Tuesday, December 24, 2019

Research Analysis Primary Sources Essay - 1701 Words

Research Analysis Worksheet This worksheet is for analyzing primary sources, which for the purpose of this project are popular culture media: texts created for a mass audience with some commercial component, either through sales, subscription, or advertising revenue: advertisements, videos, television shows, news articles or programs, popular music, etc. Choose three different popular culture artifacts (primary sources) that reflect the identity you’ve chosen for your essay. For instance, if I were analyzing portrayals of female college professors in movies, I’d pick for my artifacts three movies that portray female college professors (I’d choose the best three, the ones that seemed most interesting, revealing, or perplexing, out of a search of many). Apply the following â€Å"moves† to each of your artifacts. Please include a URL address or hyperlink to each of your artifacts, if possible. Artifact 1: Write Bibliographic information here (title, author, director, producer, publication, URL, etc.) Still Killing Us Softly Advertising s Image of Women. Dir. Margaret Lazarus, Renner Wunderlich, Patricia Stallone, and Joseph Vitagliano. Cambridge Documentary Films, 1987. DVD. Form and Purpose What is it, Who made it, What is its purpose, Who is its audience, and Where was it originally published/ performed/or broadcasted?: It was a documentary on Netflix but it was originally on a VHS tape when it came out, it was created to awareness of the media and how it portrays women asShow MoreRelatedPrimary Sources Of Primary Research1231 Words   |  5 Pages1. Primary research, or research using primary sources, is first hand data and / or resources. In other words researchers are collecting data themselves. 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This research has involved five steps: ï‚ § Formulating the research problem ï‚ § DevelopingRead MoreThe Importance Of Some Research Terminology From 5 Parts : Action Research1337 Words   |  6 PagesIntroduction Research always is an important part in Master study, which was composed by variety parts such as action research, case study, context, etc. This essay will discuss and analysis the importance of some research terminology from 5 parts: action research, case study, primary sources, secondary sources and multidiscipline. Besides, it will explain the meaning and give some examples for each part. Action Research Action research is a disciplined process of inquiry conducted by and forRead MoreHistorical Process1214 Words   |  6 PagesSkills—You will employ online tools for research and analysis, use critical-thinking and problem-solving skills, communicate effectively, and assess and validate information. 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We list sources for historical primary documentsRead MoreWhat Are The Types Of Research Philosophies?1115 Words   |  5 PagesAccording to Kumar (2010), a research methodology is a is an investigation that uses laid down scientific procedures in the formulation of problems, creation of hypothesis or identification of the laid down methods of answering research questions. 3.1 Research philosophy Whenever providing a research methodology, it is important to determine the exact philosophy that will be used in the research. There are two main types of research philosophies. These are analytical or descriptive philosophiesRead MoreThe Real Estate Development And Other Investment Multipronged Implication1293 Words   |  6 PagesResearch Methodology The chapter contains the methodology which would be employed for the study that focused on the real estate development and other investment multipronged implication to the sustenance of rural livelihood analysis of Dukem town. To performed the study, the researcher design the descriptive or explanatory approach entirely focused both qualitative and quantitative methods to collect primary as well as secondary data using interviews, questionnaire, FGD, observation and expert panelRead MoreResearch Methodology For The Research1255 Words   |  6 PagesCHAPTER 3 RESEARCH METHODOLOGY Introduction In doing the research, the methodology must be appropriate so that the analysis findings could reach the objective. Research methodology proposed one procedure in order way to be follow to answer all the questions in the research that want to be made. Quoted by Denzin and Lincoln (1994), methodology is a process that related with research objective and data. In the others word, it is early research planning that include the research scope, data collectionRead MoreQualitative And Quantitative Methods Of A Humanitarian Crisis Essay1711 Words   |  7 PagesCollection, collation, analysis, and synthesis of qualitative and quantitative information, gathered together and analysed using suitable sources, tools, and methods is the cornerstone of quick needs an identification that allows decision makers to plan a timely, suitable and organized emergency response. In these methods when obligation a needs evaluation, a combination of several types and sources of data is important to build a good image of the affected population. In this study sources include bothRead MoreSources Of Information Gathering Research1670 Words   |  7 PagesSources of Information Gathering Research is the collection, collation, analysis and evaluation of data. There are diverse sources from which data may be gathered. These include: 1. Primary source Primary sources allow researchers to get as close as possible to original ideas, events, and empirical research as possible. Such sources may include creative works, first hand or contemporary accounts of events, and the publication of the results of empirical observations or research. We list sources

Monday, December 16, 2019

Pregnancy Induced Hypertension Free Essays

[pic] OBSTETRICS POSTING CASE WRITE-UP PREGNANCY INDUCE HYPERTENSION Name: Muhammad Azraie B. Mat Ali Matrix Number: 1090265 Patient Identification Name: Nur Asilah Bt. Johari Age: 23 year old Race: Malay Sex: Female Address: Taman Raja Abdullah Occupation: Student D. We will write a custom essay sample on Pregnancy Induced Hypertension or any similar topic only for you Order Now O. A. : 13 March 2013 I/C: 900208035442 LMP: 27 June 2012 – sure of date – not on breast feeding – not on contraceptive – regular menses POA: 37/52 EDD: 4 April 2013 Chief Complaint(s) This is a referred case from Klinik Kesihatan Jalan Raja Abdullah for high blood pressure during regular ante-natal check-up for 1 day duration. History Of Presenting Illness Patient was apparently well until 1 day ago when she was diagnosed to have high blood pressure during her regular antenatal check-up at Klinik Kesihatan Jalan Raja Abdullah. She was normotensive throughout the antenatal check-up before until yesterday when the doctor noticed that her blood pressure was high which was 170/100 mmHg for three time consecutively. She denied of having an essential hypertension before and no positive family history of hypertension. On further questioning, she had headache, otherwise she not had any sign and symtoms of impending eclampsia such as blurring of vision, vomiting, epigastric pain and syncope prior to the admission. She claimed the first episode of headache was during last antenatal check up where she was diagnosed to have high blood pressure. History Of Presenting Pregnancy Pregnancy was suspected when she missed her menses for 4/52. It was confirmed by doing urine pregnancy test (UPT) at private clinic. At that time, no early ultrasound was done. She claimed that she experienced symptoms of early pregnancy such as nausea, vomiting and headache that last until 20/52 POA. Booking was done during 13/52 POA at Klinik Kesihatan Jalan Raja Abdullah. At that time, blood and urine investigation was done. Her blood pressure at that time was 112/70 mmHg. Blood group was O positive and VDRL was non-reactive. Urine investigations also normal. She attended all the ante-natal clinic regularly and all was uneventful. Symphyseal-fundal height was correspond to the date throughout the check-up. She was also normotensive throughout the visit until the last visit when her blood pressure was rise up. Quickening was felt at 20/52 POA and it was increasing in the frequency and intensity. Past Obstetric History She married in year 2011 at the age of 21 and this is her first pregnancy. Past Gynaecology History She attained menarche at the age of 13. She had a regular menses flow of 5 to 6 days duration with 28 to 30 days per cycle. It peaks on day 2 with no history of menorrhagia and dysmenorrhea. She denied of having any history of intermenstrual bleed and post-coital bleed. She not practicing any method of contraceptive and no pap smear was done before. Systemic Review Systemic review was unremarkable. She had no heart disease symptoms that can cause by hypertension, no headache, no nausea and vomiting, and also no blurring of vision. Past Medical and Surgical History This is her first admission to the hospital. There was no history of asthma, essential hypertension, diabetes mellitus and heart disease in this patient. He denied of having any surgical intervention before. Family History All of her siblings were in good health. There was no history of twin or congenital abnormalities in her family. Both of her parents are still alive and in good health. Social And Personal History She live with her husband at Taman Jalan Abdullah. She is a student,and she denied smoking and consume alcohol. Her husband also a student, non smoker and not consume alcohol. Diet And Drug History There was no known drug and food allergies. Summary My patient, a 23 year old lady primigravida at 37/52 POA was admitted due to increased blood pressure during ante-natal check-up which was symptomatic. PHYSICAL EXAMINATION General Examination: The patient was lying supine comfortably supported with one pillow. She was not in pain and not in respiratory distress. She is a medium built woman with clinically adequate nutritional and hydrational status. There was no gross deformity and skin colour changes in this patient. No attachment of iv branula on her limbs. Vital Signs: Blood pressure: 140/88 mmHg Pulse: 96 beats per minute. Regular rhythm and good volume. Temperature: 37oC Respiratory rate: 20 breaths per minute General Systemic Examination: Hand: The palm was warm and moist. The palmar creases was pink/not pale. No palmar erythema. No peripheral cyanosis and clubbing. Head and Neck: No jaundice and the conjunctiva was pink. Oral hygiene was good, no central cyanosis and the tonsil was not injected. Lower Limb: There was no ankle edema. Per Abdomen Examination: The abdomen was distended with gravid uterus as evidence of linea nigra and striae gravidarum. The umbilicus was centrally located and flat. No dilated veins and surgical scar. Abdomen was soft and non-tender. Clinial fundus correspond to 38 weeks of gestation. Symphyseal-fundal height was 36 cm, which was corresponding to date. It was a singleton baby. Longitudinal lie with cephalic presentation and fetal back was at mother’s left. The fetal head was not engaged. Liquor was clinically adequate. Fetal heart sound was heard. Examination Of Other System i. Cardiovascular System – apex beat was located at the left 4th intercostal space, lateral to the mid-clavicular line. – Both heart sound was present, and no additional sound. ii. Respiratory System – Air entry was normal and equal both sided. No additional sound was present. iii. Central Nervous System – All motor and sensory was grossly intact. Reflexes was normal. Summary: The patient, 23 year old primigravida at 37/52 POA, was examined and showed high blood pressure. All the reflexes were normal. Other system was normal. _____________________________________________________________________ Problem List: i. Primigravida ii. High blood pressure INVESTIGATION 1. Urine Analysis ( 24 Hr Urine Protein ) To look any presence of protein in the urine to exclude pre-eclampsia and to assess the severity of the proteinuria quantitatively. Result : Negative finding. Interpretation : No proteinuria in this patient. 2. Full Blood Count To assess haemoglobin and platelet count in this patient. Result : WBC9. 79Ãâ€"109/L Hb13. 2g/dL Plt270x109/L Interpretation : All parameters shows no abnormalities. 3. Renal Function Test To assess glomerular and tubular function of the kidney. Result : Sodium135 mmol/L Potassium4. 0 mmol/L Urea3. 0 mmol/L Interpretation : All parameters shows no abnormalities. 4. Liver Function Test To assess the level of aminotransferases and protein level especially albumin level Result : ALP134 ALT11 Bilirubin4 Total protein64 Albumin34 Interpretation : No abnormalities. 5. Ultrasound To assess fetal condition, look for placenta pathology Result : BPD90. 6 mm36W5D FL64. 0mm37W6D HC328 mm37W2D EBW2. 40 – 2. 60 kg Placenta : Fundal grade III Interpretation : Normal Amniotic Fluid Index : To assess the amniotic fluid volume ( poly-, normal, or oligohydramnios ) Result : 12. 0 PROVISIONAL DIAGNOSIS Gestational Hypertension Evidence: †¢ History – increased blood pressure more than 140/90 mmHg during last ANC – occur after gestational age more than 20 weeks – no proteinuria – no history of essential hypertension before †¢ Physical examination investigation high blood pressure (170/100 mmHg) MANAGEMENT Aim of management : 1. Control the hypertension 2. Monitor the fetus condition by doing fetal kick chart and cardiotocography 3. Don’t allowed postdate 4. A tablet of Aldalat (Nifedipine) 10 mg 3 times daily 5. Daily monitoring of blood pressure for every 4 hours 6. Deliver the baby by induction of labour if more than 35 POA 7. Plenty of bed rest DISCUSSION PREGNANCY-INDUCED HYPERTENSION Definition :- Increase in blood pressure after 20 weeks of gestation: †¢ BP ? 140/90 mmHg †¢ An ^ in systolic BP ? 30 mmHg over baseline An ^ in diastolic BP ? 15 mmHg over baseline BP measurement : Taken at least 6 hours apart with the patient at rest PIH can be divided into : †¢ Pre-eclampsia – mild, severe †¢ Gestational HPT †¢ Eclampsia As we received a pregnant woman with a high blood pressure during ante-natal check-up, we should bare in mind that one of the possible causes of it is Pregnancy Induced Pregnancy (PIH). In this case, full history of the patient should be taken including full obstetric history, signs and symptoms of heart disease, liver disease and renal disease to exclude any possibility of ssential hypertension and also signs and symptoms of impending eclampsia. As in this patient, there was no history of essential hypertension or family history of hypertension, and the high blood pressure was only discovered during ante-natal check-up at late pregnancy which is at 37 weeks POA. She was diagnosed to have Pregnancy Induced Hypertension which are mild in severity because the blood pressure was maintained around 170/100 mmHg on subsequent ante-natal visit. She was not diagnosed to have pre-eclampsia because no proteinuria. Several investigation was done in this patient to look for any complication of pregnancy induced hypertension in the mother and the fetus. All parameters of the investigation show no abnormalities. It is because the hypertension is mild in severity and it occurs quite late in the pregnancy which make the complication difficult to arise. Complications of hypertension in pregnancy There are several complication that can occur in Pregnancy Induced Hypertension. Maternal :- †¢ Cerebral haemorrhage †¢ Heart failure †¢ Hepatic necrosis Acute tubular necrosis of the kidney Placental :- †¢ Placental insufficiency †¢ Abruptio placenta †¢ Oligohydramnios Fetus :- †¢ Intrauterine growth retardation Drugs that can be used in pregnancy 1. Methyldopa (Aldomet) †¢ It is a central adrenergic inhibitor †¢ Action: v symphatetic activity, v total peripheral resistance †¢ Adverse effect : lethargy, drowsiness †¢ It is the safest drug in pregnancy 2. Labetolol (Trandet) †¢ ? /? adrenergic blocker †¢ Action : v total peripheral resistance, v cardiac output †¢ Adverse effect : fetal bradycardia, IUGR Contra-indication : 1st degree heart block, severe asthma 3. Nifedipine (Adalet) †¢ Calcium channel blocker †¢ Action : inhibit calcium influx in vascular smooth muscle †¢ Adverse effect : headache, reflux tachycardia, flushing 4. Hydralazine †¢ Peripheral vasodilator †¢ Action : direct action on vascular smooth muscle, v TPR †¢ Adverse effect : headache, sweating, nausea, palpitation †¢ Indication of use : in hypertension crisis In the ward, the blood pressure of the patient was controlled by given her good bed rest and daily monitoring of blood pressure. Other than that, the fetus condition monitored by doing cardiotocography (CTG). She also planned to have induction of labour. Indications for labour in this patient The indications for labour in this patient are :- i. She is at term ii. Delivery of the baby is the only treatment to bring down the blood pressure in pregnancy induced hypertension Risks of induction of labour 1. Failed induction – indicates that the attempt to induce labour has failed to result in full dilatation of the cervix. 2. Uterine hyperstimulation – which can cause fetal distress and uterine rupture How to cite Pregnancy Induced Hypertension, Papers

Sunday, December 8, 2019

Obesity Essay Summary Example For Students

Obesity Essay Summary America has become a society obsessed with appearance, especially weight. We are conditioned at a young age to believe the only way to be normal is to bethin. This norm is projected to millions of Americans each day throughtelevision, magazines, billboards and every other form of media and advertising. How are people to know acceptance and happiness with themselves and others whenour culture propagates what the perfect body should be. It is the search for the elusive, perfect body that has created a thirty-three billion dollars a year weight loss industry. Yet few reduce their bodyfat and even fewer maintain their weight loss beyond two to three years. Thisleads to yo-yo dieting and increased low self-esteem of people constantlystruggling to become what they see as a normal member of society. A problem that lies within this problem, is the chronically obese person. Obesity is when ones body wieght is 25-30% above normal. While overweight is20-30 pounds over normal.Most people, including health care providers seethe problem with obesity as eating too much and exercising too little. But intruth, for many obese people the problem lies with genetic predisposition,metabolic problems, binge eating or sometimes all. These factors make dietingvirtually impossible because these problems are not ones that can be solved bysimply cutting calories. Especially the problem of binge eating. Compulsive binge eating in the obese is not caused by just wanting to eat. The want to eat is caused by looking for a sense of security. A sense ofsecurity wanted because there are poor or no coping skills for stress ordepression and low self-esteem. Therefore, when a compulsive overeater or bingeeater diet, the diet is doomed to fail because the weight returns when theperson resumes normal eating. Thus creating an even greater depression. Now many obese people have medical research to turn to as to why the weightthey lost usually comes back. Recent research has strongly backed the set-pointtheory, which says that when an individual loses weight, the bodys metabolicrate adjusts in order to return to the baseline weight. Research with animals has revealed a protein called leptin. Leptincirculates in the blood and signals the set point mechanism in the brain, whichtells how much fat is present in the body. The protein is believed to beproduced by an obesity gene called ob. When leptin is injected into rodents, itlessened appetite and increased calories being burned. However, leptin is stillvery much in early experimental stages, because even though it may gauge howmuch fat you have it does not at this point tell how much you want. Another recent breakthrough was the discovery of unocortin. Unocortinappears to suppress appetite when the body is under severe stress. It is acousin of the brain chemical that generates the bodys fight or flightresponse. Unocortin was discovered at the Salk Institute, when a researcher wasstudying a neuropeptide which activates body stress reactors. He noticedreceptors in parts of the brain where the chemical did not exist. However, itmay be a long time before unocortin is actually a consumer drug. At this time,the only way unocortin works is to be directly injected into the brain. Acompany called Neurocin Biosciences, is already researching the brain receptorunocortin locks onto to work. For now, the serotonin reuptake inhibitor drugs are the only diet drugsbeing used in the U.S. These drugs work by affecting eating behavior. Eatingbehavior is the result of a mixture of neurotransmitters. The link betweenserotonin and eating disorders was discovered in the early 1980s. Theserotonin inhibitors include Lovan, Redux and phen-fen (Phentermine andFenfluramine). Phen-fen is the drug combination currently recieving so muchattention. Phentermine is similar to an amphetamine and it works to increasemetabolic rate. Fenfluramine(brand name Pondimin) in-creases the serotoninlevel, which decreases appetite. However, neither drug works alone. They onlyhave optimum effect together. .u9c20f39efb0c61e81bdde42d14c72795 , .u9c20f39efb0c61e81bdde42d14c72795 .postImageUrl , .u9c20f39efb0c61e81bdde42d14c72795 .centered-text-area { min-height: 80px; position: relative; } .u9c20f39efb0c61e81bdde42d14c72795 , .u9c20f39efb0c61e81bdde42d14c72795:hover , .u9c20f39efb0c61e81bdde42d14c72795:visited , .u9c20f39efb0c61e81bdde42d14c72795:active { border:0!important; } .u9c20f39efb0c61e81bdde42d14c72795 .clearfix:after { content: ""; display: table; clear: both; } .u9c20f39efb0c61e81bdde42d14c72795 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u9c20f39efb0c61e81bdde42d14c72795:active , .u9c20f39efb0c61e81bdde42d14c72795:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u9c20f39efb0c61e81bdde42d14c72795 .centered-text-area { width: 100%; position: relative ; } .u9c20f39efb0c61e81bdde42d14c72795 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u9c20f39efb0c61e81bdde42d14c72795 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u9c20f39efb0c61e81bdde42d14c72795 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u9c20f39efb0c61e81bdde42d14c72795:hover .ctaButton { background-color: #34495E!important; } .u9c20f39efb0c61e81bdde42d14c72795 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u9c20f39efb0c61e81bdde42d14c72795 .u9c20f39efb0c61e81bdde42d14c72795-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u9c20f39efb0c61e81bdde42d14c72795:after { content: ""; display: block; clear: both; } READ: The Polis EssayPhen-fen is how I became interested in the research of new obesity drugs. I first learned of phen-fen in June. The article I read in the Knoxville paperabout people who had taken the medicine, showed it to be what I and many othershad been waiting for. I finally believed my real chance to lose weight hadarrived. So with real anticipation, I made the two and half hour drive toMonticello, Kentucky. My first month on the medicine was great, I lost fourteenpounds and