Acute Diverticulitis Essay -- Diseases, Disorders

On my third day of clinical course I had an African America patient age 72, female, a retired high school teacher who was admitted for an Acute Diverticulitis with Perforation. She is diabetic and had a medical and surgical history of diverticulitis, High Cholesterol, Non-Insulin-Dependent Diabetes Mellitus (NIDDM), Hysterectomy, and Scoliosis. She has been on clear liquid diet since she was admitted then she was Nothing by Mouth NPO for the CT scan for that day. When I got the assignment that I was going to be taking care of a patient with an acute diverticulitis, the first thing on my mind was that she will be in a severe abdominal pain, high fever due to infection because my aunty had same disease. To my surprise, she claimed a 0 /10 on a 0-10 pain scale. Her blood sugar and vital signs were normal except for respiratory that was 22. All her laboratory test results were normal including WBC. Patient concern was that she couldn’t have a bowel movement. She was me dicated on Colace- a stool softener, morphine for pain, sulfran for nausea, and azactam an antibiotics. Diverticulosis is a disease from the diverticulum. This is when the colon wall is been outpunched through the mucosa. These are small mucosal herniation bulging via smooth muscle and layers of the intestine along vasa recta formed opening in colon’s wall. Diverticulitis causes is still unknown but develop after a micro or macro perforation of diverticulum. Peritonitis is an end result from an intestinal rupture in the case of a large perforation. Clinically, diverticulosis could be asymptomatic or symptomatic, they are uncomplicated with no evidence of bleeding or inflammation. Signs and symptoms includes palpable mass and tenderness mostly i... ...an seven 6-ounce of glasses of fluid each day most especially for patients on pharmaceutical fiber supplements. Works Cited Ferzoco, K.H. (2010). Small bowel diverticulitis. The New England Journal of Medicine. 327: 302-7 Juchems, A.A. (2010). Long-term management of diverticulitis in young patients. Diseases of the Colon & Rectum. 58:627-629. Marinella, L.B. et al: (2010). Acute Diverticulitis. The New England Journal of Medicine. 327: 1521-1526 Painter, P.V. (2009). Diverticulitis. Gastroenterology Clinics of North America. 18:357-385. Spivak, W.K., & deSouza, J.M. (2008). Diverticulitis of the right colon. Digestive diseases and sciences. 49: 350-358 Wilcox, C.V. (2009). Limitation in the CT diagnosis of acute diverticulitis: Comparison of CT, contrast enema, pathologic findings in 16 patients. American Journal of Roentgenology. 201:381-385.

Rafael Nadal

Drew Parker Mrs. Edwards 15, October, 2012 Spch 102 Rafael Nadal Introduction: A. ) Known by many as â€Å"Rafa†, Rafael Nadal is one of the top-ranked tennis players in the world today. B. ) He has a combined record of 120-43, and doesn’t seem to have any weaknesses and is compared to tennis legends like Andre Agassi and Bjorn Borg. C. ) His childhood, and his achievements this far has made him who he is today, and as stated on Forbes. com, â€Å"Nadal is the number 16 highest paid athlete with endorsements worth 25 million dollars. † Transition: Let’s start with his roots. Body: Main point 1 –Nadal was born in Majorca, Spain on June 3rd, 1986. He began playing tennis and soccer at the age of 3, being coached both by his Uncle Toni. According to The New York Times, â€Å"there was a lot more soccer than tennis in Nadal’s childhood. â€Å" His Uncle Toni was a top soccer player for Spain’s F. C Barcelona, and with his experience he t rained Rafa to be a great soccer player as well as tennis star. At the age of 11 he decided to quit soccer and totally focus on tennis. He is naturally right handed, but his Uncle Toni forced him to play with his left hand because you can generate more spin that way.By playing left handed it gives Nadal a supreme advantage during his serve. When people serve right handed the ball bounces away from the player, and when people serve left handed the ball spins right into the opponents’ midsection. With majority of the tennis stars being right handed, it makes things very difficult for an opponent of Nadals’ while returning serves. At the age of 15, Rafael was one of the highest ranked juniors in the world, and he jumped into the pro’s becoming one of the youngest players ever to win an ATP tour match. He achieved this when beating Ramon Delgado in Majorca 2002.This made him one 1 out of only 9 players to ever win an ATP match before the age of 16. Transition: All o f his accomplishments at an early age is a precursor for what’s to come. Main point 2 – Nadal has won many tournaments and many awards throughout his career. In 2003 at the age of 16 he was the youngest player ever to be ranked in the ATP’s top 100. In the same year he won the ATP Newcomer of the Year award. He was also the youngest player ever to make it to a third round in a Grand Slam at Wimbledon at the age of 16. In 2005, at the age of 19 Nadal had one of the best accomplishments of his career at that point. Atptour. om states, â€Å" Nadal was the first teenager to win a Grand Slam since Pete Sampras in 1990. † He won the French Open that year and had a combined 25 match-winning streak at the end of the year. Tom Oldfield stated in his book Rafael Nadal: The Biography, â€Å" Nadal had been known as a clay court specialist since playing in his first tournaments in 2001. † So it wasn’t a surprise that he would win the French Open. Nadal has won 71 total singles titles, and 11 doubles titles totaling in 82 career tournament wins. Sports Illustrated has Nadal down for winning 11 grand slams to this day, which ties him for 4th on the all time list.He is behind all-time greats like Andre Agassi, Pete Sampras, and Roger Federer. He is tied with another German great Bjorn Borg He has won 7 French Opens, 1 U. S. open, 1 Australian Open, and 2 Wimbledon Opens. He also won the Olympic gold in 2008 making him one of the most well rounded players in the game. He is only 23 years old at this point, and has done much more than other tennis players do in their whole career. No one may come close to matching the number of Grand Slams he could end up winning. Transition: All of these achievements could lead to nothing more than some serious cash flow. Main point 3-Rafa is one of the highest paid athletes in the world. According to celebnetworth. org Rafa has sponsorships with, â€Å" Kia motors, Babolat, Nike, Bacardi, Richard M ille, and Armani. † His Nike endorsement is worth 21 million per year. With all of these endorsements and his career earnings, Nadal is at a net worth of around 60 million dollars per year making him the 16th ranked highest paid athletes. This puts him on the list of names along with Michael Phelps, Lebron James, Alex Rodriguez, and other highly paid athletes. In 2012 he has already gained 26 million in endorsements and 34 million in annual earnings. Transition:This takes us to our conclusion. Conclusion: A. ) We’ve been over Rafael’s childhood, his achievements, and his earnings. By doing this we see how much he means to the game of tennis. He was one of the youngest players ever to win a Grand Slam, and is endorsed by names like Nike, Babolat, and Armani, which only endorse the best athletes. B. ) He is currently the 16th highest paid athlete and the future looks bright for Nadal. At a current age of only 23, Nadal has a chance to become one of the greatest of all times, and at the pace he’s going he has a great opportunity to beat Federer’s record holding 17 Grand Slams.

Creation Versus Evolution - Both Arguments Can be Right...

Creation Versus Evolution â€Å"Creation Versus Evolution.† What’s wrong with this title? Read it to yourself a few times, and then answer that question. We’ve all heard of the argument. Creationism, the idea that God created all the species as they appear today, versus Evolutionism, the idea that all life evolved from simple bacteria to all the species that appear today, is a familiar controversy. Ever since Darwin first published the Theory of Evolution in his controversial 1859 book The Origin of Species, the debate has raged between religion and science. But this debate is something that has always puzzled me. From the time I first understood what the Theory of Evolution was really saying, I found it difficult to reject.†¦show more content†¦Given enough time, one species may develop such different characteristics as its ancestors possessed that it becomes considered as another species. This assertion follows logically from the two principles of heredity and natural selection. Yet when this assertion is made, religious people start to object to it. Notably within Christianity, only conservative Protestants seem to take issue with Evolution; the more open-minded liberal Protestants find nothing wrong with the Theory, and the Catholic church officially recognizes Evolution as scientific fact. This is something I have always had difficulty in understanding. I suppose that these fundamentalist Protestants believe that the idea that species change over time takes away from the meaningfulness of life. Particularly when you throw humans into the mix and make the claim that we evolve, just like the animals, they object that classifying us as â€Å"just animals† somehow dehumanizes us or makes us seem less special as God’s creation. Yet I’ve read Genesis, the first book of the Christian Bible, and there seems to be nothing in it which contradicts with the idea that species – even humans – change over time. The Bible describes how life was created, but it does not specify what happened after that. Thus it is consistent with Biblical dogma to believe that after God created life, it evolved – either on its own or under theShow MoreRelatedEssay on Creation vs. Evolution in the Public Schools1342 Words   |  6 Pagesevolutionists over the beginning of life and the universe, but neither opinions’ palpability can be firmly upheld through scientific manners. Since science can only prove hypotheses that are testable and based on current observations, neither creation nor evolutionary concepts can be proven with irrefutable evidence. However, regardless of the inability to prove either concept, most public school systems promote evolution as a scientific fact. 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