Gastroesophageal reflux disease Research Paper Example | Topics and Well Written Essays - 250 words

Gastroesophageal reflux disease - Research Paper Example If the stomach motility is disturbed then it is possible that the contents would last their much longer and this would increase the bulk of the gastric contents which would reflux into the esophagus (Kumar et al 2005; Dore et al 2008). The reflux from the stomach can lead to esophagitis which means inflammation of the esophagus. The gastric juices entering the stomach can lead to an injury of the gastric mucosa of the esophagus and this leads to irritation in the esophagus. Most of the cases of GERD are primarily seen in children and the clinical features show heartburn, hematemesis or melena. The damage to the esophageal mucosa does not depend upon the symptoms of GERD but rather depend upon the time for which these symptoms have been occurring. If a reflux is not stopped for a long time then it is possible that much of the esophageal mucosa would be damaged. If the condition of GERD gets severe a person would face the problem of bleeding, ulcers, strictures and may possibly develop Barrett Esophagus (Kumar et al 2005; Hall & Guyton 2006). References KUMAR, V., ABBAS, A. K., FAUSTO, N., ROBBINS, S. L., & COTRAN, R. S. (2005).  Robbins and Cotran pathologic basis of disease. Philadelphia, Elsevier Saunders. Hall, J. E., & Guyton, A. C. (2006).  Guyton & Hall physiology review. Philadelphia: Elsevier Saunders. Top of Form Dore, M.

Case Management in the Psychiatric ICU-The Clinical Governance Essay

Case Management in the Psychiatric ICU-The Clinical Governance Perspective - Essay Example The word Clinical Governance derives its roots from Corporate Governance, which aims at ensuring sound business and financial management. The term Governance therefore has significance in clinical practice since it addresses concerns about quality of health (Lazare 1987). Department of Health (1999) defines Clinical Governance as, "a framework through which NHS organisations are accountable for continuously improving the quality of their services and safe-guarding high standards of care by creating an environment in which excellence in clinical care will flourish". Clinical governance is aimed at improving the quality of clinical care at all levels of an organization by consolidating, codifying, and standardizing organizational policies and approaches, particularly clinical and corporate accountability (Scally & Donaldson, 1998). Clinical Governance is also explained as the ability to create an effective change in order to achieve improved quality of care. (O'Kelly,2003). It aims at ensuring that standards are adhered to and processes are mapped for continuous quality improvement Natalie Jones (2004). Its focus is on providing holistic care to patients and more than a structure, it is an ideology to be adopted and implemented by healthcare organizations. 1. There are seven key principles, commonly referred to as the seven pillars supporting Clinical Governance (Camden 2004;,South Leeds, 2005). These are explained below: 1. Clinical Audit: This refers to adherence of nationally set standards for clinical care by National Service Framework (NSF), and those set by the organization locally. Clinical audit also involves sharing information with others in the healthcare industry for benchmarking and exchange of best practices. Department of Health, Government of Western Autralia, n.d.) points out that "Clinical audit is the cyclical process of reviewing clinical performance, refining practice as a result and measuring the outcomes against agreed standards. Part of good clinical practice for generations, audit is practised at a number of levels, from regular morbidity and mortality reviews through to national studies. There are many successful examples of its application, such as the national audit of stroke, undertaken in the UK". 2. Clinical Effectiveness: Ensuring that patients get the right treatment is assurance of clinical effectiveness. This implies using evidence based medicine and keeping abreast with latest updates in medicine. 3. Patient and Public Involvement: Clinical governance emphasizes user participation. Patient's feedback to the service provided is an important precursor to quality improvement. 4. Risk Management : Optimum processes for service delivery is essential in minimizing risks to both patient and staff . Reporting of errors and lapses is a crucial step in risk management since it controls future errors. And though clinical governance places importance on robust systems to control lapses, it also recognizes that clinicians are human beings and can make errors. Recognizing the human element as an integral aspect of healthcare delivery gives great strength and wide acceptance to the concept of clinical governance. 5. Staffing and Staff Management: Encouraging teamwork and helping

Histology Question and Answer Essay Example | Topics and Well Written Essays - 500 words

Histology Question and Answer - Essay Example The common pattern is the presence of three layers – the tunica intima, tunica media and the tunica adventitia from inside out. The tunica intima is the innermost layer, towards the luminal side of the blood vessel and is composed of simple, squamous endothelial cells and the supporting connective tissue. It is separated from the tunica media by the inner elastic lamina. The tunica media is composed of circular smooth muscle interspersed with connective tissue and is separated from the outermost layer by the outer elastic lamina. The tunica adventitia is made up entirely of connective tissue. The walls of the arteries are much thicker than those of the veins as they have to carry the blood pumped by the heart to distant organs which is usually at a higher pressure. The arteries therefore comprise of more elastic tissue in the tunica intima. The medium arteries are more muscular than elastic and the internal elastic membrane is more prominent. The spiral smooth muscle cells of the tunica media assist in the propulsion of blood as well as the maintenance of the blood pressure. The tunica adventitia is composed of collagen as well as elastic fibers and the innermost portion has an external elastic membrane. More elastic and muscular tissue in the arteries serves to sustain the vigorous systolic pressure of the blood and the maintenance of its pressure. The veins, on the other hand have thinner walls. Although they possess the basic histological structure associated with all blood vessels, the three layers are not well demarcated and blend into each other. They have lesser elastic tissue and the tunica adventitia is the thickest layer made up of collagen fibers and longitudinally oriented smooth muscle cells. The tunica intima is modified into loose folds which form pockets or valves to resist the back flow of blood along its journey to the heart. 2. The integument fulfills several roles, including that

The Acceptance of the Conspiracy Theories Assignment

The Acceptance of the Conspiracy Theories - Assignment Example The authors open their article by claiming that conspiracy theories are not only common in America, but also Americans highly believe them. The authors then proceed to explain the meaning of conspiracy theory. They define conspiratorial belief as strong conspiratorial belief of an individual in conspiratorial terms. Further, the authors explain two major predispositions, which drive the acceptance and belief of conspiracy theories. These include: Partisan and conspiratorial predispositions. In their finding, the authors conclude that conspiracy information significantly influences the thinking of the information receivers and that predispositions exist as concerns conspiratorial thinking.In the article â€Å"Dead and Alive: Beliefs in Contradictory Conspiracy Theories,† Wood et al. explore the beliefs that surround conspiracy theory. The authors begin by defining conspiracy theory, which they define as the secret collusion of influential people or organization to achieve some objective (1). The authors conduct two different studies to prove that conspiracy theory can result into a monological belief structure. According to the authors, conspiracy theories exhibit correlation with each other. They assert that even mutually incompatible theories of conspiracy exhibit positive correlation. As such, belief in one conspiracy theory relates to the beliefs in other theories. Further, the authors hold that coherence with undoubted worldviews leaves no or little for contradiction in personal beliefs.

Critically review so called push and pull system of control for supply Essay

Critically review so called push and pull system of control for supply chains in the automotive sectore - Essay Example It is pretty obvious that the production process will most certainly be geared towards producing those items that are in greater demand as any business entity tries to shorten the working capital cycle as much as possible so as to generate maximum amount of profit in the shortest possible time frame. But there is one other element that affects the overall profitability of any organisation, and that is the volume of capital employed. As any student of management accounting is aware of, the quantum of capital employed in plant and machinery is more or less uniform across an industry as all players generally opt for the latest technology so as to enjoy maximum levels of operating efficiency. So, there is not much to differentiate between the competitors in that regard. But the area where the leaders leave the stragglers behind is supply chain management and inventory control. If a proper and taut control over inventory is not maintained, the level of capital employed can never be brough t down while keeping the operational efficiency intact. These days the management gurus are looking beyond the narrow and immediate confines of inventory management and are looking at managing the supply chain as a whole. Supply chain attempts to view the whole production process as a seamless entity that begins with market research for correctly evaluating consumer demand and follows the flow of inputs and services through the production process right till the time when the finished product reaches the final consumer. Thus this is a wider concept that includes all the stakeholders; right from the supplier that supplies raw materials to the final consumer that buys the product to satisfy a particular need. In between of course lie the producer, the labour and the service inputs from the tertiary sector of the economy. A supply chain in

Should students use citation Research Paper Example | Topics and Well Written Essays - 1500 words

Should students use citation - Research Paper Example In learning institutions, students should be encouraged to come up with their pieces of work. For the world to progress there is a need for more innovations and creative ideas. Through plagiarism, students will not realize their potential. From my own understanding of plagiarism, I consider it as an offense since a student who is involved in plagiarism does not understand the dangers. Further still, I believe that a student with the act of copying other people’s ideas does not allow the learning process to take place. As such, the transfer of knowledge is limited since whatever they present for assessment is not their work. It thus becomes hard for the examiner to gauge the student’s capability. In view of this, the essay critically discusses the statement â€Å"should students be punished when they plagiarize† through analyzing the opposing and supporting side. With the development of technology, copy and pasting an author’s work has been made easy for students. Some of the students end up copy pasting even an entire work of authorship even without giving credit to the authors. To curb plagiarism, students should be made to understand that, they attend colleges and universities so that they make the world a better place. Coming up with your work as a student, encourages creativity and innovation. Students must identify the gaps that exist in the academic field and come up with ways of filling them. Through plagiarism, a student concludes that they cannot come up with their ideas to increase knowledge in the academic field. In learning institutions, students are expected to give original work to their teachers or lecturers. There is a need for integrity, and most of the learning institutions promote academic honesty (Roig, 2010). Apart from Copy and pasting, there are other forms of plagiarism. There are other forms of plagiarism which most of the times they are overlooked. Submitting an assignment that one has not done is a form of plagiarism. The

Art Museum & Gallery Studies, Art Curatorship ( curatoring for an Essay

Art Museum & Gallery Studies, Art Curatorship ( curatoring for an exhibition ) - Essay Example â€Å"Front Door, Back Gate† took "domesticity" as its theme, complimenting an on-going Jeannie Finaley exhibit at the Hatton Gallery, a challenging yearly endeavour by students from University of Newcastle upon Tyne. The exhibit reflects the spaces and limitations of domestic life as well as domesticity as a theme for art. The group chose interior as â€Å"Front Door† and exterior as â€Å"Back Gate†; which showcases Hatton’s historical collection along with other works on loan. We used complementary home and garden furniture to create a welcoming homelike atmosphere. Traditional gallery displays are very different from the way we display art in our homes. Domesticating the gallery provides a refreshing experience for visitors and shows domestic art and artworks on that theme in a new context. The vivid â€Å"Red Table† by Patrick Heron reflects love and solitude as well as suggesting lifestyle and joie de vivre. Heron has an affinity for vivid, exotic and captivating reds in this abstract still life. The interior space shows a table set for one, giving a sense of solitude, but also loneliness. It echoes survival in that, even when alone, we still set the table. Domestic traditions have survival value too. The composition is inspired by forms and patterns extracted from domestic surroundings, activating the space around the objects, enlarging upon the subject to encompass the whole of domestic reality, or bringing the whole world in and simplifying existence down to a table set for one. Simplicity adds innocence and invites the mind to invent the story. It is provocative in the use of colour and contrast, yet mysterious as shapes are obscured while details jump out like questions. Leon Maurice’s â€Å"Net† photograph shows a sense of belonging. Likewise, the â€Å"Net† curtain photograph reflects a sense of place with a hint of voyeurism: a glimpse through a net curtain looking out onto a blurred view, creating a visual link