The Causes And Treatment Of Dialysis - 1280 Words

DIALYSIS Being one of the eight leading causes of death in the United States, kidney disease is very life threatening. Many people carry on day-to-day routines with no knowledge of the signs to be aware of when developing kidney failure. The two main causes of kidney failure are high blood pressure and diabetes. For people with kidney failure, options for treatment become dialysis or to receive a kidney transplant. Since the process for a kidney transplant could take years, many people choose to receive dialysis treatment. The process of dialysis serves as a substitute for the kidneys and clinically flushes the blood of any impurities. The process of dialysis evolved in the twentieth century. After watching a man die due to kidney failure, Dr. Willem Kolff (father of dialysis) discovered the first artificial kidney. In 1943, Dr. Kolff’s mission to invent the first artificial kidney was a success. During the era, of World War II, the artificial dialyzers helped save many soldier’s lives. Because of this great invention, many kidney patients were able to live longer which gave them a greater chance of survival. Because dialysis changed the life expectancy of the patients, many were able to receive transplants. The first kidney transplant was performed in the early 1950’s. Since this invention was created, many technological improvements have come along which is making it possible for the people effected by kidney disease to live long, meaningful lives. Acute renalShow MoreRelatedDiabetic Nephropathy : An Irreversible Kidney Failure843 Words   |  4 PagesDiabetic nephropathy, an irreversible kidney failure, continues to be the most common cause of end stage renal disease requiring either a kidney transplant or renal replacement therapies, such as dialysis (Bilous, 2013). Worldwide, approximately fifty percent of cases of end-stage chronic kidney disease are caused by diabetes mellitus, with type II comprising the majority (Vladu, 2014). The prevalence of diabetes has been estimated to increase worldwide with the total number of diabetics rising fromRead MoreResearch Study On Kidney Disease1433 Words   |  6 Pages15%. This does not end of your life. At stage 5, dialysis or kidney transplant is required to sustain life. (The Kidney Foundation of Canada, 2006) Table 1 The Five Stages of Chronic Kidney Disease as Defined by the National Kidney Foundation STAGE DESCRIPTION GFR (mL/min/1.73 m2) 1 Kidney damage with normal or ↑ GFR ≠¥ 90 2 Kidney damage with mild ↓GFR 60 - 89 3 Moderate ↓ GFR 30 – 59 4 Severe ↓ GFR 15 – 29 5 Kidney failure 15 or dialysis GFR, glomerular filtration rate. From National KidneyRead MoreDialysis Research Paper869 Words   |  4 PagesDialysis Dialysis is a treatment for those with end stage renal disease (ESRD). Damaged or diseased kidneys cannot remove toxins from the body. Dialysis removes the toxins and regulates the pH of the blood when the kidneys do not work. Side Effects of Peritoneal Dialysis (PD) and Hemodialysis: * Side effects may be mild or severe, depending on the patient’s condition and whether or not they are following their dietary and fluid restrictions. * Infections Exchanges between the cathetersRead MoreEssay On Haemodialysis917 Words   |  4 Pagesdistal limb ischemia and congestive heart failure (Potisek, KljuÄ evÃ… ¡ek Leskovar, 2017). Although AVF is most recommended for long-term dialysis, it also can be a potential source of morbidity. In 2016, Chapman, Nicdao and Kairaitis stated ESRF patients are already at significant risk of cardiovascular disease, besides low flow may lead to inadequate dialysis, high flow may result in heart failure in this population. In the critiqued article, a study was done by Ghonemy et al. (2016), it shows stenosisRead MorePatient Care Case Study1042 Words   |  5 PagesAdvocacy issue Dialysis clinics like DaVita and Fresenius, being the two largest for-profit corporations are fighting against a proposed Senate Bill No.349 (SB 349, 2017) that would necessitate dialysis clinics in California to have a mandated minimum staffing requirement. Furthermore, SB 349 (2017), as authored by Senator Ricardo Lara, would also require that dialysis clinics to provide patients with forty-five (45) minute transition time, and frequent inspection be done yearly instead of everyRead MoreTreatment And Treatment Of Dialysis Treatment1380 Words   |  6 Pagestherefore a process known as dialysis can be a life sustaining measure until a suitable donor is matched. Dialysis has been found to temporarily alleviate the condition, but only for an average of 5-10 years with some outliers of 20-30 years (Source 1). The incidence of dialysis users has been on the rise since 1978, with approximately 113,000 patients in the USA receiving dialysis as of 2009. There are two different types of dialysis treatment, hemodialysis and peritoneal dialysis. The table below illustratesRead MoreKidney677 Words   |  3 Pagesdifferent ways it can cause bone breakage; fluid overload causes pulmonary edema, congestive heart failure, anemia, and decrease in quality of life. The person I interviewed was a Chronic Renal Failure patient that has been on dialysis for about 4 years. 1. How would you rate your overall health? I.B. I have been fairly good I have good days and bad days but I am so tired after I go to dialysis it really drains me until all I do is sleep all day after the treatment. 2. What is your raceRead MoreSymptoms And Treatment Of Chronic Kidney Disease845 Words   |  4 Pagesless than 60 ml/min and has persisted longer than three months. The disease is irreversible and treatment must be maintained to preserve the quality of life. Management involves eliminating or controlling factors that may potentially cause additional damage to the kidneys. The leading cause of chronic kidney disease is diabetes mellitus, followed by untreated systemic hypertension. Less common causes include glomerulonephritis, cystic kidney disease, and urologic diseases. An age-related declineRead MoreHeparin In Central Venous Catheters1250 Words   |  5 Pagesvenous catheter (CVC) care; documentation will focus on Heparin flushes as it relates to renal care. The renal dialysis patient undergoes CVC placement as a basis of receiving hemodialysis treatments. It is essentially the first access point placed in preparation of a more permanent access point. Central venous catheters, fistulas, and grafts are considered the lifeline of a dialysis patient. Their function and patency is of the utmost importance to the morbidity and mortality rate of a renalRead MoreYour Kidneys during Acute Renal Failure1447 Words   |  6 Pagesin the blood and make you sick. Kidneys will not be able to maintain homeostasis of electrolytes. A high level of plasma pot assium, sodium concentration, and elevated pH will be evident as well. ARF can be arranged depending upon the underlying cause. Pre-renal is the disruption of flow to the glomerulus. Decrease flow to the afferent arterioles can severely affect the nephrons ability to perform its functions. This is due to an abrupt drop in blood flow because of massive vasoconstriction in relation

The Landlady Free Essays

1. 0 The Landlady Summary The story is about a traveler, Billy Weaver who had never been to Bath. As he tried to find a place to stay, a porter suggested him The Bell and Dragon. We will write a custom essay sample on The Landlady or any similar topic only for you Order Now As he walked down the road, a strange thing happened and he found himself ringing the bell of Bed and Breakfast. A woman was standing in front of the door with a warm welcoming smile. He agreed to stay for five and sixpence a night. The place was seldom visited but the landlady seemed to be ready for a visitor. She reminds him to sign the guestbook. When he jotted down his name and address on the page, there were only two familiar names above his and somehow he felt that both names were connected to each other. Billy felt weird when she described one of them for his non-blemish body. He founds to remember them in the headlines of newspaper for missing persons. He noticed that her eyes resting on his face the whole time. The old lady told him that she stuffed all her pets like what he saw earlier, the parrot and dachshund, in perfect shape as alive by herself when they died. . 0 Personal Response I find The Landlady to be a very interesting story. The storyline is well built. In my opinion, the writer is a genius as he managed to attract me to finish the story from the second I started reading it. The theme of the story is, do not judge a book by its cover. It means that there is always more than just meeting the eyes. In this story, the writer alters my first impressions of the landlady, from a kind lady to a psychopath, through a series of subtle twists and turns. The elements of horror within the story are not explicit but the set up of the story portrayed it excellently. I can tell that the genre of the book is mystery where some of the ingredients of a horror story are set in place like the cold and uneasy atmosphere. It makes me become more curious on what happens next throughout my reading. I have to work out what is really happening by considering a number of subtle hints given at various stages of the action such as why Billy is attracted so much to the Bed and Breakfast, what happened to the two other guests and what will happen to Billy. The main character of the story is The Landlady. She is about fifty years old. At first, she seemed to be a warm person, but gradually, I started to notice there was something fishy about her. At the end, I was surprised to found out that she was indeed a psychotic murderer. This is shown when Billy remembered the previous two names in the guest book of the boarding house, were once in the headlines of the newspaper for missing persons. I learned that we should not judge people only from their appearance and do not trust strangers. At the beginning, I thought that Billy Weaver was the main character. He is a seventeen-year-old traveler from London. He was very brave to travel alone without any proper planning to a completely strange place where he has never been to. One of the key pieces of advice to travel is to plan our journey well. The author leaves the ending of the story hanging to encourage readers to use their own imagination to solve the mystery. In my opinion, Billy will end up just like the previous guest of The Bed and Breakfast, being murdered and preserved. (401 words) How to cite The Landlady, Essay examples

Schedule Driven Project Free-Samples for Studetns-Myassignmenthelp

Question: Engineering projects are generally cost-driven, schedule-driven or a combination of both. Schedule driven projects have not been regarded highly by some project performance analysts. However, a large Design and Construct Contractor in Australia recently expressed the view that the key Driver for successful projects is that they be schedule driven and appropriately coordinated rather than be cost-driven. However, the references below infer that schedule driven projects may not be the way to go. Do you agree or disagree? Answer: The Large Australian design contractor is saying that the schedule driven project will play a significant part than cost driven project. But according to the research of Industry Benchmarking Consortium is suggesting that schedule driven project will not play a vital role as cost driven project (Merrow 2011). The reason behind this is schedule driven project will be incurring high costs, overrunning of cost and incident regarding safety. But according to me, I am with the Australias largest contractor. I think that schedule driven project will play a vital role and will be the key driver. The reasons to agree are stated as follows: Schedule Driven Project is a venture that is performed and overseen under the superseding limitation of time. The administration procedure of such a venture is chiefly in light of the last conveyance date. It really implies that time turns into the key condition for settling on venture administration choices (Frango 2017). Time booking will be the organized action among different exercises, (for example, staffing, planning, quality control and so on.) of the venture administration handle. A venture progresses toward becoming calendar driven when either the support (a man/association putting reserves in the venture) or the client (a man/association expected to utilize/devour the venture's item) decides time as the centre limitation of the usage procedure. The group is permitted to use however many assets as could be expected under the circumstances to execute the venture and make the item inside the coveted conveyance date. Schedule driven projects contrast from asset driver ventures. An asset driver extend has a tendency to expend assets in ideal way since accessibility, quality and amount of venture assets (work force, reserves, innovation and so on.) are viewed as the abrogating imperative. In this manner, the time term of such a venture can be extended as much as required until the venture stays inside the predominant limitation of assets. Schedule driven project provides benefits for managers in the following ways: Defining the Scope- The appropriate schedule template will help to provide good definition of project scope. Scheduling can be used as a primary tool by executives for determining the durations as well as task dependencies. It will help them in relating with the structure of work breakdown. The requirement of time for a job could be estimated accurately. Progress Review- The schedule template could be use effectively to share data related to time with team members as well as higher stakeholders. It helps in communicating and knows about work progress (Yaghootkar and Gil 2012). The project issues are been focused by the reviewers as well as the impact of schedule performance. Compliance with policies and procedures of business- Schedule driven project helps in realizing the objectives of business in a systematic way. It helps in aligning the projects along with procedures as well as policies of organisation. Executives have the option to use templates for complying with the activities of project with the required strategies. Creating schedules for programs- Program administration includes a few or more administrators in overseeing related undertakings running parallel. The test here is that the administrators need to precisely arrange and assign assets between the activities so as to keep arrangement with the whole program. Precise booking lets address the test by recognizing asset accessibility, synchronizing venture exercises and making a solitary calendar for the program. Asset bottlenecks as well as time requirements can be maintained a strategic distance from. Schedule Driven Project also provides benefit for the stakeholder as well as team in following ways: Communications flows in a streamline in between stakeholders when there is a development and of schedule. Establishing of effective streamline communications between the team and stakeholders exists. Allocation of resource: Numerous associations run parallel ventures, and for PMs it winds up plainly difficult to apportion resources to the undertakings and operations and to get ready for the pinnacles and troughs of day by day exercises. Extend plan format guarantees some bit of consistency around asset assignment; giving the administrators enhanced visualise into the request from their synchronous activities (Holler et al. 2014). Unexpected changes being managed- The group is secured against circumstances when the partners (the client or support) need to ask for a startling change that can't be obliged in the workplace without unnatural practices. The venture plan decides a correct course of events with particular activities that must be done, while any surprising change ought to be overseen in like manner all through the change administration handle (Kerzner 2013). Right Focus- When team is stuck in an important task at that schedule driving project provides a template that exhibits schedule of project. It helps the team to move on to the next part of project and therefore the work continues in a streamline path (Grau and Back 2015). The above stated advantages can make schedule driven project to be a significant driver. References Frango, R. (2017). Schedule Driven Projects | Project Controls - planning, scheduling, cost management and forensic analysis (Planning Planet). [online] Planningplanet.com. Available at: https://www.planningplanet.com/blog/schedule-driven-projects [Accessed 19 Apr. 2017]. Grau, D. and Back, W.E., 2015. Predictability Index: Novel Metric to Assess Cost and Schedule Performance.Journal of Construction Engineering and Management,141(12), p.04015043. Holler, R., Culling, I., Delwadia, R., Mamut, P., Crowe, M., Hanson, D., Boudreaux, P., Gilkerson, D., Farr, E. and Odenwelder, J., Versionone, Inc., 2014.Methods and systems for performing project schedule forecasting. U.S. Patent 8,875,088. Kerzner, H., 2013.Project management: a systems approach to planning, scheduling, and controlling. John Wiley Sons. Merrow, E.W., 2011.Industrial megaprojects: concepts, strategies, and practices for success(Vol. 8). Hoboken, NJ: Wiley. Yaghootkar, K. and Gil, N., 2012. The effects of schedule-driven project management in multi-project environments.International Journal of Project Management,30(1), pp.127-140.

Monopolistic competition as a market structure

A Monopolistic competition is a market structure which is identified through the large quantity of comparatively small firms with the products of the firms being similar with only a slight variation to differentiate them. Therefore, the similarity in products makes the firms that exist in a monopolistic competition to be very competitive.Advertising We will write a custom essay sample on Monopolistic competition as a market structure specifically for you for only $16.05 $11/page Learn More However, due to the fact that each of the firms has a slightly unique product compared to the rest of the firms, then each firm has a specific consumer and hence each of the firms maintains market control to a lesser extent. Examples of monopolistic competition include restaurants and clothing stores. Features of a Monopolistic competition There are basically four features that are used to identify a monopolistic competition. The first feature is the noticeable large a mount of small firms which leads to the production of comparable products which are however not alike in detail (Ison Wall, 2006). The mobility of a monopolistic competition is more or less excellent but it does not amount to the ideal resource which therefore makes it widespread but not perfect in comprehension of products to the consumer. Large Number of Small Firms In a monopolistically competition, almost every production business has a large number of small firms (Ison Wall, 2006). The size of each of the firms is comparatively small when compared to the extent of the market as a whole. This therefore means that all the active firms more or less compete against each other for consumer attention and since the firms are many and are all successful in producing the needed products, then each of the firms controls a small market share thus have limited control over the market price or the number of products in the market (Colander, 2008). Relative Resource Mobility Firms in a mon opolistic competition are free to go into or go out of a production business venture especially when compared with a perfect competition or a monopoly (Pindyck Rubinfeld, 2001). The rules governing the operation and the general business of the firms in a monopolistic competition are relatively few or none. Such firms are for the most part free of government interference, a standardized system, operational policy and are at liberty to raise their own capital and endure start-up costs without facing any stern obstructions from the government or other firms (Ison Wall, 2006). This therefore makes the firms less mobile in an ideal threshold especially when compared with the mobility of a perfect competition.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Extensive market Knowledge In monopolistic competition, consumers have reasonably comprehensive knowledge about the prices of different pro ducts as well as the fairly complete information regarding the subtle differences in the products for example color, brand names among others(Pindyck Rubinfeld, 2001). On the other hand, sellers of the products also have reasonably inclusive information in relation to production methods which affect prices and hence sellers are also aware of the prices of their competitors’ products (Pindyck Rubinfeld, 2001). Similar Products The firms in a monopolistically competitive market produce analogous products which are however not completely identical (Colander, 2008). This makes each of the firms and the products to aim at satisfying very similar basic want or need. Therefore, the products that are put into the market by these firms are near proxies and are very comparable but are nevertheless not perfect substitutes (Ison Wall, 2006). Even though the products might in actual sense have substitutes or slight physical differences, consumers of the products are the only ones who m ight perceive them to be different because the similarities between the products are usually more than the differences (Pindyck Rubinfeld, 2001). Therefore, firms in a monopolistically competition at any given moment have a great number of potential competitors since the products are usually almost the same and at the same time have a great number of potential consumers who are currently buying the competitors’ products. Reason why monopolistic competitive firms can only make normal profits in the long term A firm in a monopolistic competition increases on the profit by opting for the output that creates the maximum difference between the total income line and the total cost line. However, over the long run, a firm produces less output and charges a higher price which is even greater than its marginal cost (Pindyck Rubinfeld, 2001). The difference in price and marginal cost effectively goes against the vital order of efficiency because income is not being utilized to create the utmost level of consumer satisfaction. The graphs in Figure 1.1 represents the trends of such;Advertising We will write a custom essay sample on Monopolistic competition as a market structure specifically for you for only $16.05 $11/page Learn More Fig 1.1: Marginal Revenue Curve and Operational Barrier Curve by (Chamberlin, E. 1999). TC= Total Cost TR= Total Revenue This leads to inefficiency which is basically caused by the minimal market control monopolistically competitive firms have over the overall market, and hence most of the firms experience a negatively-sloped demand curves where price is greater than marginal revenue where the price is placed equivalent to marginal cost in order to maximize profit (Figure 2). Therefore, as firms continue to receive income through sales, the income is translated into production in order to produce more goods of higher quality to satisfy the market needs (Ison Wall, 2006). Furthermore, monopolistic compe titive firms can only make normal profits in the long term because they only control a small portion of the market which cannot be expanded due to the presence of several competitors (Colander, 2008). If the firm were to produce superior quality goods, then the cost of production would be at a similar ratio to the percentage sales hence the profits will be normal in the long run.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Conclusion A Monopolistic competition is the toughest yet most common market structure due to its relatively unregulated mode of operation. It is also quite simple to establish a firm in a monopolistic competition as compared to other market structures. Firms that operate in a Monopolistic competition each have a small portion of the market in their control and hence due to the dissimilarity in product, neither of the firms has control of the price of the products hence the price becomes market driven. References Chamberlin, E. (1999). A Supplementary Bibliography on Monopolistic Competition. The Quarterly Journal of Economics, Vol. 75, No. 28, pp. 629-638. Colander, D. (2008) Microeconomics. 7th Ed. London: McGraw-Hill. Ison, S. and Wall, S. (2006) Economics. 4th Ed. New York: Financial Times in assoc with Prentice Hall. Pindyck, R Rubinfeld, D. (2001) Microeconomics. 5th Ed. New York: Prentice-Hall. This essay on Monopolistic competition as a market structure was written and submitted by user Mae M. 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.