from individual to individual (Salvatore et al., 2016, p.68). These could be explained on the basis of stool frequency, stool form as well as difficulty with evacuation. Therefore, all these conditions could be described under a common condition known as irritable bowel syndrome. In majority of the cases, some of the conditions expressed by the patient are thought to be simply a part of irritable bowel syndrome. However, as supported by Misale et al. (2015, p.112), the condition could be much chronic in patient with cancer. As the bowel obstruction makes evacuation difficult for the patient. Hence, a number of different symptoms are noted in the patient such as abdominal cramping and pain in the tummy. In the current study the patient has been seen to be dependent main ly upon painkillers and analgesics for the controlling of pain. However, excess dosage of the painkillers has been seen to trigger involuntary contractions in the stomach wall which could further alleviate the condition of pain within the patient. On the contrary, bowel obstruction makes normal passage of faeces difficult for the patient. Hence, the patient has to be dependent upon the external medicine sources for facilitating proper bowel movements. In this respect, JR was given a range of medications for controlling the symptoms of constipation and pain. However, none of the medications were found to produce sufficient relief in the patient. Recently focus has been shifted upon the use of alternate medicines made out of plant extracts for relieving the symptoms of constipation and abdominal pain in the patient (Muldrew et al., 2018, p.515). Some of these pharmacological interventions could be discussed in the present context. The movicol was administered to relieve the symptoms o f constipation in the patient. However, there are a number of side effects of the administration of movicol such as bloating of the abdomen, abdominal pain accompanied by a feeling of nausea and vomiting. Therefore, the patient had to be put on an effective and alternate medication pattern. As mentioned by Star Boland (2018, p.13), more emphasis needs to be put on the administration of herbal medication or laxatives made out of plant extracts as they have been associated with reduced side effects. The FDA had recently approved the administration of bulking agents, which are mainly organic polysaccharides and act by encouraging water retention in the stool (Chua Nieh, 2017, p.62). Some such herbal remedies which could have been suggested to JR over here are- Psyllium, Bran, Methylcellulose, Calcium polycarbophil, stool softeners, ducosate, stimulant laxatives, osmotic laxatives etc. Psyllium is the husk of the seed of Planatago ovata, which have shown improved results in controlling some of the events of faecal impaction (Chang et al., 2017, p.1120). As reported by Lacy et al. (2016, p.1402), out of the three placebo controlled trials two have shown improved in evacuation techniques. However as argued by Lacy et al. (2016, p.1402), the psyllium husk has been seen to take considerably longer amount of time for producing the desired results. On the other hand bran has been found to be less effective in reduction or controlling the rate of bowel obstruction. However as argued by Prommer (2015, p.420), some of these drugs have been found to be ineffective in people with strong faecal impaction. As mentioned by Drew, Cao Chan (2016, p.173), methylcellulose laxatives have been found to be more effective in people with chronic obstruction. In this context, the use of dulcolax drops has been particularly useful in relieving the constipation in the patient. The dulcolax drop helps in stimulates the bowel and helps in the formation of soft tools. The active ingredient sodium picosulphate has been particularly beneficial in relieving the symptoms of constipation in the patient. Research has shown that the drug could be effectively taken by children as well as adult of all age groups on a regular basis and the rate of side effects have been comparatively less. Since, some of these drugs have been seen to produce relatively lesser or no side effect, they have been prescribed in patients with chronic bowel obstruction. However, in the lack of knowledge regarding the exact medication patterns and doses the pronouncement of the effect in the patient may not be well understood. A number of clinical studies and trials have placed importance upon the use of polyethylene glycol derivatives for controlling the severity of constipation and reducing abdominal pain in the patient(Oczkowski, Duan, Groen, Warren Cook, 2017, p.721). As argued by Hofman et al. (2015, p.1778), in 40% of the cases the administration of PEG has resulted in the occurrence of diarrhoea in bowel cancer patients. However, JR had a number of health co-morbidities which made medication management difficult in the patient. She reported urinary tract infection and faecal impaction, which made the administration of herbal drugs and curatives difficult for the patient. As mentioned by Punt, Koopman Vermeulen (2017, p.235), excessive intake of such dry husks have been worsen the situation of urine incontinence in the patient with bowel cancer. Additionally, huge amount of restrictions are faced by the healthcare professionals with respect to the medication management in end of life care patients. Some of these barriers are presented due to differential opinions possessed by the patients regarding certain therapies and medications. The patients who are going though the end of life crisis find little hope in the treatment methods and procedures which are expressed in the form of non-cooperation with the medical fraternities, which makes yielding the end result even more difficult. Pharmacological management of abdominal pain Pain management is medicine branch that deals with the improving the quality of life as well pain reduction through the effective pharmacological management. Management of pain is very vital for the patients having cancer because even after undergoing surgery one in three patients are experiencing pain after treatment. The patients that are affected with the advanced cancer are most likely to suffer from severe pain. Other than the radiotherapy and the chemotherapy there are other types of treatment procedures called targeted therapy, immunotherapy, and surgery (Jamison Edwards, 2012, p.62). The targeted therapy for the colorectal cancer is also called the monoclonal antibody therapy. The bioengineered proteins come from the monoclonal antibodies that help in increasing the bodys immune system and helps in the identification, destruction, attack and of the colorectal cancer cells. Monoclonal antibodies therapy can be used alone or in combination with the other types of therapy like chemotherapy. There are several kinds of drugs that that help in the treatment of the metastatic colorectal cancer. Bevacizumab (Avastin)- this medicine prevents the tumour from further growth by blocking the growth of the blood vessels in to the tumour cells. This helps in effectively cutting off the supply of nutrients from reaching the tumour cells. Panitumumab (Vectibix)- this medicine targets the epidermal growth factor receptor and thus effectively preventing the signals from moving inside the colorectal cancer cells. this medicine thus effectively prevents the growth and division (Hagan, Orr Doyle, 2013, p.3). Cetuximab (Erbitux)- this medicine works by attaching to a protein called the epidermal growth factor receptor, as this cell exits on the surface of the cells. This type of therapy prevents the signals from reaching the colorectal cancer cells, which further prevents the cells growth and division (Farzaei, M. H., Bahramsoltani, R., Abdollahi, M., Rahimi, 2014, p.558). The other types of the drug used for the targeted therapy are the Zaltrap, Stivarga. These medicines also cut off the blood supply and prevents the signal passage respectively (Hagan, Orr Doyle, 2013). Immunotherapy, for the treatment of the colorectal cancer is made for the purpose of enhancing the bodys immune system and recognize, attack and finally kill them. Checkpoint inhibitors can be used to for the disruption of the signalling receptors that cleverly disguise the cancer cells from the immune system. There is a drug called the pembrolizumab (Keytruda) and it is used to treat the patients with metastatic colorectal tumour that is in inoperable condition. Such patients also have genetic features called the mismatch repair deficiency or microsatellite instability-high. This defect has been in 90 percent of the patients along with the patients that have lynch syndrome. The immune therapy helps in the treatment of the patients and the responses sometimes vary (Lynch Murphy, 2016, p.72). Surgery for the colorectal cancer treatment is one most common form. The surgery involves the removal of the tumours and also the section of the colon in which the tumour is found (Rajapakse, Liossi Howard, 2014, p.175). Sometimes it becomes necessary to remove the entire colon along with the healthy intestine and the lymph nodes. The patients that undergo the surgery receive the radiation therapy or chemotherapy before or after the surgery procedures (Peters, Muir Gibson, 2014, p.1170). These therapies altogether can shrink the tumour and are effectively used to target the tumour cells that are left even after the surgery (Lee et al., 2017, p.206). A randomized control trial was conducted to using the different types of the drugs available for the treatment of the colorectal cancer. It was found that the treatment procedure of utilizing the drugs is found to be much more effective for the overall survival of the patients and in leading a disease free life (Akhtar et al., 2014, p.177). In case all other methods of treatment fail Targin 5/2.5 mf tablets could be suggested to the patient. It is mainly suggested in case of chronic pain when other medication therapies have failed to reduce the pain. The slow release of oxycodone and naloxone has been effective in controlling the acute pain. As mentioned Star Boland (2018, p.15), the slow release ensures that the patient can combat with the consequence of drug overdose. Discussion of alternate therapies and procedures A number of alternate procedures and therapies could be suggested for coping with the deteriorating health condition of JR. JR had been bound to bed and at the progressive stage of bowel cancer. Her physical conditions provided her with little scope to spend time with her family. Additionally, the lack of hope and positivity to recover fully further affected the mental well being of JR. Therefore, apart from the medication and remedies which were provided to her she could have been put into effective counselling sessions. As mentioned by Chua Nieh (2016, p.62), the counselling sessions were supposed to restore faith and positivity in the patient. Additionally, implementing effective physiotherapies in the daily care routine of the patient can facilitate effective movements of bowel (Chang, Lembo Sultan, 2014, p.1170). However as supported by Afrin et al. (2012, p.169), in the end of life palliative care it is more important to focus upon reduction of the pain in the patient with bowel cancer and provide them with a holistic and positive care regimen. Therefore, apart from pharmacological interventions focussing upon the diet of the patient and including more roughage in the diet of the patient can help in the elimination of waste from the body (Akhtar, Chandel, Sarotra Medhi, 2014, p.177). Conclusion The assignment argues regarding the various clinical and pharmacological aspects for the end of life palliative care. However, the pharmacological intervention and methods have been found to be associated with a number of limitations. Some of these limitations are offered due to lack of resources as well as insufficient cooperation from the participants. In this respect, a number of alternate medication strategies and procedures have also been highlighted over here. For example, maintaining the diet of the patient in an effective manner by incorporation of more roughage implementing more effective counselling sessions for the patient. This can help in generating the hope of survival in the patient based upon which the patient show better responses to the altered medicines. Additionally, a number of clinical conditions of the patient needs to be taken into consideration before changing of the medication doses as changing the medicines in case of co-morbid health conditions may illicit strong responses. References Afrin, S., Giampieri, F., Gasparrini, M., Forbes-Hernandez, T. Y., Varela-Lpez, A., Quiles, J. L., ... Battino, M. (2016). Chemopreventive and therapeutic effects of edible berries: A focus on colon cancer prevention and treatment.Molecules,21(2), 169. Akhtar, R., Chandel, S., Sarotra, P., Medhi, B. (2014). Current status of pharmacological treatment of colorectal cancer. World journal of gastrointestinal oncology, 6(6), 177. Beaugerie, L. and Itzkowitz, S.H. (2015). Cancers complicating inflammatory bowel disease.New England Journal of Medicine,372(15), 1441-1452. Chang, L., Chey, W. D., Drossman, D., Losch?Beridon, T., Wang, M., Lichtlen, P., Mareya, S. (2016). Effects of baseline abdominal pain and bloating on response to lubiprostone in patients with irritable bowel syndrome with constipation.Alimentary pharmacology therapeutics,44(10), 1114-1122. Chang, L., Lembo, A., Sultan, S. (2014). American Gastroenterological Association Institute Technical Review on the pharmacological management of irritable bowel syndrome.Gastroenterology,147(5), 1149-1172. Chang, L., Lembo, A., Sultan, S. (2014). American Gastroenterological Association Institute Technical Review on the pharmacological management of irritable bowel syndrome.Gastroenterology,147(5), 1149-1172. Cho, M.S., Baek, S.J., Hur, H., Min, B.S., Baik, S.H. and Kim, N.K.. ( 2015) Modified complete mesocolic excision with central vascular ligation for the treatment of right-sided colon cancer: long-term outcomes and prognostic factors.Annals of surgery,261(4), 708-715. Chua, H. C., Nieh, C. C. (2016). The Effect of Lifestyle Modification in Treatment of Constipation in Older Adult, 54-69. Drew, D. A., Cao, Y., Chan, A. T. (2016). Aspirin and colorectal cancer: the promise of precision chemoprevention.Nature Reviews Cancer,16(3), 173. Farzaei, M. H., Bahramsoltani, R., Abdollahi, M., Rahimi, R. (2016). The role of visceral hypersensitivity in irritable bowel syndrome: pharmacological targets and novel treatments.Journal of neurogastroenterology and motility,22(4), 558. Hagan, S., Orr, M. C., Doyle, B. (2013). Targeted therapies in colorectal canceran integrative view by PPPM. EPMA Journal, 4(1), 3. Hofman, P., Cherfils-Vicini, J., Bazin, M., Ilie, M., Juhel, T., Hbuterne, X., ... Vouret-Craviari, V. (2015). Genetic and pharmacological inactivation of the purinergic P2RX7 receptor dampens inflammation but increases tumor incidence in a mouse model of colitis-associated cancer.Cancer research, canres-1778. Jamison, R. N., Edwards, R. R. (2012). Integrating pain management in clinical practice. Journal of clinical psychology in medical settings, 19(1), 49-64. Kram, B., Greenland, M., Grant, M., Campbell, M. E., Wells, C., Sommer, C. (2018). Efficacy and Safety of Subcutaneous Neostigmine for Ileus, Acute Colonic Pseudo-obstruction, or Refractory Constipation.Annals of Pharmacotherapy, 302. Lacy, B.E., Mearin, F., Chang, L., Chey, W.D., Lembo, A.J., Simren, M. and Spiller, R., (2016). Bowel disorders.Gastroenterology,150(6), p1393-1407. Lee, M. T. G., Chiu, C. C., Wang, C. C., Chang, C. N., Lee, S. H., Lee, M., ... Lee, C. C. (2017). Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012-an Analysis using National Inpatient Database. Scientific reports, 7(1), 2006. Lynch, D., Murphy, A. (2016). The emerging role of immunotherapy in colorectal cancer. Annals of translational medicine, 4(16). Mayer, R.J., Van Cutsem, E., Falcone, A., Yoshino, T., Garcia-Carbonero, R., Mizunuma, N., Yamazaki, K., Shimada, Y., Tabernero, J., Komatsu, Y. Sobrero, A., (2015). Randomized trial of TAS-102 for refractory metastatic colorectal cancer.New England Journal of Medicine,372(20), 1909-1919. Misale, S., Arena, S., Lamba, S., Siravegna, G., Lallo, A., Hobor, S., Russo, M., Buscarino, M., Lazzari, L., Sartore-Bianchi, A. A Bencardino, K. (2014). Blockade of EGFR and MEK intercepts heterogeneous mechanisms of acquired resistance to anti-EGFR therapies in colorectal cancer.Science translational medicine,6(224), 101-115.. Muldrew, D. H., Hasson, F., Carduff, E., Clarke, M., Coast, J., Finucane, A., ... Watson, M. (2018). Assessment and management of constipation for patients receiving palliative care in specialist palliative care settings: A systematic review of the literature.Palliative medicine, 515. Nalliah, S., Gan, P. W., Masten Singh, P. K., Naidu, P., Lim, V., Ahamed, A. A. (2017). Comparison of efficacy and tolerability of pharmacological treatment for the overactive bladder in women: A network meta-analysis.Australian family physician,46(3), 139. 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Jim Smiley and His Jumping Frog free essay sample

The first reason I believe that realism is exemplified is the way in which the story is set up: two men engaging in conversation, with basic and general mannerisms for the era and time which it takes place. Also, realism also usually reflects dialect and culture (as can naturalism) which is clearly portrayed. â€Å"Well, thish-yer Smiley†¦Ã¢â‚¬ (Lauter 58) and â€Å"I’ve got my opinion, and I’ll resk forty dollars that he can outjump ary frog in Calaveras county† (Lauter 59) are both examples of dialect. The second reason that I believe realism is portrayed might be a bit of a stretch and outside the box but it is because of the names of the pets. At first I didn’t think much of the name â€Å"Andrew Jackson† (the dog) besides it resembled a former U. S. President. As I read the story a second time, I realized that the traits of the dog were similar to those of Andrew Jackson the President. We will write a custom essay sample on Jim Smiley and His Jumping Frog or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This led me to wonder about the name Daniel Webster, which I had not heard of but thought there might be some connection. After some quick research, it turns out Daniel Webster was a senator and figure from the Civil War Era (Biography. com). Webster (the senator) also had traits that were clearly portrayed the Webster the frog. * I believe there are a few small hints of naturalism in the sense that Jim Smiley is an uncontrollable addict of gambling and just how crazy people are for money and thrill, which exemplifies uncontrollable forces.

Analytical Chemistry Essays - Chemist, Computational Chemistry

Analytical Chemistry Nanothinc - providing information services concerning nanotechnology and related enabling technologies, which include supramolecular chemistry, protein engineering, molecular design and modelling software Oxford Molecular Group PLC - A leading developer and marketer of computer-aided chemistry and bioinformatics software. Mac Education Software: Chemistry Math Latin Greek French Spanish Prode - Data on software, computers, chemical engineering, chemistry Trinity Software - programs for chemistry, life science, and speech and communication. Program titles include curriculum supplements and research tools for both PC and MAC computers. New Technology Collaborative, Inc - educational interactive simulations for science in general and for chemistry extensively and periferally physics and earth and space science. 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Mac Education Software: Chemistry Math Latin Greek French Spanish ASAD - is a software package for building atmosphericchemistry models Chemistry Software for Macintosh Mac Education Software: Chemistry Math Latin Greek French Spanish The Biophysical Chemistry Virtual Classroom Mac Education Software: Chemistry Math Latin Greek French Spanish NCSA Chemistry Visualization - NCSA Chemistry Visualization Project, allowing High School chemistry teachers to use supercomputers to visualize abstract parts of chemistry. Chemical Separations - Survey Course covering methods of separation. Emphasis is placed on modern chromatographic methods. General, Organic and Biochemistry - Two semester series of lecture slides, practice exams and chapter summaries. Dalhousie University - Department of Chemistry Masaryk University - Dept of Inorganic Chemistry - These pages contains: annual reports of reasearch and teaching activities, list of publications, chemistry related URLs, local information, email addresses of staff Chemistry Department - Details of current undergraduate courses and postgraduate research work currently being undertaken. Chemistry Department Recipes of the Institut of Nuclear Chemistry - in English and German. Boffa, Lisa Saunders - Undergraduate and chemistry humor from the University of Texas The Solution Bower, Charles - Includes the basic stuff, CV, links to Internet starting points, and a section of light entertainment. The page is perpetually changing, of course. Fariello, Gabriele R. - there's a coffeeshop gallery, an art history sampler, a chemistry teaching forum and hopefully more by the ime you check it out. Hicks, Aaron - Orchids! Firefighting! Geochemistry! Marzella, Phillip [new] - Neurochemistry, documentaries and film making are my interests. Also my thesis on dopamine receptors and schizophrenia should appear shortly! Peisach, Daniel - Biochemistry graduate student, Brandeis University. Ramadan, Ziad [new] - contains personal information and research area in Chemistry Rocha, John-David Ray - links to educational stuff, computerprogramming, Chemistry and Math.

History of Law

History of Law Various definitions have been assigned to the vast concept that is law. To some people, law is an unqualified human good without which the society would be in disarray.Advertising We will write a custom essay sample on History of Law specifically for you for only $16.05 $11/page Learn More To others, law is a sham and is used as an ideological tool to serve elites. Perhaps both of these approaches are valid depending on the perspective that we take. Nevertheless, there must be one approach of the two that is weightier based on the history of law than the other. This discussion seeks to find which of the two makes more sense based on real historical evidence. Law being vast in nature may not have a single definition. However, we may agree that the concept of law was first established with the main aim of bringing order to society by defining what is considered wrong and right based on societal norms. Thompson who has been referred as the father of the history pioneered an argument that law is an unqualified human good arguing that the society would not know any good without law. This argument which first put across a couple of decades back has been the subject of discussion among many scholars. Thompson was historian who fought against oppression of a class people which was considered inferior. The working class during the 18th century was such an oppressed lot and this was because the laws in existence then seemed to favour those who were aristocrats of the society. Although Thompson at first appeared as though he was lodging a criticism for legal parameters, he did make his stand on several occasions arguing that the law protected the society from the government which was likely to use the same laws to manipulate the people. He argued that the laws have ensured that the public has rights which if violated by the government could provide a redress to the people. The government is limited in its actions since the law empowers the people and therefore the government has to be extremely cautious in its actions.Advertising Looking for essay on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More On the other hand, the law has been viewed as a sham and an ideological tool that serves only the elites in the society. This approach is equally true and especially in countries where the leaders are dictatorial and authoritarian. A case in point is Indonesia where leaders have come up with stringent laws and policies with the aim of exercising unmitigated, uncontrolled and unquestionable powers on the people. The Middle East is yet another example where leaders have used the rule of law as their tool to remain in power while ruling people in a controlling manner to the detriment of the society. The uprising that has been witnessed in Tunisia, Egypt, Libya and now Syria is a reaction to leaders who have used the rule of law for their own personal gain and at the expense of the majority of the people in the society. It is only governments that use the law as a tool of controlling their own population to the advantage of the leaders but also international organisations have also used the law to manipulate individual countries. For instance, third world countries may be in need of donor funding from western countries. The western may impose some policies which the recipient of the funds must comply with even if they are deprived of some of their rights. Failure to comply will lead to the withdrawal of the much needed funding for development in third world countries. Looking at the two approaches, the approach by Thompson that the law is an unqualified human good seems to carry more weight. This is because everybody is under the law. The requirement is that every person; the society and the government, the leaders and individuals must obey and adhere to the laid down rules. Usually, whenever the government appears to use the laws to manipulate the publ ic, it is normally a violation of the same laws. Therefore, if every institution in the society including the government was to be disciplined, then the ultimate goals of ensuring that the law is unqualified human good would stand unshaken. Strengthening the judiciary which is expected to keep both the society and the government in check and ensures that no violation of the laid down rules goes unpunished should be the ultimate goal of every society.Advertising We will write a custom essay sample on History of Law specifically for you for only $16.05 $11/page Learn More While the same courts under which the judiciary falls have some laid down rules which govern their operations, to a great extent, these courts and the judges who preside the courts have inherent power known as discretion to depart from some of the already laid down rules and arrive at a different decision to ensure that the justice is manifested. Law is indeed a tool that every society needs to maintain order, sanity and consistency. Without law, people would not know what is right or wrong and would therefore do as they wish wished. This would see a society in chaos and disarray and this would hamper greatly the process of development

The Energy Debate Lab Report Example | Topics and Well Written Essays - 750 words

The Energy Debate - Lab Report Example The most important pro in the usage of active solar energy as a source of power is that it does not emit carbon or any pollutant when it provides us energy. The most serious con is the high cost of its installation that it can sometimes be prohibitive. Definition: passive solar energy is the energy taken from the warmth of the sun without the implements or aid of machines. Thus, passive solar energy can be said to be free and is often taken advantage in heating a home or building to save on cost. People may be unwilling to replace their old appliances with new ones for the sake of efficiency. US just came from a crisis where people are now skimping on cost and making the most of their dollars. It may be difficult to convince people to spend for a new appliance when an existing one still works. Consume more vegetables. Vegetables require less energy to produce and also reduce the CO2 in the atmosphere because they are plants (they use CO2 as food). Meat on the other hand requires so much energy and water resource to