Thursday, November 28, 2019

Concept of Testicular Torsion in Medicine

This is an infection that cuts the blood supply to the testicles and the entire scrotum region due to the twisting of the spermatic cord. Notably, the spermatic cord plays essential roles in the lower abdomen; for instance, it allows sperm into the urethra and transports blood to the testicles.Advertising We will write a custom essay sample on Concept of Testicular Torsion in Medicine specifically for you for only $16.05 $11/page Learn More Therefore, a disturbance in this connection like loose attachment of the spermatic cord to the scrotum will result into the above complications. When the cord twists, it causes pain and swelling of the testicles. The pain is often severe that the testicles reduce in size and even die if no attended to in not more than six hours (Urology Care Foundation – Urology A-Z – Testicular Torsion, 2011). Testicular torsion occurs in individuals whose testes can swing freely in the scrotum thus twisting easily. Aff ected individuals feels nauseated and vomit frequently. In addition, patients notice the high position of the testicle and abnormal cremasteric reflex. Its occurrence is common during physical activities like sports; however, it can occur at any time mostly in ages between 12 and 16. Additionally, this defect can result due to a person’s family history on testicular torsions and an individual’s past history on testicular torsions; for example, if one had experienced such pain without treatment, there are high chances of re-occurrence (Rupp, 2011). When this torsion occurs, an immediate medical surgery is necessary to be conducted within the shortest time possible; that is, not more than six hours. Remarkably, beyond these hours, a permanent damage occurs on the testicles, which may result to in a father’s inability to sire children (Testicular Torsion, 2012). From the repercussions and instant effects that result from this type of torsion, this surgical explorat ion has been grouped under emergency surgical operations. On the other hand, the doctor may untwist (detorsion) the testicles manually by holding the scrotum and pushing the testicles.Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More Significantly, surgery must be done to prevent future occurrences. According to Rupp 2011, Testicular torsion in newborns is only treated through emergency medical surgery, as the manual option cannot work. In the future, there should be plans to make Doppler ultra sound of the testicle a mandatory service to all male patients. Moreover, the service should be offered freely or under subsidy by the government body. This service will show the blood flow in and out of the scrotum, thus helping in revealing even partial torsions that do not show signs of high magnitude (Liou Vorvick, 2012). Testicular torsions lead to complications such as the reduction in size and ev entual death of the affected testicle, hence calling for surgical operation and incapacitating a father from siring children. The latter results since the testicles that release sperms are not able to function normally. Another significant feature in the scrotum and testicles is the cremasteric reflex. This reflex involves the upward movement of both the scrotum and testicles when the upper part of a male’s thigh is stroked lightly (Urology Care Foundation – Urology A-Z – Testicular Torsion, 2011). This contraction is a reflex action; its absence can imply health defects like spinal injury, motor neuron disorder and testicular torsion. It is this absence that is referred to as absent cremasteric reflex. This reflex is overactive in early adolescence but may slowly disappear. This abnormality can be treated only after a doctor has looked into the patient medical history and other symptoms that accompany the defect like dizziness and syncope.Advertising We wi ll write a custom essay sample on Concept of Testicular Torsion in Medicine specifically for you for only $16.05 $11/page Learn More References Liou, L. S., Vorvick, L. J. (2012, September 24). Testicular torsion: MedlinePlus. Medical Encyclopedia. National Library of Medicine – National Institutes of Health. Web. Rupp, T. J. (2011, August 8). Testicular Torsion in Emergency Medicine. Medscape:Â  Medscape Access. Web. Testicular Torsion. (2012, March 7). Mayo Clinic. Web. Urology Care Foundation – Urology A-Z – Testicular Torsion. (2011, January 1). Urology Care Foundation – Home. Web. This essay on Concept of Testicular Torsion in Medicine was written and submitted by user Travis Golden to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Monday, November 25, 2019

A Book on Writing for Novelists

A Book on Writing for Novelists A Book on Writing for Novelists A Book on Writing for Novelists By Maeve Maddox Before launching myself into the historical novel Ive been thinking about, I decided to read some books on writing before getting too far along. My luck was to pick up Sol Steins How to Grow A Novel. Some writing books are good for beginners, but some are not. I think that the writer who has completed a book length manuscript will get more out of the Stein book than one who is just getting started. I almost didnt read this book because of its title. As Ive mentioned elsewhere in DWT, the use of the transitive verb grow with a non-biological direct object produces a blackboard moment in me. Im glad that I didnt let this prejudice keep me from the trove of great advice to be found in this book. What hooked me was the subtitle: The Most Common Mistakes Writers Make and How to Overcome Them Stein knows what hes talking about. Hes a writer as well as an editor. He has written plays, poetry, and novels. The book is arranged in four sections of unequal length: The Responsibilities of the Writer The Responsibilities of the Publisher Envoi Practical Matters The first section is the meat of the book and discusses the expectations of the reader, the importance of conflict in every scene, and the development of plot, character, dialogue, and setting. Im not going to comment on every section. Theyre all useful, but I know that this is a book Ill read more than once. This time around I was most taken with what Stein says about conflict. Chapter Two poses the question Is Conflict A Necessity? This is how Stein answers it: Yes, conflict was and is a necessity, it is the essence of dramatic action. The engine of fiction is somebody wanting something and going out to get it. And if you let him get it right away, youre killing the storyWithoutopposition, fiction is a vehicle without an engine. What Ive taken away from this first reading of How to Grow a Novel is the importance of planning conflict into every scene before I take the time to write the scene. As I gear up to write my historical novel, Im taking the time to create a scene outline that I think will be more practical than any chapter outline Ive used for my previous novels. My new mantra is Conflict runs the engine. Each scene I sketch has a character who wants something and either gets it or doesnt get it by the end of the scene. When Ive got the first draft on paper, Ill go back to Steins book for help in revising it. You can find the book on Amazon.com Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Book Reviews category, check our popular posts, or choose a related post below:How to Format a UK Business LetterIn Search of a 4-Dot Ellipsis35 Synonyms for Rain and Snow

Thursday, November 21, 2019

Catcher In The Rye Essay Example | Topics and Well Written Essays - 500 words

Catcher In The Rye - Essay Example It is my opinion that Holden Caulfield became such a universally loved fictional character simply because of his humanity - equally because of his faults and his sensitivity. Sensitivity, yes, as strange as it might sound, but Holden did possess an astute mind, a keen eye, an unadulterated understanding of human nature and at times betrayed a sensitivity towards others that he usually hid under layers of abrasiveness and insolence. This rudeness was a defense mechanism employed by Holden to intentionally protect himself from his fellow men. In order to reach a deeper understanding of Holden, it is imperative to analyze the reason behind his rudeness. It is my opinion that Holden usually brushed people off and never showed them his true inner feelings because he was afraid of opening up and making himself vulnerable to others. He understood that human beings were just as capable of hurting as they were of loving and he did not take a chance with any of his relationships simply because he dreaded being hurt by the ones he chose to love. After Holden's passage from childhood to maturity he became increasingly aware of the "phoniness" of the world around him and craved the innocence and purity of his childhood days.

Wednesday, November 20, 2019

LAND LAW Essay Example | Topics and Well Written Essays - 2000 words

LAND LAW - Essay Example e possession or enjoyment had been carried back as far as living memory would go, that a grant had once existed which had since been lost.’ A presumption of lawful grant can be made either at common law, by lost modern grant or under the Prescription Act 1832. Claims are usually made under all three methods2. When applying the doctrine of prescription at common law, such an easement is only presumed where the appropriate user has existed from time immemorial. The limit of legal memory for this presumption was usage from 1189 but as it is normally impossible to supply actual proof dating this far back it has been commonly accepted on the basis of evidence as a long user3. The difficulty with this is that such a presumption can be rebutted as occurred in Hubert v Dale [1909]4 where the plaintiff was able to show that the right claimed had not existed or could not have existed since 1189. Due to the difficulties with the common law approach to prescription and the possibilities of rebuttal the principal of lost modern grant was formed. Under this heading there is a presumption that if the user has used the easement for a period of 20 years that the deed of grant to use the land has been lost. This makes the presumption that a lawful grant was previously in existence and therefore the user should be entitled to continue using the land in the manner he has been doing. The case of Tehidy Minerals Ltd v Norman [1971]5 settled that the presumption cannot be rebutted even by direct evidence that no grant was ever made. If another explanation for the user is equally possible, than a grant should not be presumed6. It was decided in Neaverson v Peterborough RDC [1902]7 that the presumption can be rebutted if it can be established that no lawful grant could have been made at any relevant time. The Prescription Act 1832 gives rights to subsequent purchasers of the land. Section 2 of the Act takes the view that if a user has enjoyed the right without interruption for 20

Monday, November 18, 2019

Discuss the difficulties most often encountered in business writing Essay

Discuss the difficulties most often encountered in business writing and how to avoid them - Essay Example Lot of entrepreneurs who undergo the process of business writing usually fails to achieve the target due to the following problems. Many business writers fail to come up with effective business writing due to their failure to identify the reader of their business report (Siljander, 2008). This makes it hard for them to gather the necessary information needed to address the key areas of interest to the readers. During the writing, many students concentrate on giving a lot of explanation in areas that are of less importance to the reader. All this is due to their inability to identify the key potential areas which needs much more explanation. To overcome this, the writers need to know the audience they are addressing in their writing. The writer must be aware whether his writing targets up, down or lateral communication. The writer must know the reader of his or her writing as much as possible. The moment the writer realizes the reader of his writing, and he or she will be in a positio n to address the core problems the reader wants to see solved (Spedding, 2010). For example, if the writer is communicating up the chain of command, then knowing the reader of his writings will be beneficial as it will determine whether her or his writing will be acted upon by the targeted audience. Before engaging in any business writing, the writer should take his or her time to consider the reader preferred communication style. The writer needs to think about how the intended reader communicates with others in the business. Identify whether the intended reader wants the writing to get direct to the point or not. This knowledge of the writer about the intended reader of his message will enable him to know where to put his message, at the beginning or the end. Secondly, during business writing, writers face a monumental problem of deciding on the channel of communication he or she will adopt. This problem appears the moment the writer starts preparing business writing without knowi ng the intended reader (Moore, 2008). To overcome this, once the writer has identified the end reader of his or her business writing, he or she needs to make an informed decision on the channel to be used. Channels of communicating the writing may be divided into two forms, i.e. formal or informal. During the writing, the writer should consider the reader who will pass through his or her information (Butler, 2006). This will help the writer to choose appropriate channel of communication to use. He or she will be in a position to decide whether to use a brochure, letter, e-mail or other form of business writing. During seminars and business writing workshops, writers often understands the objectives required by different readers. They also find it easier to identify communication channels to be used at various instances. The main problem they face in their attempt to develop and come up with appropriate business writing is a task to realize their overall objective (Moore, 2008). Many writers think that the overall goal of their writing is to ensure the intended reader reads it. By this, they end up falling short of the purpose of business writing. To overcome this problem, writers need to verbalize what they want from the reader (Butler, 2006). This will help them adopt specific actions during their writing. Before the writer gets engaged in any business writing, he should clearly know what he or she wants from the reader. They

Friday, November 15, 2019

Personal Identity And The Soul

Personal Identity And The Soul The idea of personal identity is a concept we are consciously living but one we are never quite aware of. Our actions are determined by the anticipation of our future pleasures and future pains. This anticipation is shaped by instances in our past where a particular behavior or action on our part creates a result that we find desirable or undesirable. Our soul is that underlying thread that makes a connection between a situation we are faced with in our present lives to what we have lived through from the vast reservoir of our personal experience. Of the different types of personal identity; the Soul Theory, Memory Theory and Brain Theory, I think the soul theory offers the most complete explanation. We are at any given time, the sum total of our collective life experience that includes the people we have met, the situations we have lived through and the stories we have heard of through the people we encounter about others and their life experiences. For there to exist a connection between an individual at one point in their lives and their selves in another point in their lives, these two versions would have to exhibit traits that cannot be acquired through any other means but personal life experience; i.e. actually living through it. Evidence for such traits is evident in the existence of idiosyncratic individual memories and the logic behind setting goals. If an individual were to lock themselves in a room with no windows, furniture or technology, and they were to write on the palm of their left hand the word red, a day later there is no way for anyone else to know what happened inside the room unless that individual were to divulge those details themselves. A day later then, this individual would be the only one to retain the memory of themselves inscribing red onto their left palm, and this individual memory and the inscribed characters prove beyond reasonable doubt that the individual inside that room a day earlier, and the individual who retains the memory the next day are one and the same person. The evidence for this connection is not physical, but a referenced memory. While the letters can be erased, the memory is not as easy to remove. Hence the continuity between these two versions is not physical, but mental. It cannot be quantified or measured physically, and neither can the soul, but its presence in our lives is overwhelming. Our logic when we make decisions in every aspect of life is based on memories of sitiuations that we reference where we were able to obtain a result we find desirable or to avoid a situation at we find undesirable. Our soul, or our conscious self within our body, examines the experiences readily available in our mind at any given point of our lives and chooses a path that would help us attain what we want. Therefore the soul is the chief navigator for our actions and behaviors for the past, present and future. This notion gains even more prominence because the concept of the soul exists independently of religion. It is not dependent of the existence of God. Those who argue against the soul theory may say that the individual traits that are displayed by an individual before and after in the room experiment, exist independently in the body and not the soul. This objection lacks credibility because is fails to account for those that are identical in their physical makeup but have diametrically opposite personality traits. If personality traits were dependent on our physical selves, that would allude to a scenario where people with identical bodies, if put through the exact same situations for long periods of time would develop similar personality traits. Another version of this statement would argue that people with similar physical makeups would react to stress and other highly emotionally demanding situations in similar ways. But there is no evidence for either of these last two statements to gain any credence. The existence of different and even diametrically opposite personality traits amongst survivors in holocaust camps in Nazi Germa ny disproves this objection to the soul theory. Many of these survivors suffered the same horrors and were worn down to similar body types, but the way their conscious selves dealt with those inhumane conditions differed tremendously. The existence of a wide variety of behaviors to combat those inhumane times proves that there was something within each of these bodies that differentiated them from one another. And this difference was the entity of the soul. When thinking of personal identity, we must look at the body and soul as two pieces of the same whole. The sum total of our sensory organs helps us to see, touch, feel and smell every single life experience that we encounter. But without the soul, which is our conscious self, we have no way of classifying this incoming information and relate them to our lives. Such catharsis happens as a result of the soul, which defines our personal identity. Our soul shapes our perspective, and helps us identify what behaviors and actions we should implement when faced with any situation in our lives. We compare what we are experiencing or what we want with other similar situations from our past and look for some residual pattern that can justify an action or behavior that we deem suitable as a response to that individual situation or experience. The body serves as the vessel that aides the soul by providing it a wealth of information, and the soul in turn helps the body navigate through the waters of life. By providing a link between individual versions of each one of us at different times of our lives, the soul theory most completely offers an explanation for personal identity. Personal identity is the notion that each one of us displays certain idiosyncratic traits or identifiers that exist only within ourselves. These identifiers differentiate us from those around us. Since the creation of these identifiers, which are in effect actions/behaviors and personality traits that we pick up through our life experience, is dependent on our conscious thinking during which we weigh the pros and cons of each action/behavior and trait in terms of their effectiveness to get us a desirable result in similar situations in the past, they cannot exist in the absence of a soul. Therefore, the soul theory is indispensible when thinking of personal identity.

Wednesday, November 13, 2019

The Stolen Child by W.B. Yeats Essay -- Stolen Child Poem Yeats Essays

The Stolen Child by W.B. Yeats   Ã‚  Ã‚  Ã‚  Ã‚  Ã¢â‚¬Å"The Stolen Child†, a poem by W.B. Yeats, can be analyzed on several levels. The poem is about a group of faeries that lure a child away from his home â€Å"to the waters and the wild†(chorus). On a more primary level the reader can see connections made between the faery world and freedom as well as a societal return to innocence. On a deeper and second level the reader can infer Yeats’ desire to see a unified Ireland of simpler times. The poem uses vivid imagery to establish both levels and leaves room for open interpretation especially with the contradictory last stanza.   Ã‚  Ã‚  Ã‚  Ã‚  Nature and the land of the faeries present images of freedom throughout the first three stanzas. â€Å"There lies a leafy island†(Stanza 1, Line 3) where the faeries live, which is presumably far away from the world of pain and â€Å"weeping†(chorus) that is reality. The image of an island is used to represent separation from the real world and the freedom that it creates for the faeries. In the second stanza the faeries are â€Å"mingling hands and glances†(Stanza 2, line 6) and leaping â€Å"to and fro†(Stanza 2, Line 8) presenting an image of youth and lack of restrictions. The faeries call the child away to â€Å"the waters and the wild†(chorus) in the chorus. Yeats use of the image water is symbolic of free flowing life. The â€Å"wild† represents the faeries ability to live a life unrestricted by society. The first three stanzas have strong Celtic references that lead the reader to be...