Literature Review Complicated Appendicitis Essay

LITERATURE REVIEW COMPLICATED APPENDICITIS BACKGROUND ON COMPLICATED APPENDICITIS Appendicitis occurs due to several reasons like hyperplasia of the lymphoid, bacterial/viral infection but major cause being as a result of obstruction of appendicle lumen by a faecolith (1). if not managed in time or misdiagnosed it progresses to Complicated appendicitis in form of perforation, peritonitis, formation of phlegmon and abscess and even mortality(2)(3),especially in children the rate of complication has been reported to be very high . Perforation is defined as a hole in the appendix or a faecolith in the abdomen(4) while appendicular mass develops due to walled off perforation which causes a mass when it localizes(forsyth j) and furthers to adjacent viscera and greater omentum and forms a phlegmon (5).below are images of a perforation and a faecolith . A- Hole in the appendix B- Fecalith in abdomen Anatomy Vermiform of the appendix is approximately 5-10cm with its location at the right lower quadrant at the end of the cecum. Although being having its base at the cecum it can have abnormal positions like retroperitoneal, pelvic, extra peritoneal thus leading to different symptoms Pathophysiology Its reported that due to obstruction of the lumen of appendix, it results to intraluminal pressure concurrently bacteria in the appendix multiply causing white blood cells recruitment, pus formation and increased intraluminal pressure, if there is persistence of the obstruction itShow MoreRelatedClinical And Holistic Personal Health Factors Within An Emergency Nursing Framework3362 Words   |  14 Pageswoman with acute abdominal pain requiring emergency assessment, and the subsequent diagnosis of acute appendicitis leading to surgical intervention. The aim of this paper is to explore the patient’s relevant presentation, clinical and holistic personal health factors within an emergency nursing framework. Two key areas of care will be identified to critique and examine in detail: acute appendicitis as an immediate concern, and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) and proton-pumpRead MoreClinical Problem Solving And The Division Of Infectious Disease 2961 Words   |  12 Pagestreated empirically with intravenous ceftriaxone. Gram negative bacilli are unlikely to be a contaminant; the main consideration is whether or not these gram negative bacilli come from a more ?routine? source (e.g., pyelonephritis, cholangitis, appendicitis) or were acquired during her overseas travel. Thus far, none of her physical exam findings or laboratory studies suggest a routine cause. She travelled in areas endemic for melioidosis which may present with sepsis and bacteremia without localizing

Quotes Examples In Beowulf - 769 Words

Burton Raffel wrote a heroic poem called ‘Beowulf’. Beowulf is a heroic poem about Good versus Evil and Beowulf is the hero. In the heroic poem, Beowulf’s wyrd (fate) is to defeat monsters and save lives and with that brings lof (fame), sometimes to believe in yourself you got to have others to believe in you too, Beowulf and Wiglaf have a comitatus thats hard to break. In fact lof is important to Beowulf’s culture because, it shows strength, bravery and success. One of the any quotes to show how lof is important to Beowulf is â€Å" Then old and young rejoiced, turn back from that happy pilgrimage, mounted their hard-hooved horses, high- stallions, and rode them slowly toward Herot again, retailing Beowulfs bravery as they jogged†¦show more content†¦But within one heart sorrow welled up: and a man of worth the claims of kinship cannot be denied. His name was wiglaf, a son of weohstan’s, a well-regarded Shylfing warrior related to Aelfhere .(744-754).† This quote shows that Beowulfs strength and loyalty to himself, the Geats, and the Danes brings companionship and loyalty from others to himself, and because of that he has one person that is willing to help out of a whole army. This proves that a little loyalty can go a long way especially when others or yourself need it. Another thing that is important to Beowulfs culture is wyrd which means fate, fate is important and Beowulfs culture because according to Beowulfs beliefs fate controls the events in the world. A quote supporting this is, â€Å" I wont shift a foot when I meet the cave-guard: what occurs on the wall between the two of us will turn out as fate, overseer of men, decides. (674-677).† This shows that no matter what Beowulf is about to go through he believes in his fate and whatever happens will happen because its supposed to. Another quote to show how word has an importance to Beowulfs culture is, â€Å" Unyielding, the Lord of his people lo omed by his tall shield, sure of his ground, while the serpent looped and unleashed itself. Swaddled in flames, it came gliding and flexing and racing towards its fate. (716-720).† This quote shows that everyone has a fate no matter their role in the life, noShow MoreRelatedBeowulf the Hero1005 Words   |  5 PagesBeowulf The Hero â€Å"†¦ A fiend out of hell†(Heaney 100). These words describe the monster Grendel, who is truly an evil entity. Only an epic hero with strength, courage and confidence is able to defeat this mighty foe. This hero’s name is Beowulf. He displays all of these throughout the epic. Beowulf’s first epic hero trait is confidence. Beowulf displays confidence when he talked to Unferth in the great hall Heorot. Beowulf said, â€Å"†¦but he will find me different. I will show him how Geats shapeRead MoreBeowulf : The Epic Of Beowulf1027 Words   |  5 Pages To begin, Beowulf the poem has a unknown author, Beowulf is an epic poem. In Beowulf he is challenged by the murderous monster Grendel, Grendel is eating and slaughtering Hrothgar the King of the Danes men and people, the king needs Beowulf s help in defeating Grendel, Beowulf ends up killing the monster and is now tormented by the monster s mother that is much larger, she is no match for Beowulf and he kills her as well, lastly it is Beowulf’s last battle after he has been king of Geatland forRead MoreIs Beowulf A Hero, Brave, Or Selfless?721 Words   |  3 Pageswould dare to face. Because of this, Beowulf is recognized as a boasting person, brave, and selfless; and rightfully so. With every hero comes accomplishments that they want others to know about. In other words, Beowulf blurts out his personal resume to show others that he is the bravest man alive. Beowulf has done many things throughout his life; things that no other soul could successfully challenge or defeat. An example of his boasting tendencies is the quote, All of that race from the earth. IRead MoreTheme Of Violence In Beowulf844 Words   |  4 Pageshave used violence as a way to resolve issues since ancient times. The poem â€Å"Beowulf† was written between the eighth and eleventh century by an anonymous author. The poem recounts the story of a brave warrior, named Beowulf, who battles three great monsters. Two of the monsters, Grendel and Grendel’s Mother, terrorize the people of Daneland and the third monster, the Dragon, lives in Beowulfs homeland. The epic poem â€Å"Beowulf† illustrates and normalizes the idea of violence within the Pagan WarriorRead MoreBeowulf, An Anglo Saxon Epic Poem1316 Words   |  6 PagesBeowulf, an Anglo-Saxon epic poem, contains several rhetorical strategies. The poem follows the life of a noble warrior named Beowulf while he quests to live up to his father’s name. In the poem, Beowulf overcame many obstacles primarily those of which involved battling supernatural creatures. Epic poems were generally written during the Anglo-Saxon era. They are commonly written in an elevated style in order to glorify the deeds of a legendary hero or god. Literary works during the Anglo-Saxon eraRead MoreImportant Values In Beowulf772 Words   |  4 PagesThe poem of Beowulf is an epic poem written by an unknown author. Beowulf is about a strong, mighty man who fought monstrous monsters to protect the people of Geats and later he succeed the throne. The three things that are important to Beowulf’s culture are Lof, Comitatus, and Wyrd, these three important value show Beowulf’s appearance as a great warrior. First, Log is an important value of Beowulf’s culture, because his father Edgetho carried Lof when he was a great warrior before he died, theRead MoreHeroes In The Story Of Beowulf And Grendel1252 Words   |  6 Pagesâ€Å"I think a hero is any person really intent on making this a better place for all people.†-Maya Angelou. This quote is very relevant throughout the stories of Beowulf and Grendel. What does it take to be a hero? What type of people are usually heroes? What qualifies anyone to be a hero? These are just a few of the many questions that need to be kept in mind when trying to determine what makes a person a hero. Usually, when people think of the word â€Å"hero† it has a positive connotation, and is oftenRead MoreDefinition Of A Modern Hero In Beowulf744 Words   |  3 Pagesgood example of an Anglo-Saxon hero is Beowulf, he travelled to Denmark with a group of warriors to fight a monster named Grendel that was terrorizing a city, he also killed Grendel’s mother and a dragon to save the people in the city. He may seem like a modern hero, he’s saving the people in danger, he shows leadership, and has the bravery to do so, but there are distinct differences between the Anglo-Saxon hero and a modern hero and those differences also show up in Beowulf. In short, Beowulf doesRead MoreEssay about Comparing Beowulf and Froto Baggins979 Words   |  4 Pagesmany concepts found in the poem, Beowulf. Beowulf is an ancient English story of the king of the Geats, Beowulf. Beowulf is a superhuman King that’s fights magical creatures in hope of being remembered. In â€Å"Lord of the Rings†, A young hobbit, Frodo, is given the great responsibility of protecting an evil ring until it can be destroyed. Because Tolkein was a Beowulf scholar, elements of Beowulf are depicted in â€Å"Lord of the Rings†. Both protagonists, Frodo and Beowulf, are similar by how they receiveRead MoreBeowulf : An Epic Hero978 W ords   |  4 Pages Beowulf is a character that exudes the qualities of an epic hero. Throughout this epic, Beowulf is seen as a hero to many and a major threat to the evils he encounters. The values of the Anglo-Saxons, who would have read and admired this poem, included loyalty, bravery, and honor. Beowulf’s character exemplifies all of these qualities to the highest degree. The values and traditions of the original composers of this story cause Beowulf’s character to be the perfect example of an Anglo-Saxon

Nanjing Massacre Free Essays

Genocide Research Project Questions and Instructions Research Reminders * Each student must answer all questions. * Record references for all information used to answer the questions. (copy and paste to a word document or save to your H: drive or print a copy) * Only research will be conducted today. We will write a custom essay sample on Nanjing Massacre or any similar topic only for you Order Now You will not work on your presentation until all research is completed. * You must get information from 9 sources, most from Galileo. * In Galileo, select History References and Full Text. Enter your country and genocide as search terms. You will have to READ the articles to find information. Write the answers, cut and paste, or type into your word document with a reference to the source. * Use the citation option to get the APA citation for the source. Copy and paste into your word document. All questions must be answered with correct source citations by the end of class. This assignment will count as a quiz grade. You can access the word document on Edmodo or Ms. Youse’s webpage. Open it and save it to your H: drive before you begin your research. Name _______________ Date ___________ Period______ Country___________ Research Questions, Answers, and Sources 1. What historical, cultural, social events led to this particular case of genocide? In December 1937, the then-Chinese capital of Nanjing fell to the Imperial Japanese Army (IJA). China, under the control of the Nationalist government (the KMT), had been engaged in full-scale conflict with Japan since July of that year in what is known as the Second Sino-Japanese War (1937–1945). During 1937, Japanese forces captured several major Chinese cities, including Shanghai, whose taking enabled the invading army to advance on the capital. By the time the IJA entered an already-bombarded Nanjing on December 13, the KMT had withdrawn its army, leaving the city officially defenceless. Source: Kinney, D. (2012). Rediscovering a massacre: The filmic legacy of Iris Chang’s The Rape of Nanking. Continuum: Journal Of Media ; Cultural Studies, 26(1), 11-23. doi:10. 1080/10304312. 2012. 630136 2. Where did this genocide occur? Identify a specific place and its relative location on the planet. Nanjing (nan? jing? ) or Nanking (nan? king? ) [southern capital], city (1994 est. pop. 2,224,200), capital of Jiangsu prov. E central China, in a bend of the Chang (Yangtze) River. It has served at times in the past as capital of China. The second largest city in the region (after Shanghai), Source: Nanjing. (2013). Columbia Electronic Encyclopedia, 6th Edition, 1. 3. When did this case of genocide occur? How long did it last? The events that ensued over six weeks – including mass rape and killing of both civilians and disar med military personnel – are known collectively as the Nanjing Massacre. Its death toll remains hotly disputed particularly among Japanese historians, though the official Chinese estimate is 300,000. Source: Kinney, D. (2012). Rediscovering a massacre: The filmic legacy of Iris Chang’s The Rape of Nanking. Continuum: Journal Of Media Cultural Studies, 26(1), 11-23. doi:10. 1080/10304312. 2012. 630136 4. What are/were the targeted races, ethnicities, tribes, or religions? On December 13, 1937, the invading Japanese army captured Nanking and ruthlessly butchered Chinese disarmed soldiers and civilians, madly looted Chinese properties, and indulgently torched down private and public buildings. However, the most heinous of all was their shameless, cruel rape of Chinese women. An eyewitness, H. J. Timperley, a reporter of the â€Å"Manchester Guardian,† said in his book that the desecrated Nanking was â€Å"an earthly hell. † Source: Hu, H. W. (1992). Don’t forget the Chinese Women under the Rape of Nanking. Chinese American Forum, 7(4), 20-23 5. Provide relevant background information about the region and the conflict. Nanjing is at the intersection of three major railroad lines. Industry, which once centered around nankeen cloth (unbleached cotton goods), was vigorously developed under the Communist government. The city now has an integrated iron-steel complex, an oil refinery, food-processing establishments, and hundreds of plants making chemicals, textiles, cement, fertilizers, machinery, weapons, electronic equipment, optical instruments, photographic equipment, and trucks. Nanjing has long been celebrated as a literary and political center. It was the capital of China from the 3d to 6th cent. A. D. and again from 1368 to 1421. The Treaty of Nanjing, signed in 1842 at the end of the Opium War, opened China to foreign trade. During the Taiping Rebellion insurgents held the city from 1853 to 1864. It was captured by the revolutionists in 1911, and in 1912 it became the capital of China’s first president, Sun Yat-sen. When in 1927 the city fell to the Communists, the foreign residents fled to the protection of British and American warships on the Chang River. The Kuomintang under Chiang Kai-shek retook the city, and it became (1928) the regular Nationalist capital. In 1932, when the Japanese were threatening to attack the city, the government was temporarily removed to Luoyang, and on Nov. 21, 1937, just before Nanjing fell to the Japanese, it was moved to Chongqing. The Japanese entry into the city, accompanied by widespread killing and brutality, became known as the rape of Nanking. Source: Nanjing. (2013). Reloaded Content, 1. 6. Name all of the groups involved in the conflict. Describe each group. Source: 7. What were the major and the underlying causes of the genocide? What do the perpetrators of the genocide hope to accomplish? Source: 8. Was there an event that â€Å"sparked† the killings? (for example, the President’s plane crash in Rwanda) If so, what was the inciting incident? Source: 9. What occurred during the genocide? A. Who was targeted and why? B. Who did the killing? C. What methods were used? D. How long did it last? E. How many people were killed? Source: 10. How did the genocide end? Source: 11. Was there any involvement from the international community (individual countries or the United Nations)? If so, what? If not, why? Source: 12. What were/are the lasting effects of the genocide? Some questions to consider are? A. What was the country/region like directly after the genocide? B. What is the country/region like today? C. Are there still tensions between the groups involved? Source: How to cite Nanjing Massacre, Essay examples