Thursday, October 31, 2019

Discussion GMOs in Producing Food, Bioaccumulation, Green Revolution Assignment

Discussion GMOs in Producing Food, Bioaccumulation, Green Revolution and Slow Food Movement - Assignment Example The role of genetically engineered foods in alleviating the world’s food insecurity is, without a doubt, extremely controversial. Indeed, while the potential benefits of the new biological techniques in food production may be exciting in the short term, the truth of the matter is that the long term effects on biodiversity, people’s health and the wider ecosystem are rather obscure. More fundamentally, questions linger on who in particular stands to benefit from this technology; is it the wealthy in search of more wealth or the people in need? Advocates have pointed to the potential benefits that include the elimination of pesticides in crop production, the development of disease/cold/drought resistant crops, elimination of malnutrition due to over-reliance on certain crops [rice], as well as a cost-effective way of vaccines produced in grown crops (Whitman par 5-10). Nonetheless, non-conclusive reports suggest that GM crops may actually transfer the modified genes to no n-target species [weeds], and thus reduce the foregoing effectiveness. There are also mounting fears of unexpected allergic reactions by consumers in addition to unknown health consequences (Whitman par 16-18). Though highly debatable currently, a research conducted on the Bacillus thuringiensis (Bt) cotton, grown by small-scale farmers in Asia and other developing nations, indicates that the plant has extensive environmental has rm than the original pest control intention (Losey, Rayor and Carter 214). This debate is just but a sideshow away from the real looming crisis-global warming and impending dire consequences. The benefits notwithstanding, the money-profit perspective may the real driver into the GM foods and not food security. Part B 3. What does the acronym HIPPO describe? What does each letter stand for?  

Tuesday, October 29, 2019

Shawshank Redemption Essay Example for Free

Shawshank Redemption Essay The literary works such as novels, plays and short stories, have long inspired moviemakers to create films. Films based on these literary works usually draw more attention of the movie audiences or critics than the one not based on them. If a literary work is not well adapted into a film, a number of critics and viewers willingly rise to fulminate at its filmmakers for degrading the essence of its literary work. Also, a lot of people who read a book first usually have a certain bias that a movie inspired by it would not be any better than the book. Even though a film does achieve a superb adaptation from a literary work, many of them still tend to be more loyal to the book than the movie. Certainly, in order to dramatize the literary work and deliver its essence to the audiences in a limited time, a filmmaker has to change many of its detail settings and eliminate unnecessary characters. In addition, a screen writer has to simplify emblazoned descriptions of the book and rewrite it as dialogues to fit in the film through the process of the adaptation. In this process, there is the transformation from the language of words to the language of images. So, what is lost, and what is gained? A good way of finding an answer to this is to compare the film adaptation of the book with its original literary work that is the basis for the film. Novella, Rita Hayworth and Shawshank and Movie, The Shawshank Redemption Stephen King’s short story, Rita Hayworth and Shawshank, in Different Seasons, one of his collections published in 1982, is what the film, The Shawshank Redemption produced in 1994, is based upon. The movie, directed by Frank Darabont, is presented as if it is Ellis Boyd Redding’s (Morgan Freeman) story telling about Andy Dufresne (Tim Robins) convicted of murdering his wife and her lover. Ellis Boyd Redding, simply called Red, is a lifetime convict of Shawshank prison, telling you about Dufresne’s stay at Shawshank from his arrival to his escape. On the other hand, the novella is a little bit different format from that of the film. It is presented as a form of a document written by Red. He is looking back over twenty-five-year period of time, while writing, so the things that he described in the document have already happened. Due to this, the story is written as if it is told from someone. Basically, both the film and the book are very similar in terms of the story line. Even though there is the similarity of the plot, the film captivates the viewer more than that of the novella that seems to drag out for quite a bit. In fact, Frank Darabont’s adaptation of Rita Hayworth and Shawshank Redemption seems to convert an ordinary literary work into a cinematic masterwork. There are several elements that make it possible. The movie eliminates inessential characters to position major characters better, slightly modifies the story line and dialogue to strengthen the essence of the novella. In addition, it changes the role of certain characters to solidify their views. Overall, in The Shawshank Redemption, Darabont accomplishes a resplendent adaptation from the novella. Now, I would like to analyze what is gained and lost in the process of adaptation, comparing the both works in terms of these elements. Solidification of the Role of Certain Characters by Eliminating Inessential Characters If you read the book and watched the film, you would notice that there were many characters excluded from the book because they were simply not taking essential parts of the movie. They are only mentioned for a couple of times to explain a certain situation from the view point of Ellis Boyd Redding, who tells the story about Andy Dufresne and left behind the story soon. Darabont takes a resolute action to cut out these characters. In the book, while Andy’s serving in Shawshank, there is a constant change of different wardens who control the prison. By eliminating all the wardens, he removes a group of unnecessary characters at the same time. For example, there are several cruel, merciless wardens in the book; George Dunahy, Greg Stammas, and Samuel Norton (Bob Gunton). However, Dunahy does not even exist in the film, and neither does Stammas who was also a former guard in Shawshank. During Andy’s stay in the prison, the role of all wardens transformed and solidified into the last warden Norton. In the movie, Darabont only uses one warden, Norton to superintend Andy for the whole time of his stay in the Shawshank. If there was a frequent change of wardens in the film during Andy’s stay it would have confused the audiences, providing different focus to new wardens with their different characteristics. Another example is a brutal, cold-blooded guard, Byron Hadley (Clancy Brown). His role in the book seems obtrusive only in the part that Andy dare tries talking to him to save his tax payment when there is the roof sealing project on the rooftop of the prison. Then, soon later, he is retired from the prison in the middle of the story. Byron Hadley had gone two years earlier. The sucker had a heart attack and took an early retirement. (55) In the film, however, his role has always been a captain of the all guards during Andy’s stay, substituting for all chief guards from the book. Furthermore, his overall role of the film is much more prominent than that of the book. In other words, his role represents the Shawshank as a severe, notorious prison where cold-hearted guards watch over every movement of each prisoner. Instead of showing a number of vicious wardens and guards from the book, Darabont focuses on only these two major villainous characters, eliminating unnecessary characters. In addition, it ultimately provides the audiences time to develop the hatred and indignity against warden for numerous, evil and immoral deed they do. Not only wardens and guards but also some inmates in the book are eliminated as well in the film. For instance, there are three different prisoners, Sherwood Bolton, Ernie, and Brooks Hatlen, in the book. Unfortunately, Sherwood Bolton is gotten rid out of the film. He is a person who raises a crow named Jake until released from the prison. Maybe they set you loose someday, but†¦ well, listen: I knew this guy, Sherwood Bolton, his name was, and he had this pigeon in his cell. From 1945 until 1953, when they let him out, he had that pigeon. He wasn’t any Birdman of Alcatraz; he just had this pigeon. Jake, he called him. (26) Ernie, a sweeper of the cellblock, is another prisoner who used to do Red a favor only in the book by delivering contrabands such as a rock hammer which Andy asked Red for. Early the next morning, twenty minutes before the wake-up horn went off, I slipped the rock-hammer and a package of Camels to Ernie, the old trusty who swept the Cellblock 5 corridors until he was let free in 1956. He slipped it into his tunic without a word†¦ (31) The last person, Brooks Hatlen, has been a librarian in the prison for about 25 years. When he is paroled, Andy takes over his position in the library. A year later he is out from the Shawshank, he died in his home according to the book. He was working in the library then, under a tough old con named Brooks Hatlen. Hatlen had gotten the job back in the late twenties because he had a college education†¦ In prison, Brooksie had been a person of some importance. He was the librarian, an educated man†¦ I heard he died in a home for indigent old folks up Freeport way in 1953. (49) However, in the film, all three characters are taken the role of one person, Brooks Hatlen (James Whitmore), who eventually enables Darabont to eliminate first two characters as well as place more weight on the character of Hatlen in the film. In fact, the book makes him a headstrong person with no dialogue and no depth. On the other hand, the movie alters his character into a gentle, emotional person to make the audiences sympathize with him. After released, he hangs up himself, dramatizing it to be one of the grievous scenes in the film as well as emphasizing on what Red means by â€Å"institutionalized†: â€Å"First you hate them, then you get used to them. Enough time passes you get so you depend on them. That’s â€Å"institutionalized. They send you here for life. That’s exactly what they take. Part that counts, anyway. † There is also a very distracting character in the book, among various inessential characters eliminated in the film; Normadden. But in all that time Andy never had a cellmate, except for a big, silent Indian named Normaden (like all Indians in The Shank, he was called Chief), and Normaden didn’t last long. (54) Normaden was moved out, and Andy was living in solitary splendor again. 55) In the book, Andy shares a room with Normadden, a native Indian cellmate for a short period of time. If his character was appeared in the film, it would detract the view of the audiences from the mysterious character of Andy who spends most of his time enjoying being alone. In the film, moreover, he might have been left as a latent character which no one would pay attention to. Modification of Certain Plots and Dialogues Fat-Ass keeps blubbering and wailing. Total freak-out. Hadley draws his baton, gestures to his men. Open it. A GUARD unlocks the cell. Hadley pulls Fat-Ass out and starts beating him with the baton, brutally raining blows. Fat-Ass falls, tries to crawl. The place goes dead silent. All we hear now is the dull THWACK-THWACK-THWACK of the baton. Fat-ass passes out. Hadley gets in a few more licks and finally stops. This is what happens on the first day of Andy’s stay in the prison. It almost delivers the audience an infernal atmosphere of the Shawshank prison. In the book, on the other hand, almost nothing about Andy’s first day in the prison is presented although Red later mentions how new comers cry in tears at first night. First-timers usually have a hard time adjusting to the confinement of prison life. They get screw-fever. Sometimes they have to be hauled down to the infirmary and sedated a couple of times before they get on the beam. It’s not unusual to hear some new member of our happy little family banging on the bars of his cell and screaming to be let out†¦ and before the cries have gone on for long, the chant starts up along the cell-block: â€Å"Fresh fish, hey little fishie, fresh fish, fresh fish, got fresh fish today! † Andy didn’t flip out like that when he came to The Shank in 1948, but that’s not to say that he didn’t fell many of the same things. (93) Even though this scene of Hadley beating a fat new prisoner to death is not in the book, but only created in the film, it seems a good representation of the Shawshank. Another example is the way Andy is getting out of gang rape from Bobs Diamond (Mark Rolston) and their â€Å"Sisters. † In the film, when Diamonds fails to let Andy submit to him, Andy rather contempt his ignorance, so he ends up with being beaten. After the mobbing, when Diamonds returns to his cell, a captain guard Hadley clubs him to severe injury because he cannot save his tax without Andy. Eventually, Diamonds is transferred to another prison for serious injury, which gives the audiences some sort of a justice at the moment. In the book, however, Red describes Andy might bribe guards to gets rid of Bogs. Bogs Diamonds left off that summer, all at once. That was strange thing. Bogs was found in his cell, badly beaten, one morning in early June, when he didn’t show up in the breakfast nose-count. He wouldn’t say who had done it, or how they had gotten to him, but being in my business, I know that a screw can be bribed to do almost anything except get a gun for an inmate†¦ A guard could have been bribed real easy to let someone – may be two or three someones – into the block, and, yes, even into Diamond’s cell†¦ I’m not saying it was Andy Dufresne, but I do know that he brought in five hundred dollars when he came, and he was a banker in the straight world- a man who understands better than the rest of us the ways in which money can become power. 35) Although this part in the book may be more realistic to the truth, if it was directly adapted into the movie, it would not have the same impact to the audiences. There is a dramatic example of plot and dialogue change; when Tommy Williams (Gil Bellows) is killed by Hadley on the Norton order. Williams is happened to tell Andy that the Elmo Blatch (Bill Bolender) is the guy who murdered his wife and her lover. Although Andy has a chance to get a new trial with his testimony, Norton rather put him into the solitary, not giving him a chance for a new trial. In the meantime, Norton transfers Williams to the light security prison in a different county for concealing the information that can give Andy a new trial and release him. â€Å" This is a dialogue that Norton and Andy have in Norton’s office after Andy is done with a month of solitary stay that Norton ordered. It is because Andy mentioned a word â€Å"obtuse† to the attitude of Norton who does not concern his chance of new trial. However, in the film, the sequence is a little bit transformed into a different place. In other words, this is not what happened to Williams. Norton tries to let him forget about his hope and chance of new trial and release. The similar dialogue scene in the book is shot at a solitary where Andy has already been served for a month in the movie. Even though Norton orders Hadley to shoot Willams at the prison yard when he does not notice it, he lies to Andy that he is killed because of his escape. â€Å"I’m sure by now you heard. Terrible thing. A man that young, less than a year ago trying to escape, broke Captain Hadley’s heart to shoot him. Truly it did. We just have to put it behind us. Move on. † This scene makes the audience harden their hatred for the warden and loathe brutality of his character more. Transformation of this part eventually strengthens the vicious character of Warden and Hadley, making the audience impossible to feel sympathy for them. This sequence in the film is significant because it leads Andy to feel extremely resentful, igniting him to escape whereas the dialogue in the book simply does not carry such an allusion of his escape at the moment. As the story towards the ending, there is more heart-twisting in the film than in the book, especially when the audiences make an assumption that Andy commits suicide. It is because Andy talks strangely, bringing up Mexico, Red is told Heywood gave Andy a length of rope, and a guard is walking up to look for Andy in the next morning roll call. Then, when the guard finds that Andy escaped, it almost feels like the load off. A MAN is meticulously stripping the old paint and varnish by hand, face hidden with goggles and kerchief mask. Red appears b. g. , a distant figure walking out across the sand, wearing his cheap suit and carrying his cheap bag. The man on the boat pauses. Turns slowly around. Red arrives with a smile as wide as the horizon. The other man raises his goggles and pulls down his mask. Andy, of course. They hug each other. Ending with a panorama view of the blue vast ocean, the audience is finally able to feel relieved and happy for Andy and Red meeting up together. As other examples of plot changes, this scene is also never described in the book. At the end of the book, Red writes, like he says in the film, â€Å"I hope the Pacific is as blue as it has been in my dreams. I hope. † (107) In fact, the Pacific is only as blue as the reader thinks and as beautiful as Red expects it to be. In other words, the end of the novella makes the reader hope more that Red makes it to Zihautanejo and meets Andy, ending with â€Å"I hope. † This is absolutely what is gained in the film, but lost in the book. Like many other films inspired by their original literary works, the film, The Shawshank Redemption, is also inspired by the novella, Rita Hayworth and Shawshank Redemption written. Basically, the movie is based on the language of Stephen King, but through Frank Darabont’s adaptation of the novella, we see the transformation from the language of words to the language of images in his film. As for the question earlier, â€Å"what is gained and lost? † in the process of this transformation, Darabont answers through his movie. His adaptation presents some changes that strengthen the movie without any digression from the original literary work. In fact, the overall essence of the story is described better by the movie. Elimination of unnecessary characters, alteration of the role of certain characters, and modification of certain plots and dialogues make it possible. As a matter of fact, despite these alterations, the differences between both works do not seem much disturbing in terms of the story line after all. Maybe this is what Robert Altman means by â€Å"Cinematic equivalents of literary material manifest themselves in unexpected ways. †

Sunday, October 27, 2019

An Overview Of Peptic Ulcer Disease Health Essay

An Overview Of Peptic Ulcer Disease Health Essay Peptic ulcers are one of the most common gastrointestinal tract disorders. The recent past few decades have witnessed an increase in the rate of peptic ulcers occurrence in our human community (Thompson, 1996). It has evidently been shown from available statistics that an approximated over 10 percent of the human population are extremely at risk of suffering from the disease at some point in their lifetime (Cohen, 2007). Such statistics have also identified that peptic ulcers is more common in men than in women. This is attributed by many to the higher numbers of men engaged in alcohol drinking and cigarette smoking in the society compared to women (NDDIC, 2004). A peptic ulcer is a sore wound or red erosion area on the coating lining of the stomach called (gastric ulcer) or the small intestine called (duodenal ulcer). Duodenal ulcers tend to occur between the ages of 25 75, while gastric ulcers peak between the ages of 55 and 65. Other causes which have been associated with the dis ease include infections by helicobacter pylori. This is a bacterium which is known to attack the gastrointestinal tract thus leading to ulcers. However, it should be noted that genetic factors have also been claimed to cause peptic ulcer. There are many effects of peptic ulcer in the human body. Such include recurrent pains along the gastrointestinal tract, vomiting heartburns poor appetite and weight loss among others (The American College of Gastroenterology, 2009). It should however be realized that with our modern advancements in the medical field the treatment of peptic ulcers is now effective and sufficiently reliable. Such treatments might involve medication, dictated lifestyle, dietary supplements and undergoing surgical operation depending on the severity of the condition. Peptic Ulcer Disease Peptic ulcer disease had a great effect on morbidity and mortality until the last decades of the 20th century, when epidemiological trends started to point to a remarkable fall in its incidence. In addition, two important developments are associated with the decrease in rates of peptic ulcer disease: the discovery of effective and strong acid suppressants, and of Helicobacter pylori. The treatments of peptic ulcer disease have been changed with the discovery of the causes of peptic ulcer (Malfertheiner, P. Chan, F. McColl, K. 2009). Although significant advances in sciences, this disease remains an important medical problem, because the large use of non-steroidal anti-inflammatory drugs (NSAIDs), excessive smoking, increase alcohol consumption, and life style that increase the risk of the disease. Therefore, this explains the reason for choosing this topic in order to promote healthy behavior and improve health outcomes throughout lifespan by giving attention to the preventive measures. This paper is written as a critical analysis and discussion of peptic ulcers disease. It gives a discussion on the causes and effects of peptic ulcers in the human body. Still discussed are the signs and symptoms, diagnosis, treatment and prevention of the disease as well the common types of peptic ulcers that are found in the society. Peptic Ulcers Overview First is a definition of peptic ulcer and its types. An ulcer can be defined as; an area in digestive system where the tissue has been damaged or destroyed by stomach acid and other digestive enzyme. Peptic ulcer disease is a common term for ulcers that occur either in the stomach or upper part of the small intestine. A peptic ulcer is a lesion or open sore in the wall of the gastrointestinal tract. The digestive enzyme which is acidic and is secreted by the stomach cells oxidized the lining of the stomach or upper part of the small intestine (duodenum) causing ulcer. Therefore, eroding can be seen in the mucous membrane which is lining the digestive tract. Moreover, this will lead to cause a gradual breakdown of tissue. This breakdown causes a concerning or burning pain in the upper middle part of the abdomen (Stratemeier, 2009). Even though most of peptic ulcers are small in size, ulcers average between one-quarter and one-half inch in diameter they can cause a significant amount o f symptoms and discomforts. It is to be noted here that the pain caused by peptic ulcers is recurrent and may come and go for a few days or weeks but mainly goes after eating. In addition, there are two different types of peptic ulcers namely; duodenal ulcers and gastric ulcers. Stomach or gastric ulcers is the type of peptic ulcers which mainly affects the stomach while duodenal ulcers affect the upper most part of the small intestine near the stomach. Ulcers can happen at any age, although they are rare in children and teenagers. Duodenal ulcers usually occur twice as common in men more than women. On the other hand, stomach or gastric ulcers usually occur in people older than 60 years and are more common in women (Stratemeier, 2009). It is difficult to estimate exactly how common peptic ulcers are because so many people they will not suffer from any symptoms. However, a study that tested 1,000 adults at random found that four per cent of them had a peptic ulcer (NHS Choices, 2009 ). Causes Second is a discussion on the causes of peptic ulcers. To start with, in the normal lining of the stomach and small intestines there are a protective process from auto digestion by the gastric mucosal barrier, this gastric mucosal barrier will prevent the irritating acids from diffusing back to the underlying tissue. This defensive process can stop working properly, and the lining of the stomach or intestine breaks down for different reasons. Scientific evidence has sufficiently proved that peptic ulcers are caused by the malfunctioning of the stomachs natural lining protection mechanisms against the damage effects of digestive juices (NDDIC, 2004). Such malfunctioning have been claimed to be caused by a number of factors, like is the helicobacter pylorus, a bacterial organism which is the most frequent cause of peptic ulcers. This bacterium mainly eats the protective lining of the gastrointestinal tract. This allows the digestive juice produced by the human body to damage the inner and sensitive part of the stomach or duodenum lining thus causing pain. Just to be stated here is the evidence that though helicobacter pylori is the most common cause of peptic ulcers, there are many people in our population living with the bacteria but do not exhibit signs of the disease (Thompson, 1996). Still clear is that H. pylori is believed to be transmitted through oral to oral contact, so those living in crowed areas increases ones chances of contracting the infection. Another common cause of peptic ulcers is the continuous use of painkiller drugs such as, aspirin, ibuprofen, naproxen or other non-steroidal anti-inflammatory drugs. Scientific evidence has clearly shown that such drugs are highly acidic and thus can easily lead to the wearing out of the digestive system lining (NDDIC, 2004). Still evident is the fact that this type of drugs blocks the flow of prostaglandins in the human body. It should be understood that this is the substance which is responsible for helpin g the flow of blood in the stomach and thus it helps in protecting the stomach from injury. This means that such drugs can compromise the stomach lining protection mechanism of the body and thus risking the occurrence of peptic ulcers in the body (Lanza, Chan, Quigley, 2009). Other causes of peptic ulcers include Zollinger-Ellison syndrome. This is commonly said to be a condition in which the pancreas and duodenum which are responsible for the production of gastric acid have a tumor. Such leads to the excessive production of gastric acid which is responsible for digestion of food in the stomach, a factor which might risk causing ulcers (Dugdale, D. Zieve, D. 2008). In adding together, it has been evidently noted that peptic ulcers are genetic. Therefore, if you have a family history of ulcers or the blood type O, you are more likely to get a duodenal ulcer (Shayne Miller, 2009). Still established is the fact that cigarette smoking and excessive intake of alcohol are not only a ca use of peptic ulcers but also a great threat to the efficient treatment of ulcers. Apart from the many causes of peptic ulcers, are any thing that leads to the direct damage of the digestive wall lining. Such might include physical injury or even radiation therapy. Likewise, a very sick patient who is on a ventilator support is at high risk for a condition called stress ulceration. It is here to be noted that unlike many belief, diet has not been scientifically proven to cause peptic ulcers (Dugdale, D. Zieve, D. 2008). The last and most common factor to peptic ulcers is living in chronic stress or depression (Shayne Miller, 2009). This has been claimed to lead to the excess production of digestive acids thus eating out the stomach lining. Sign and Symptoms Thirdly is a discussion on the signs and symptoms of peptic ulcers. The most common symptom of peptic ulcers is having recurrent abdominal pains which are marked with a burning sensation. Such pains are located in the upper middle part of the abdomen. Also it can be felt like burning or gnawing and it may radiate to the back. It can be aggravated when the stomach is empty, and can worse at night and early morning. Another sign is the constant experiencing of heartburns and indigestion. It is to be noted that though peptic ulcers are more painful when the stomach is empty, such are a leading cause of lack of appetite and vomiting on the individual. Peptic ulcers are also attributed to the sudden loss of body weight in (gastric ulcer) because eating does not relieve the pain and could still worsen it. Yet (duodenal ulcers) will lead to gain weight because the patient eats to relieve pain (Lanza, Chan, Quigley, 2009). Other symptoms of peptic ulcers include the following: discomfort, B loating, and feelings of fullness. Added more symptoms are, feeling of an empty in the stomach, regurgitation (feeling of acid backing up into the throat), and belching. Still to be noted is that peptic ulcers have been closely associated with chest pains and feelings of fatigue. It should however be noted that some symptoms like sudden increase in abdominal pains, vomiting of blood and blood in stool are considered as critical signs of chronic peptic ulcers. All this signs are symbolic of the possibility that ulcers have either broken a blood vessel or perforated the stomach or duodenum walls. Such could also be as a result of the blockage of food from moving from stomach into the duodenum and thus causing vomiting (The American College of Gastroenterology, 2009). Effects of Peptic ulcer Peptic ulcers have many effects in the victims life. The most common is the fact that ulcers in most cases can not be full treated. They are usually recurrent particular to alcohol abusers and smokers. Just to be stated is that the majority of people with chronic ulcers experience considerable pain and sleeplessness; this can have a remarkable and adverse impact on their quality of life (Thompson, 1996). Another effect of peptic ulcers in the body is that they can lead internal bleeding especially when they perforate the stomach lining or break a blood vessel. Peptic ulcers can cause the ultimate obstruction of the gastric outlet, stomach and intestines as well as leading to the inflammation of tissues lining the abdomen. This leads to a serious health complication which might call for a surgical operation or even death (Cohen, 2007). Peptic ulcers if not treated early enough can penetrate into other internal body parts like liver as well as the pancreas and cause severe back pain. I t has also been found out that peptic ulcers can lead to perforation of the wall of the digestive system thus leading to the spilling of digestive system contents into the abdominal cavity. Such are very catastrophic to the patients life as can lead to acute peritonitis (The American College of Gastroenterology, 2009). It should also be noted that peptic ulcer can lead to the swelling of the abdominal wall thus compromising the free flow of food in the digestion system. Lastly, it has been established that peptic ulcers are a great contributing factor in causing peptic cancer. Such could mean a lifetime health complication on the person. This is because even after undergoing surgery operation for treating the problem, it is rarely possible for the individual to fully assume his or her normal lifestyle (NDDIC, 2004). Diagnosis Owing to our modern advancements in technology and medical research, the diagnosis, treatment and prevention of peptic ulcers has been made easier and more reliable. The diagnosis of peptic ulcers mainly involves an interview by the doctor to identify the presence of the many symptoms and signs of the condition. Such include recurrent abdominal pains, vomiting and blood in the patients stool (Cohen, 2007). It should however be noted that for a doctor to qualify a patient to be suffering from peptic ulcer requires for a number of medical tests. The first is the esophagogastroduodenoscopy which involves the insertion of a thin tube attached to a camera through the patients mouth into the digestive system. This helps the doctor to see the presence of sore in the stomach and small intestine walls. It should be noted here that helicobacter pylori is the most common cause of peptic ulcers (NDDIC, 2004). It is due to this reason that the doctor might take a biopsy from the patients stomach walls to test for the presence of the bacterium. Another test which is conducted is the upper G1 test. This involves a series of x-rays on the patients abdomen and is usually conducted after the patient has taken barium (Shayne Miller, 2009). It should be understood that the doctor might also request for a laboratory test of both blood and stool. The stool test seeks to establish the presence of blood in the patients stool while the hemoglobin test checks for anemia. All this tests are conducted as a way of ascertaining the level of the condition which helps in deciding the type of medication to be used. Treatment Treating of peptic ulcers has been greatly improved not only due to our medical advancements but due to the identification of the two major causes of disease among other risk factors. The treatment of peptic ulcers is mainly conducted as a concern for eliminating the underlying causes of the disease. This is because such an approach prevents any further damage and thus reducing chances of reoccurrence of the condition. Therefore, medication is mainly given for eliminating the helicobacter pylori bacteria as well as helping the body overcoming the symptoms of peptic ulcers. Many antacids are available without a prescription, since they are the first drugs suggested to alleviate heartburn and mild digestive disorders. Antacids are not useful to prevent or heal the ulcers; however they are able to assist in the neutralizing stomach acid. When the cause for the ulcer is H. pylori infection, a three-drug course of therapy for two weeks is the standard therapy for curing. This three-drug c ourse of therapy consists of two antibiotics and a proton pump inhibitor (PPI). The most common antibiotics usually used to treat H. pylori infections are amoxicillin, or metronidazone. Proton pumps inhibitor (PPI) therapy (such as omeprazole or lansoprazole) these are drugs that reduce acid secretion by inhibiting the gastric acid pump. Other medications may include one or more of the following: Acid blockers (such as cimetidine or ranitidine) (NDDIC, 2004). However, if a peptic ulcer bleeds severely, an Endoscopy might be needed to stop the bleeding. Otherwise if the bleeding cannot be stopped with an Endoscopy, surgery might be essential. This involves the physical removal of the sores in the stomach or duodenum through endoscopy. A further surgical procedure is vagotomy which is cutting one or more branches of the vagus nerve to reduce hydrochloric acid secretion (Dugdale, D. Zieve, D. 2008). Apart from medication and surgery as ways of treating peptic ulcers, doctors usually a dvice on self-control from risk factors by the patient. These mainly include alcohol abuse and cigarette smoking as well as changes in diets. It has been evidently proved that taking of foods rich in fibers greatly reduces chances of sustaining peptic ulcers Prevention It should be noted that prevention is better than cure. It is therefore mainly advised that people avoid risk factors which can lead to peptic ulcers. In the past, it was broad way to tell people with peptic ulcers to change the way of eating habits by consuming small amount of meals, and frequent amounts of bland foods. Also people can stay away from peptic ulcers by avoiding things that increase stomach acid secretion and break down the stomachs protective barrier. These things include alcohol consumption, cigarette smoking, and non steroidal anti-inflammatory drugs along with aspirin. For preventing H. pylori caused peptic ulcers, people are advised to avoid living in crowded places, avoid contaminated water or food, and stick to strict principles of precautions as well as personal hygiene (NDDIC, 2004). Furthermore some evidence suggests that exercise may help reduce the risk for ulcers in some people. Other than, stress relief programs have not been shown to promote ulcer healin g, but they may have other health benefits (Stratemeier, 2009). In conclusion, it has been evidently established that peptic ulcers is becoming a common disease across the globe. Which can affect quite a lot of people especially Cigarette smokers and alcohol consumers. In addition the main causes of this disease are helicobacter pylori and non-steroidal anti-inflammatory drugs. It has however been clear recognized that there are many risk factor to the disease. Men are more victims to the disease as opposed to women (NDDIC, 2004). Such have been mainly attributed to genetic and hormonal composition of men as well as to the high prone rate of men to risk factors as compared to women. It was also clear that the ulcer caused by numerous reasons, and these reasons leading to several effects such as bleeding, perforation, and obstruction. However, peptic ulcers can be cured and even prevented if the patients are ready to modify their lifestyle and stick to their drug remedy. At last, the need for health educational activities is compulsory to increase the perception and awareness about the disease in the society. References Cohen, S. (2007). Peptic Ulcer Disease. Retrieved December 25, 2009, from http://www.merck.com/mmpe/sec02/ch013/ch013e.html Dugdale, D. Zieve, D. (2008). Peptic Ulcer. Retrieved November 25, 2009. from http://www.healthline.com/adamcontent/peptic-ulcer Lanza, F., Chan, F. Quigley, E. (2009). Practice Parameters Committee of the American College of Gastroenterology. Guidelines for prevention of NSAID-related ulcer complications. Am J Gastroenterol, 104, 728-738. Malfertheiner, P. Chan, F. McColl, K. (2009) Peptic Ulcer Disease. Retrieved November 25, 2009. from http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60938-7/abstract National Digestive Disease Information Clearinghouse. (2004). H. Pylori and Peptic Ulcer. Retrieved November 30, 2009, from http://digestive.niddk.nih.gov/ddiseases/pubs/hpylori/hpylori.pdf NHS Choices. (2009). Peptic Ulcer. Retrieved November 25, 2009, from http://www.nhs.uk/conditions/peptic-ulcer/Pages/Introduction.aspx Shayne, P., Miller, W. (2009). Gastritis and Peptic Ulcer Disease. Retrieved December 25, 2009, from http://emedicine.medscape.com/article/776460-overview Stratemeier, M. (2009) Peptic Ulcers. Retrieved November 28, 2009. from http://www.emedicinehealth.com/peptic_ulcers/article_em.htm The American College of Gastroenterology. (2009). Peptic Ulcer Disease. Retrieved November 30, 2009, from http://www.gi.org/patients/gihealth/peptic.asp Thompson, W. (1996). The Ulcer Story: The Authoritative Guide to Ulcers, Dyspepsia, and Heartburn. New York: Plenum.

Friday, October 25, 2019

Reservoir Dogs :: essays research papers

Reservoir Dogs is a gangster movie with a difference. Instead of the gangsters being portrayed as slick professionals who always stay calm and collected, they are portrayed realistically. Reservoir Dogs is about a group of 5 professional thieves who attempt to rob a jewellery store. However, one of the team, Mr Orange (played by Tim Roth) is an undercover police officer. After the group enter the jewellery store and employee turns on an alarm and one of the men, Mr Blonde starts shooting the staff and customers, before the police get there, and the team escapes by stealing cars and shooting police officers dead. When the surviving members of the team rendezvous at a warehouse, debate begins regarding who the 'rat' is.In the movie, the story as outlined above is not presented in such a linear way. The movie begins with the team members dining with the boss, Joe at a restaurant, a comical scene where they are light-heartedly discussing the meaning of the song "Like a Virgin" and why society demands that people tip waitresses. However, the mood of this film dramatically changes after the introductory credits when the scene is changed to a stolen car, where Mr Orange is in the back seat screaming "I'm gonna fucking die!", clutching at his bloody wound is his belly. This sets the scene for the rest of the movie that occurs after the robbery, as most of what happens is arguments between various people as to who the 'rat' is, often leading to threats, and more than once, the 'teammates' draw their guns on each other, and in the end, Joe (the boss), Big Eddie (Joe's son) are killed in a triangular shooting over whether or not Orange is the 'rat'.The non-lineal sequence of events is not at all confusing, and adds to the interest and intrigue as the movie progresses . This movie would not have been so acclaimed, had it followed the traditional sequence, where we follow firs the preparation of the cop, the preparation of the robbery, the robbery and then the rendezvous. If Reservoir Dogs had been set out in such a manner, one could easily see what would happen well before it did.For the most part, this film is about 'honour among thieves", and the aspect of professionalism in crime. There is much discussion about Mr Blonde's action when the alarm went off, and Mr White emphatically states that he is a "psycho", and "unprofessional" and in the end Mr White ends up being shot because he is convinced that Mr Orange is not the rat.

Thursday, October 24, 2019

DBQ Andrew Jackson Essay

Andrew Jackson was a man of the people because he was once a part of the people. Before he was elected into office, he was a man who had lived a tough childhood but learned to manage and move forward to become a successful prosecutor and eventually a well known general. A man who has lived through a life filled with challenges knows what is best for his people and knows what they want. He wanted the people to be a part of the government. He wanted them to have a voice, which is why he believed in democracy but the way that he acted throughout his political career was not democratic at all. Andrew Jackson accomplished to changed many things in the government without the people’s vote. He had a part in the spoils system and he made decisions for groups of people that were completely unfair. Andrew Jackson was not a big fan of how the government was previously ranned. There was always something that he wanted to change. One of the things he changed were the rotation of the government officials in office. Of course he kept in mind that the people should be able to control all offices in congress so he proposed a constitutional amendment. He was changing the time period elected officials should remain in office. Not only did he change it for everyone else but he also wanted to changed it for himself. (Document D).

Tuesday, October 22, 2019

O Brother Where Art Thou essays

O Brother Where Art Thou essays In the film O Brother, Where Art Thou, the Cohen Brothers present to the audience a comedic adventure of three on-the-run jail mate hillbillies led by the hero, Ulysses Everett McGill (George Clooney), looking to reclaim a buried treasure. The story takes place back in the days of the Depression-era, Deep South around the 1920s in Mississippi. It is a comedy. The picture is filled with intellectual and witty satire, as well as twists and turns, humorously paralleling scenes and characters from Homers epic poem The Odyssey. In the movie, the Cohen Brothers use various elements to capture the attention of the audience. Just as any other directors attempt to do, they aim to draw the audience into the movie and catch the spirit of the southern, Mississippian, Depression-era hillbillies. In order to generate this affect, one of the key elements the Cohen Brothers use is language. More specifically, they use old-fashioned, southern idiomatic dialogue, which is not really used in todays contemporary dialogue. Yet, most are definitely familiar with it, which serves as the common base to carry out the affect. Just by listening to this southern-type language with its southern accents and all its slang, idioms, and euphemisms, the picture of vast countryside farms and cornfields, old-fashion cars, live-stock, dirt roads, and rednecks and hillbillies in overalls with severe farmers tan instantly comes to mind. Thus, everything becomes more of a reality. However, more importantly, with a whole lot of fresh w itty intellectual satire, there are plenty of laughs through this southern dialogue, which serve as the whole point of making the movie. It is a comedy. Of course the task was not plain and simple. The Cohen Brothers did their research. Throughout the entire picture, there are a countless number of slang phrases, idioms, and euphemisms used. Of course there ar ...