Friday, August 21, 2020

Medical Transcription Ramzi Cotran free essay sample

Reed Phillips, MD, Pediatrics Date of Consult: 10/01/ - Reason for Consultation: Infected Finger HISTORY: Ramzi is an in any case solid 2-year-old Lebanese male kid who had a physical issue to the distal fizzling of his correct center finger the day preceding being seen. The patient is left-hand prevailing. The patient was brought to Dr. Phillips of Pediatrics optional to compounding redness just as contamination of the nail bed. Orthopedics counsel was mentioned on 09/30/ - for conceivable paronychia. The patient around then was having no fevers or chills and he was enduring his anti-toxin regiment well. PAST MEDICAL SURGICAL HISTORY: None other than circumcision soon after birth. BIRTH HISTORY: Normal full-term vaginal conveyance. Family ancestry: Non-contributory. SOCIAL HISTORY: Patient lives with his mom and a kin, Father expired. PHYSICAL EXAMINATION: Ramzi is alert, arranged, fun loving, and in no evident trouble. The patient has erythema encompassing the tip of his privilege distal failings, center finger. We will compose a custom exposition test on Clinical Transcription Ramzi Cotran or then again any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page There is gentle purulence from the territory. The zone is negligibly delicate to palpation. The nail has all the earmarks of being lifting off from the nail bed itself. He has great hairlike top off and has great flexion and expansion of that finger. Appraisal: This is a 2-year-old male with paronychia. PLAN: Follow up with me at 9am tomorrow. Mother was given my pager number ought to the patient’s condition compound for the time being. I will be in contact with Dr. Phillips.

Tuesday, July 14, 2020

How to Relax Your Body and Mind

How to Relax Your Body and Mind Stress Management Management Techniques Physical Techniques Print How to Relax Your Body and Mind By Elizabeth Scott, MS twitter Elizabeth Scott, MS, is a wellness coach specializing in stress management and quality of life, and the author of 8 Keys to Stress Management. Learn about our editorial policy Elizabeth Scott, MS Reviewed by Reviewed by Amy Morin, LCSW on January 27, 2020 facebook twitter instagram Amy Morin, LCSW, is a psychotherapist, author of the bestselling book 13 Things Mentally Strong People Dont Do, and a highly sought-after speaker. Learn about our Wellness Board Amy Morin, LCSW on January 27, 2020 PhotoTalk/ Getty Images More in Stress Management Management Techniques Physical Techniques Relaxation Time Management Effects on Health Situational Stress Job Stress Household Stress Relationship Stress When we face stressors in life, we can carry physical and psychological tension, and these tensions can feed off of one another. Feeling physically tense can increase your psychological and emotional tension and vice versa. Conversely, relaxing your body physically can help relieve psychological stress, and relaxing your mind can help you to physically relax and release tension in your body. When your stress response is no longer triggered, it becomes far easier to approach challenges in a proactive, peaceful way. Learning to master techniques that enable both types of relaxation is a highly effective route to stress relief. How to Relax Your Brain and Body If youre feeling stressed and wondering how to relax, here are some simple steps for releasing tension in your body and your mind.?? Realize That You Need to Relax Many people just try to work through their stress by ignoring it and hoping the stressors pass quickly, even while stressors build up. Because of this, its not uncommon to be caught off-guard by stress when you reach the point of feeling overwhelmed or to be stressed to the point that its taking a toll without realizing that you need to work on managing some of the stress in your life and your psyche. Its important to know when you have too much stress and need to relax.?? Relax Physically Physically relaxing your body can lead to stress relief because it interrupts and reverses your stress response  and can stop a negative-feedback cycle where your mind responds to stress by signaling a physical stress response. The tension in your body that can result from this response increases the levels of stress you feel emotionally. There are several effective techniques to relieve tension in your body. Here are some popular techniques to physically relax:?? Breathing exercisesProgressive muscle relaxation (PMR)Exercise Relax Mentally and Emotionally Your experience of stress involves your thoughts and emotions. You may think that you cant adequately handle the stressors youre facing (thought), and experience fear (feeling) as a result, which can accompany and even perpetuate your stress response. Often, reexamining your thoughts can help you to relax emotionally. The following can help you to better understand your thoughts and alter this cycle as you learn how to relax as you face your stressors:?? Change your negative  self-talk  to positiveLearn how to  reframe  your thoughts so that the way you perceive potential stressors in your life is more positive and less stressfulFigure out what your  cognitive distortions  are, such as all-or-nothing thinking, overgeneralizing, jumping to conclusions, focusing on the negative, labeling, and should statements, as well as how to correct themWork to  develop greater optimism How to Maintain a State of Relaxation Once youve discovered how to relax, you should experience less overall stress. The next step is learning how to maintain a state of relaxation  and learning how to relax again quickly after you deal with future stressors. Adding key features to your lifestyle can help you to amass more resources for dealing with stressors you face, and become less reactive to these stressors as well. The following can help you to develop a lifestyle that helps you to relax and more easily manage the stress of life: Make efforts to live  a low-stress lifestyle, such as learning breathing exercises, doing regular exercise, meditating, writing in a journal, and cultivating relationships??Learn how to be more emotionally  resilient. A Word From Verywell Its important to learn how to manage your stress in a healthy way. If youre feeling stressed out or youre struggling to make stress management techniques work for you, consider professional help. A licensed mental health professional can assist you in learning relaxation strategies that can work for you.

Thursday, May 21, 2020

Chemical and Physical Properties of Gold

Gold is an element that was known to ancient man and has always been prized for its color. It was used as jewelry in prehistoric times, alchemists spent their lives trying to transmute other metals into gold, and it is still one of the most prized metals.   Gold  Basics Atomic Number: 79Symbol: AuAtomic Weight: 196.9665Discovery: known since prehistoric timeElectron Configuration: [Xe]6s14f145d10Word Origin: Sanskrit Jval; Anglo-Saxon gold; meaning gold - also Latin aurum, shining dawnIsotopes: There are 36 known isotopes of gold ranging from Au-170 to Au-205. There is only one stable isotope of gold: Au-197. Gold-198, with a half-life of 2.7 days, has been used to treat cancer and other illnesses. Gold  Physical Data Density (g/cc): 19.3Melting Point ( °K): 1337.58Boiling Point ( °K): 3080Appearance: soft, malleable, yellow metalAtomic Radius (pm): 146Atomic Volume (cc/mol): 10.2Covalent Radius (pm): 134Ionic Radius: 85 (3e) 137 (1e)Specific Heat (20 °C J/g mol): 0.129Fusion Heat (kJ/mol): 12.68Evaporation Heat (kJ/mol): ~340Debye Temperature ( °K): 170.00Pauling Negativity Number: 2.54First Ionizing Energy (kJ/mol): 889.3Oxidation States: 3, 1. The oxidation states -1, 2 and 5 exist but are rare.Lattice Structure: Face-Centered Cubic (FCC)Lattice Constant (Ã…): 4.080Specific Gravity (20 °C): 18.88CAS Registry Number: 7440-57-5 Properties In mass, gold is a yellow-colored metal, although it may be black, ruby, or purple when finely divided. Gold is a good conductor of electricity and heat. It is not affected by exposure to air or to most reagents. It is inert and a good reflector of infrared radiation. Gold is usually alloyed to increase its strength. Pure gold is measured in troy weight, but when gold is alloyed with other metals the term karat is used to express the amount of gold present. Common Uses for Gold Gold is used in coinage and is the standard for many monetary systems. It  is used for jewelry, dental work, plating, and reflectors. Chlorauric acid (HAuCl4) is used in photography for toning silver images. Disodium aurothiomalate, administered intramuscularly, is a treatment for arthritis. Where Gold Is Found   Gold is found as the free metal and in tellurides. It is widely distributed and almost always associated with pyrite or quartz. Gold is found in veins and in alluvial deposits. Gold occurs in sea water in the amount of 0.1 to 2 mg/ton, depending on the location of the sample. Gold Trivia Gold is one of the few elements that can be found in its native state.Gold is the most malleable and ductile metal. One ounce of gold can be beaten out to 300 ft2 or stretched into a wire 2000 kilometers long (1 ÃŽ ¼m thick).The melting point of gold is an assigned value, which serves as a calibration point for the International Temperature Scale and International Practical Temperature Scale.The gold ion in the 1 oxidation state (Au(I)) is called the aurous ion.The gold ion in the 3 oxidation state (Au(III)3) is called the auric ion.Compounds containing gold in the -1 oxidation state are called aurides. (Cesium and rubidium can form auride compounds)Gold is one of the noble metals. Noble metal is an alchemical term for metals that do not corrode under normal conditions.Gold is the seventh most dense metal.Metallic gold has no odor or taste.Gold has been used as jewelry since prehistoric times. Today, gold in jewelry is not pure gold. Jewelry gold is made of many different gold alloys .Gold is resistant to most acids. The acid aqua regia is used to dissolve gold.Elemental gold metal is considered non-toxic and occasionally used as a food additive.Transmuting lead into gold was one of the major gold of the alchemists. Modern nuclear chemists have found methods to accomplish this historic task.​ References   Los Alamos National Laboratory (2001), Crescent Chemical Company (2001), Langes Handbook of Chemistry (1952) International Atomic Energy Agency ENSDF database (Oct 2010)

Wednesday, May 6, 2020

Essay on Case Analysis on Prohibition - 1068 Words

Case Analysis on Prohibition The 18th Amendment, better known as The Volstead Act, which was the outlawing the selling and manufacturing of alcohol in the United States, was put into law in 1920. The groups who were pushing for this amendment for years on the grounds of religious and moral reasons were The Anti Saloon League and the Woman’s Temperance Union had their own agenda, but others also for it for growing resentment of new immigrants who were calling America home at that time. The white Protestants who for years were entrenched in the power structure of the country saw the immigrants as a threat to their way of life. The Irish Catholics and their large families were considered drunks and poor. The German people were looked at†¦show more content†¦People by nature want what they cannot have and the new law forbidding them from having something they all enjoyed and wanted would just be another form of control over them. The two groups who were at the forefront of the fight for prohibitio n were the Anti-Saloon League and the Woman’s Christian Temperance Union. These two groups fought at every level of society from pushing for taxes on brewers, to woman vandalizing bars in protest. These actions slowly gained steam until finally people were talking about their cause and politicians saw it as a way to get votes. With the world at war with Germany the Dry’s as they become known as, would push the bill for ratification in 1913. The reasoning for this big push to get it to congress was that German Americans owned most of the breweries and there was lots of anti Germans sentiments in America. The bill finally passed in 1917 and was ratified in 1919, and in January 1920 became law. Casey 3 Boyer pg 217. The feeling at first was nothing to worry about for the general public, people had stocked up on liquor before hand so to keep themselves happy also thinking it would not last, but when supplies ran out the people looked for it and a new era had began. Bootlegging was the term given to people who made or sold alcohol to the public, they would also smuggle it in from other countries like Canada, Cuba, and England. The liquor they did make was not the best quality, but nobody cared they just wanted to drink, ifShow MoreRelatedThe 18th Amendment And Prohibition711 Words   |  3 Pagesamendment. The 18th amendment, prohibition, may have seemed like a positive thing at the time, but it caused countless problems like increased crime rates, the court system and law enforcement became corrupted, and the making of homemade alcohol increased. Crime rates, especially in urban areas, rapidly increased once Prohibition began. Crime was already troublesome with gangs and such then, but with Prohibition crime became even worse, â€Å"during the first year of Prohibition the number of crimes committedRead MoreThe Inintended Consequences of Alcohol Prohibition in The Unite States in the 1920s1680 Words   |  7 Pagesthe unintended consequences of alcohol prohibition in the United States in the 1920’s? In this investigation, the focus will be on the time frame 1920 to 1933, from when the 18th amendment was passed to when alcohol prohibition was repealed. The pros and cons of national prohibition of alcohol in the aspects of health, financial, and social results will be weighed. This will be done through the interpretation of statistics from before and after prohibition, insights of those who lived through theRead MoreAdvocating For The Legalization Of Marijuana Is Not A Novel1480 Words   |  6 Pagesefficiency are the two most important aspects of a policy that should be analyzed. If a policy improves both equality and efficiency, then it should be put into effect. Marijuana should be legalized because it improves equality by eliminating the prohibition laws that disproportionately incarcerate minorities, thereby negatively impacting their ability to succeed, and improves efficiency by lowering crime rates, making the workforce healthier and more productive. According to Okun, economic equalityRead MoreNational Prohibition Was Loved By Many And Hated By Others1035 Words   |  5 PagesNational Prohibition was loved by some and hated by others. According to Reverend Floyd W. Tomkins national Prohibition was a utilitarian necessity that America needed. Tomkins recognized the â€Å"menace of intoxicating drink to the peace and safety of a community.† His view was that the consumption of alcohol could not be done in moderation and could not be confined to dive establishments. Tomkins saw alcohol as an infections disease that infiltrated peoples family’s and homes which in turn ruinedRead MoreMarijuana Legalization Why is it the Best Choice for America?1306 Words   |  6 PagesCommission suggest that one of every six inmates in the federal prison system- roughly 15,000 people- has been incarcerated primarily for a marijuana offense.† The government could alleviate both the prison overcrowding and the monetary issues o f the prohibition of marijuana through one action. The United States government, in order to solve the marijuana problem, needs to completely legalize the drug and place similar regulations on marijuana as it does alcohol. It should not only be decriminalized;Read More Marijuana Legalization Why is it the Best Choice for America?1375 Words   |  6 PagesCommission suggest that one of every six inmates in the federal prison system- roughly 15,000 people- has been incarcerated primarily for a marijuana offense.† The government could alleviate both the prison overcrowding and the monetary issues of the prohibition of marijuana through one action. The United States government, in order to solve the marijuana problem, needs to completely legalize the drug and place similar regulations on marijuana as it does alcohol. It should not only be decriminalized;Read MoreInternet Gambling1505 Words   |  7 PagesRunning head: CASE STUDY IV: INTERNET GAMBLING CASE STUDY IV: Internet Gambling May 6, 2006 This document will inform you about the history of internet gambling, the existing issues, and a number of concerns involved with online gambling. Prior to the launching of the World Wide Web in 1993 which changed the setting of gambling, people had to travel great distances to gamble. The world s first virtual online casino, Internet Casinos, Inc. (ICI) commenced operation on August 18, 1995Read MoreLaw Enforcement : The United States Essay1595 Words   |  7 Pagesprotect people from harming other people (Christ). This was the model that we based our western law enforcement agencies on, until prohibition became a federal task in the 1920’s. This is when the federal government decided to take up the task of protecting people from themselves. Fast forward to the 1960’s; President Richard Nixon took a step forward with prohibition by declaring a war on drugs. This perpetual war has consumed much of our country’s financial resources and profoundly affected ourRe ad MoreThe Drug Prohibition Of The United States Of America1629 Words   |  7 PagesThe cohorts of drug prohibition argue that the benefits of the prohibition are self-evident and undeniable. The basis of this assumption argument is that without prohibition the consumption of drug would skyrocket, and therefore, lead to disastrous outcomes. However, there is no evidence on the commonly held belief. The empirical evidence that exists does not support the notion of souring drug consumption. For instance, in the Netherland and Switzerland, where marijuana is legalized, the consumptionRead MoreOur Right to Drugs Essay example898 Words   |  4 Pages author of Our Right to Drugs, The Case for a Free Market, a counter-culture hippie. However, this analysis couldn’t be further from the truth. Szasz, a Professor Emeritus of Psychiatry at the State University of New York Health Science Center in Syracuse, is a major supporter of civil liberties. He sees the so-called War on Dru gs as one of the worst atrocities that the American Government has perpetrated on its people. Szasz contends that the prohibition of certain drugs, including common

Body Piercings Free Essays

Body piercing has increased over long terms of period of time and it becomes one of the trendiest and culture in today’s our life. This has attracted the most people who are interested about body piercing, and then they get attention especially from media when famous celebrities come up in advertisement with their body piercings and tattoos. However, there are various places that people do the body piercing such as tongues, noses, navels and even their genital, but this occurs lots of arguments that piercing makes in dangers or just showing as one of individuality. We will write a custom essay sample on Body Piercings or any similar topic only for you Order Now Many piercers are re-representing the piercing as an option of styling or strong expressions about themselves, and having one of body piercing or tattoos are a means of personal empowerment for some Ger Xers who are typically searching for individualism and control of their lives. These arguments give strong opinions to person by person and it could spread out popular in very short time in publicity. However, following the articles by Lori Wilkerson he said that â€Å"it has existed in many cultures for hundreds of years in many historical countries and many historical reasons are generally about advertise wealthy and the power of men. Another argument in favor of piercing is there is man Griffhorn, 26, owner of Black Hole Professional Body Piercing shop in Reno, mentioned â€Å"Trend is the biggest reason and it ways to reclaim people after physical or sexual abuse†. On the other hand, opponents including many doctors point out that it refers to regarding the possible dangers such as oral piercings cause swollen tongues, excessive bleeding, and typical infections also swallowing of small parts of jewellery. Moreover, according to articles by Quint Miller(2000), there are common piercing problems appeared from people when they ripped their skin from the jewellery either catching on clothing or even being pulled off. It leads to get infections easily especially to get Hepatitis C. Hepatitis C is an infection which is extremely dangerous than other problems because it can causes cirrhosis and cancer of the liver. For this reasons, some medical practitioners said that â€Å"many piercers are providing their services in unsafe environments such as no gloves or masks to remove their jewellery, no sterilization equipment and unsanitary surroundings†. Thus, with all arguments from advatanges and disadantages the first thing we must remember about to care and treats out skins when it gets infections even it is a way of expressions of individuality or favourite things to do. It is also good to know from behind old history why people did body piercings and tattoos, and how it continued to be exist until now. The reason because there are so many different characters of people gathering around and their passionative ideology makes small communities to one big society. How to cite Body Piercings, Papers

Friday, April 24, 2020

Native Son Character Actions Defines Their Individual Essays (1999 wo

Native Son: Character Actions Defines Their Individual Personalities and Belief Systems Richard Wright's novel, Native Son, consisted of various main and supporting character to deliver an effective array of personalities and expression. Each character's actions defines their individual personalities and belief systems. The main character of Native Son, Bigger Thomas has personality traits spanning various aspect of human nature including actions motivated by fear, quick temper, and a high degree of intelligence. Bigger, whom the novel revolves around, portrays various personality elements through his actions. Many of his action suggest an overriding response to fear, which stems from his exposure to a harsh social climate in which a clear line between acceptable behavior for white's and black's exists. His swift anger and his destructive impulses stem from that fear and becomes apparent in the opening scene when he fiercely attacks a huge rat. The same murderous impulse appears when his secret dread of the delicatessen robbery impels him to commit a vicious assault on his friend Gus. Bigger commits both of the brutal murders not in rage or anger, but as a reaction to fear. His typical fear stems from being caught in the act of doing something socially unacceptable and being the subject of punishment. Although he later admits to Max that Mary Dalton's behavior toward him made him hate her, it is not that hate which causes him to smother her to death, but a feeble attempt to evade the detection of her mother. The fear of being caught with a white woman overwhelmed his common sense and dictated his actions. When he attempted to murder Bessie, his motivation came from intense fear of the consequences of "letting" her live. Bigger realized that he could not take Bessie with him or leave her behind and concluded that killing her could provide her only "merciful" end. The emotional forces that drive Bigger are conveyed by means other than his words. Besides reactions to fear, his actions demonstrate an extremely quick temper and destructive impulse as an integral part of his nature. Rage plays a key part in his basic nature, but does not directly motivate the murders he commits. Rage does not affect Bigger's intelligence and quick thinking and it becomes evident during the interview with Briton. The detective makes Bigger so angry that the interrogation becomes a game to Bigger, a game of logic and wills, of playing the stupid negro, and telling the man exactly what he wants to hear. The game Bigger plays during the interrogation shows his great intelligence and ability to think quickly on his feet. Bigger also displayed his intelligence in the creation of the ransom note. Using the situation to his advantage, Bigger wrote a ransom note to extort Mary's parents for money. To make the note even more convincing and to dissuade blame from himself, Bigger signs the note with the communist symbol of a hammer and sickle. Although the book revolves around Bigger he possesses few good qualities, which get his horrendous actions negate, making him an anti-hero. He possess the violent tendencies to commit rape, extortion of the dead girls parents, robbing, and killing innocent people. These traits do not portray a simple victim of circumstance, but a habitual criminal acting out against a society. While Bigger dominates the story, his appalling actions make him a man that the reader can not look upon as a hero. In fact the author punishes the anti-hero character by condemning him to death for his crimes. One of the two most sympathetic characterizations of white persons in the novel comes from the character of Jan Erlone, Mary Dalton's friend. He exhibits an enthusiastic personality and represents an idealistic young organizer for the Communist party. Mary's parents and their servant Peggy distrust his motives. Bigger initially expresses a distaste for "reds" when responding to Jan's friendly advances during their first meeting. While receiving distrust from those around him, Jan retains a simple belief in the equality for all men, regardless of social class or race. Throughout Jan's first meeting with Bigger, he regards Bigger with the utmost respect. During the course of the night, Jan sits in the front of the car with Bigger, eats with him, drinks with him, and speaks to him as an equal. Those actions of equality portray more than a decent man, it shows that Jan's character possesses a strong sense of morality and honesty. Jan is also characterized by other heroic traits, forgiveness and understanding. As an interesting twist of fate, Jan gets Bigger an attorney, and demonstrates that he could forgive Bigger for implicating him for Mary's "kidnapping". The second sympathetic white character, Boris A.