Thursday, January 30, 2020
The story of stuff Essay Example for Free
The story of stuff Essay Since the beginning of civilization, man has been working for sufficing his personal and community needs. What started as a need to survive has transformed into a vicious cycle of consuming the planet to sustain selfish desires. The movie â€Å"the story of stuff†is an excellent recreation of the actual happenings that have made people victims of their own desires. The movie very carefully first lays down the concept of the functioning of our natural resources that is to be known or rather shown to us from many years. Once the normal routine is shown, the movie takes us to a ride which explains every single facet right from natural resource extracted for production, then to distribution and later to consumption and disposal. The movie is very cleverly made and it leaves no stone unturned for the concept to reach to its viewer with the medium of simple animation. With excellent narration the movie reaches out and explains aspects that actually are not give much thought about for instance, when natural resources are send into toxin oozing factories in third world countries, the pollution which is left by the these factories not only affects the third world country but also the rich western country as currents take the pollution back to them. The movie also sheds light on issues such toxins being used in companies and later when the product for which it was used is all set to be disposed the toxins inside it become super toxins like dioxin which are very harmful for everything. It has been a known fact that the resources of this world are being used in large quantities, but the movie explains the part that not only it is being used in huge bilks but also the rate in which a product is being injected in the market and later disposed is awe striking.                                    The movie does a fantastic job in reminding us that in the midst of all the luxury and infinite products to choose from we are self immolating ourselves as apart from the natural resources and the environment, we are polluting the word mankind itself. The concept of how a cheap product is actually made and has a low rate not only makes one think but also one starts feeling guilt as people from all around the world have to pay away with their lives their environment for a product to be cheaper than cheap. The movie leaves its viewer with a heart sunk feeling and just makes the viewer open his eyes to places he had closed for his own benefits. The ugly nexus of corporations and government is shown in such a way that makes one think, that can government for its own profits make corporations bigger while completing ignoring the hazard that is going to be caused by it. ‘The story of stuff’, is a remarkable film which in a very simplistic fashion explains the destruction happening and warns of a bigger destruction waiting at the corner. The movie inspires and makes its viewers think about investing in green chemistry and sustainability along with zero waste theory that would help people to live a life where they are more than just obnoxious consumers for greedy companies. The following stanza explains the need for a change to save the planet: ‘One of the keys to mainstreaming environmental sustainability is by making it easy for people to do the right thing, rather than requiring an extra effort to chose the environmentally preferable option’ (Annie Leonard). Work Cited: 1) Annie Leonard, â€Å"The Ugly Side of the Beauty Industry†. http://www.storyofstuff.com/blog/
Wednesday, January 22, 2020
The Importance of Setting in The Yellow Wallpaper by Charlotte Perkins
   A review of the house itself suggests that an architectural hierarchy of privacy increases level by level. At first, the house seems to foster romantic sensibilities; intrigued by its architectural connotations, the narrator embarks upon its description immediately--it is the house that she wants to "talk about" (Gilman 11). Together with its landscape, the house is a "most beautiful place" that stands "quite alone . . . well back from the road, quite three miles from the village" (Gilman 11). The estate's grounds, moreover, consist of "hedges and walls and gates that lock" (Gilman 11). As such, the house and its grounds are markedly depicted as mechanisms of confinement--ancestral places situated within a legacy of control and supervision.      These are the exterior apparatuses that create and enforce the bedroom as a monitoring device, structuring interior space by exceeding its very boundaries, expanding beyond the egresses of the household in an effort to maintain the interior/exterior polarity. The result is a privacy within the privacy of the home. The bedroom becomes the locus of what Wigley calls a "secret privacy;" it is its own interior wrought with overtones of mystery and intrigue (345).      Because the bedroom in "The Yellow Wallpaper" veils both sexuality and the female body, and is involved in the production of secrets, the bedroom and the body are linked: both are secret, and both contain secrets. Associated with connotations of private, intimate, enclosed space, the bedroom ultimately suggests other such spaces. The bedroom becomes a metaphor for the female body and makes the body manageable, controllable. Writing about the body and secrecy, Ludmilla Jordanova notes: Veiling implies secrecy. Wome... ...iction. 17 (1989): 193-201. Haney-Peritz, Janice. "Monumental Feminism and Literature's Ancestral House: Another Look at 'The Yellow Wallpaper'" Women's Studies. 12 (1986): 113-128. Kasmer, Lisa. "Charlotte Perkins Gilman's 'The Yellow Wallpaper': A Symptomatic Reading." Literature and Psychology. 36, (1990): 1-15. Jordanova, Ludmilla. Sexual Visions: Images of Gender in Science and Medicine between the 18th and 20th Centuries. London: Harrester Wheatsheaf, 1989. Mulvey, Laura. "Pandora: Topographies of the Mask and Curiosity." Sexuality and Space. Ed. Beatriz Colomina. Princeton: Princeton Papers on Architecture, 1992. 53-71. ------. "Visual Pleasure and Narrative Cinema." Screen. 16 (1975): 6-18. Wigley, Mark. "Untitled: The Housing of Pleasure." Sexuality and Space. Ed. Beatriz Colomina. Princeton Papers on Architecture, 1992. 327-389. Â
Tuesday, January 14, 2020
Benign Prostatic Hyperplasia
Introduction The process of urination is vital to the body for the removal of certain waste products. Normally, when the bladder gets full, urine is emptied from the body through the urethra in a process called urination. In urinary retention, a person’s bladder fills up and there is an urge to urinate but he is unable to completely empty his bladder. With chronic urinary retention, a person may be able to urinate, but he has some trouble starting a stream or emptying your bladder completely. He may urinate frequently, may feel an urgent need to urinate but have little success when he gets to the toilet; or he may feel he still have to go after having finished urinating. With acute urinary retention, he can't urinate at all even though he has a full bladder. Acute urinary retention is a medical emergency requiring prompt action. Acute urinary retention (AUR) is an extremely uncomfortable and potentially life-threatening condition characterized by a sudden inability to urinate associated with intense suprapubic discomfort. It is most often secondary to obstruction, but may also be related to trauma, medication, neurologic disease, infection, and occasionally psychological issues. Acute urinary retention (AUR) is one of the most significant, uncomfortable and inconvenient event in the natural history of benign prostatic hyperplasia (BPH). BPH is the virtual universal overgrowth of the prostate gland in men as they age. Various factors affecting BPH are age, genetic makeup, testosterone levels, and environment. As the prostate enlarges it compresses the urethra causing obstruction to urine flow. The urinary stream becomes smaller; there may be difficulty in initiating the stream, dribbling, and intermittent flow, frequency of urination, getting up at night to void (nocturia), inability to empty, or even inability to void at all (retention). Patient’s Profile Name: c Age: 69 Address: Civil Status: Married Chief Complaint: Difficulty in urinating ptc and bloody urine few days ptc Tentative Diagnosis: Acute urinary retention prob. Secondary to BPH History of Present Illness a. Present History Patient is 69 years old male retiree, a resident of PS Tagas, Tabaco City admitted at BRTTH with a chief complaint of dysuria. One week prior to consultation he had difficulty in urinating and presence of blood in the urine b. Medical History The patient claimed that he has hypertension and diabetes mellitus type II. Anatomy and Physiology Prostate gland The prostate is a walnut-sized gland that forms part of the male reproductive system. The gland is made of two lobes, or regions, enclosed by an outer layer of tissue. As the diagrams show, the prostate is located in front of the rectum and just below the bladder, where urine is stored. The prostate also surrounds the urethra, the canal through which urine passes out of the body. Scientists do not know all the prostate's functions. One of its main roles, though, is to squeeze fluid into the urethra as sperm move through during sexual climax. This fluid, which helps make up semen, energizes the sperm and makes the vaginal canal less acidic. Urinary Bladder The urinary bladder is a muscular sac for storing urine. The triangular base of the bladder, the trigone, is defined by the two ureters that deliver the urine and the one urethra that drains the urine. When empty, the bladder collapses, and folds (called rugae) from in the bladder wall. As it fills, the folds become distended and the bladder becomes spherical. The wall of the bladder consists of three layers similar to those of the urethra: the mucosa, the muscularis (here called the detrusor muscle), and the adventitia. Circular smooth muscle fibers around the urethra form the internal urethral sphincter. As a man matures, the prostate goes through two main periods of growth. The first occurs early in puberty, when the prostate doubles in size. At around age 25, the gland begins to grow again. This second growth phase often results, years later, in BPH. Though the prostate continues to grow during most of a man's life, the enlargement doesn't usually cause problems until late in life. BPH rarely causes symptoms before age 40, but more than half of men in their sixties and as many as 90 percent in their seventies and eighties have some symptoms of BPH. As the prostate enlarges, the layer of tissue surrounding it stops it from expanding, causing the gland to press against the urethra like a clamp on a garden hose. The bladder wall becomes thicker and irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination. Eventually, the bladder weakens and loses the ability to empty itself. Urine remains in the bladder. The narrowing of the urethra and partial emptying of the bladder cause many of the problems associated with BPH. Pathophysiology Urinary retention can be caused by an obstruction in the urinary tract or by nerve problems that interfere with signals between the brain and the bladder. If the nerves aren't working properly, the brain may not get the message that the bladder is full. Even if you know that your bladder is full, the bladder muscle that squeezes urine out may not get the signal that it is time to push, or the sphincter muscles may not get the signal that it is time to relax. A weak bladder muscle can also cause retention. As a man ages, his prostate gland may enlarge. Doctors call the condition benign prostatic hyperplasia (BPH), or benign prostatic hypertrophy. As the prostate enlarges, the layer of tissue surrounding it stops it from expanding, causing the gland to press against the urethra like a clamp on a garden hose. As a result, the bladder wall becomes thicker and irritable. The bladder begins to contract even when it contains small amounts of urine, causing more frequent urination. Eventually, the bladder weakens and loses the ability to empty itself, so urine remains in the bladder. The pathophysiology of bladder outlet obstruction in men with BPH has been attributed to both static and dynamic factors. The static obstruction is due to the bulk enlargement of the prostate encroaching upon the prostatic urethra and bladder outlet, whereas the dynamic obstruction is related to the tension of prostate smooth muscle. Diagnostic Evaluation and Lab Examination a. Ultrasound of whole abdomen * Normal * Gassy epigastria, gassy filled bowel loops * Empty bladder b. CBC WBC| 8. 1| RBC| 4. 16| Hemoglobin| 103| Hematocrit| 0. 31| Platelet| 273| c. Urinalysis Specific gravity| 1. 025| pH| 5. 0| Sugar| (-)| RBC| 13-15| Medical Treatment and Evaluation Treatment a. Admit to surgical ward. b. Labs: Ultrasound -CBC -Urinalysis c. I ; O q 4H d. Intravenous Rehydration e. Indwelling Catheter – To facilitate accurate measurement of urinary output for critically ill patients, Drug Study Ciprofloxacin Action: Interferes the conversion of intermediate DNA fragments into high-molecular-weight DNA in bacteria; DNA gyrase inhibitor. Indication: Adult urinary tract infections (including complicated); c hronic bacterial prostitis; acute sinusitis; lower respiratory skin, bone, joint infections; infectious diarrhea, exposure to inhalation anthrax; conjunctivitis, corneal ulcers (ophthalmic). Dose: PO 500mg q12h Adverse Effects: CNS: Headache, dizziness, fatigue, insomnia, depression, restlessness, seizures, confusion. GI: Nausea, constipation, increased ALT, AST, flatulence, insomnia, heartburn, vomiting, diarrhea, oral candidasis, dysphagia, pseudomembranous colitis, dry mouth INTEG: Rash, pruritis, uriticaria, photosensitivity, flushing, fever, chills, MISC: Anaphylaxis,Stevens-Johnson Syndrome MS: Tremor, arthalgia, tendon rupture Nursing Considerations: * Assess patient for previous sensitivity reaction Identify urine output; if decreasing, notify prescriber (may indicate nephrotoxicity); also check for increased BUN, creatinine. Nursing Care Management Ongoing Assessment * Monitor Intake and Output. * Assess Vital signs| Provides information about fluid balance, renal function as well as guidelines for fluid replacement. BP, Pulse, RR, and Temperature indicate response to fluid status. | Diet * Low Sodium diet| A diet high in sodium may raise blood pressure and caus e fluid retention, resulting in swelling of the legs and feet. | Sex Being sexually active may help keep the urethra open. But the patient should not get sexually aroused without ejaculating because the urethra may get blocked. Some treatments may also cause sexual problems. These problems usually do not last forever and most can be helped. Complications * Urinary Tract Infection * Bladder Damage * Chronic Kidney Disease| Urine is normally sterile, and the normal flow of urine usually prevents bacteria from growing in the urinary tract. When urine stays in the bladder, however, bacteria have a chance to grow and infect the urinary tract. If the bladder becomes stretched too far or for long periods, the muscle may be permanently damaged and lose its ability to contract. If urine backs up into the kidneys, permanent kidney damage can lead to reduced kidney function and chronic kidney disease. If you lose too much of your kidney function, you will need dialysis or a kidney transplant to stay alive. | References: Mosby, Elsevier. Mosby’s Guide for Nurses, 6th edition. Missouri, St. Louis: 2005 http://www. pennmedicine. org/encyclopedia/em_DisplayAnimation. spx? gcid=000136;ptid=17 http://www. nsbri. org/humanphysspace/focus4/ep-urine. html http://kidney. niddk. nih. gov/kudiseases/pubs/UrinaryRetention/ http://www. uptodate. com/contents/acute-urinary-retention http://www. ncbi. nlm. nih. gov/pmc/articles/PMC1477632/ http://www. scribd. com/doc/5989689/Case-Study-BPH http://wps. prenhall. com/wps/media/objects/3918/4012970/NursingTools/ch48_NCP_UrinElim_1316-1317. pdf http://www. drugs. com/cg/urinary-retention-in -men-aftercare-instructions. html
Monday, January 6, 2020
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