Thursday, December 26, 2019

Urology and Transplantation Nephro-urology patients...

This prospective study was carried out at nephrology unit of Sindh Institute of Urology and Transplantation (SIUT) Pakistan, from November 2012 to May 2013. SIUT is a big tertiary care center for nephro-urology patients. All adult patients with known underlying diabetes presenting with suspected acute renal failure in the setting of recognizable acute insult were included in the study. For the purpose of this study ARF was considered A) Definite: when 1. Diabetic patients with known baseline creatinine experienced ≠¥ 50% increase in serum creatinine during acute illness requiring hospitalization. 2. When baseline values were not available ARF was considered to be present at the end of six weeks if †¢ Patient requiring dialysis became†¦show more content†¦Renal biopsy was performed in selected patients in whom no cause of renal failure was established. All patients were followed for a period of six weeks. The outcome of the patients who were followed up was recorded under three categories. 1. Recovered. †¢ Renal functions return to baseline with/without dialysis. †¢ ≠¥ 50% reduction in serum creatinine from the admission value. †¢ Patients requiring dialysis become dialysis free. 2. Dialysis dependent. 3. Died, despite all of above. All the data was recorded in the pre-designed proforma and entered in SPSS 10 and analyzed for frequencies of the variables. Results: A total of 95 patients (58 males and 37 females) with suspected ARF were enrolled during this period, 77 patients (81%) had definite ARF and 18 patients (18.94%) had probable ARF. Three patients subsequently lost to follow up, were excluded from outcome analysis. Age of the patients ranged from 32 to 80 years [mean age= 56.5  ± 10.8s.d]. Duration of diabetes varied among these patients [mean 9.1 years  ± 6.5s.d.] but in 46 patients (48.2%), duration was ≠¥ 10 years. Majority of the patients had more than one comorbidity, particularly hypertension 67 (70.5%) and ischemic heart disease 26 (27.4%). 21 (22.1%) were smokers. Out of 67 hypertensive patients, only 42 (62.6%) were taking antihypertensive medicines. 21 (50%) were taking Angiotensin converting enzyme inhibitors (ACEI) or Angiotensin receptor blockers (ARB) alone orShow MoreRelatedOrganization Structure of Yashoda Hospital5398 Words   |  22 Pages 5 4. Procedure for Patient Admission 7 5. Summary of Departments visited 9 6. Medical Records Department 10 7. Medical Laboratory 13 8. Credit and Billing Department 15 9. Rajiv Arogyashree Health Insurance Scheme 17 10. Human Resources Department 18 11. Conclusions 20 12. Recommendations 21 INTRODUCTION Hospitals are very important for health care and providing patient treatment by specialized staff

Wednesday, December 18, 2019

Manjula Padmanabhans Harvest a Study - 2518 Words

Manjula Padmanabhan’s Harvest: a Study The author Manjula Padmanabhan (b. 1953) is best known as a journalist, illustrator, cartoonist, and author of children’s books and short stories. She became a celebrity when her fifth play, Harvest (written in 1996; published in 1997), won the first prize in the first Onassis International Cultural Competitions for Theatrical Plays in 1997. The characters In the play the themes of economic exploitation, reification (=commodification) and acculturation are presented through the mercantile as well as surgical metaphor of body-parts transplantation. The Donors and the Receivers in the play represent the natives of the Third World and the First World respectively. Om, his wife Jaya, and Om’s†¦show more content†¦The chief attraction for Virgil is of Jaya because she is the only person in that house capable of procreation and genuine emotion. There is a passing reference to a seer’s prediction that she would never become a mother. As prophecies are often equivocal, the curse on Jaya may be in fact indicative of her husband’s impotence. The illicit relationship with her brother-in-law must be seen as the manifestation of her irrepressible yearning to become a mother. Though her mother-in-law always finds fault with her sexual transgressions, she is the only character in the play who is true to herself. She desperately protests against the encroachment of colonial coercion and urban mechanization that enter in the form of the Guards and Agents. Her thirst for motherhood remains unquenched by the sham finger-play of her pitying brother-in-law. She is the only person who stands her ground in spite of the devious argumentations and warnings of Virgil. And she alone is fully conscious of the present condition: â€Å"It is not really a life any more. We’re just spare parts in someone else’s garage –† (34T). Ma Indumati Prakash, the mother of Om and Jeetu, represents the older generation, preoccupied with the petty concerns of their narrow world. Her self-centeredness matches that of Virgil, both being old and preying upon the young for the purpose of seeking pleasure at the personal level. Though Ma is vociferous

Monday, December 9, 2019

Is Downloading Movies and TV a Crime

Question: Write essay on "Is Downloading Movies and TV a Crime". Answer: Many people have had the perception that purchasing a movie or a TV films is expensive and they settle on downloading them from the internet sites. It is quite unfortunate that some people see it as normal contrary to my personal theory. Similarly, sneaking into cinemas because one is opt comfortable with the prices is not ethical. There are certain things that are done over the internet hat seem to be against the ethics of computing that calls for the matter to be looked into and consequences defined. Copyright ethical theory When people go ahead and download a movie or any TV episode from the internet, they are acting against the copyright and at the same time acting against the civil and internet ethic. In the state of Australia, the government has come up with a measure to limit the downloading of the copyright items that has been aimed at encouraging people to buy legitimate content as the copyright owners could as well gain some additional revenue in the process. Considering that there will be no additional costs, it will come as a pure benefit direct to the bottom line. When these laws will be implemented, it will be to the benefit of the owners and also to the entire economy as they will be paying more taxes, spending more on lavish parties and also utilizing the cash generated around the global economy (Peterson, 2013). The government assumes that whenever the owners to the copyright pay the taxes, or they employ individuals who pay taxes, the money will be revolving around the government of Austr alia. A question that lives to ne asked is why the internet service providers have to help out for free. It thus appear that their services is never offered freely as those who dont use the internet will be paying more for the interne t connections to substitute for the unpaid police force for the copyright owners (Miller, 2013). Civil rights ethical theory In the normal society, when you infringe another persons civil right, they can sue you or the damages that comes as a result of the breach of their rights. It is though inconvenient for the copyright owners who will, in this case, have to sue a lot of people for little bits of money. It thus appears to be much easier for them to be going after the choke points like the internet service providers making them to do the hard work and even more better, to pay for the services too (Scott, 2016). It came as a big blow when the courts never sided with them. The high court was not for their opinion as the ISPs are offering the internet connection that allows one to run adversely with the download. The internet providers are not too keen to monitor the traffic if their users at the customers own request without any actual evidence that something was up (EmenyoÃÅ'Â ²nu, 2004). However, in as much as an association that owns a copy right would make you believe that downloading movies and TV contents is theft. Others believe otherwise, reason thereby being that theft is permanently depriving the owner of their possession such as stealing a movie DVD from a shop. Therefore, the shopkeeper is not able to sell it to someone else and by downloading an episode without paying for its cost you only infringe the copyright and constraining a civil wrong and you not stopping the owners from selling another copy of the same episode to a paying client (Hunnewell, 2008). One can log into as many websites as they wish to watch a TV series or see latest film penniless and though they feel that free contents are good to be true, they hunch to be almost unquestionably correct but in real sense websites that offer free streaming of programs are illegal. Streaming gives rights to users to view contents whenever they please and without having to download and store the illegal f iles (Langford, 2000). Recommendations To help curb the problem of online infringement, it would be wise for the government to look into the copyright and make some necessary amendment and make it a law that not only stops individuals insisting on downloading illegal content from overseas website, the law should give the rightful property owner such as movie companies the power to launch cases to court to push an ISP make reasonable ways to block permission to an overseas website. The increasingly alarming rate of pricy would mean that film and television drama industry would end up shutting down and so to mitigate on this issue, it is recommended that websites run by criminals who tend to receive advertising money while facilitating theft should be blocked by the Internet Service Provider website and paying for content is the only way for the survival of the content creation (Shaw, 2012). An ISP should try and come up with initiative and rational procedures to filter websites from its customers permissions and this can be found with ease using a search engine. There should be an IP commission so as to create awareness to the members of the public about the effects of piracy as well as encouraging respect for copyright and also encouraging shee self-interest for the audience to develop to make sure that the economic cycle creating good and new material is accounted for by paying for it (Fumerton Jeske, 2010). Conclusion It is not the right kind of notion that if a TV show, movie of an album is too expensive for one to purchase that gives them the mandate to download them for free. Just like the way it is not right sneaking into a cinema or a gig when the ticket price is not favorable. So to help limit the infringement of copyright apparently intended to encourage people to buy only legitimate content, the government should extend a helping hand to the copyright owners to generate a lot of extra revenue which will see the rest of the economy increasingly growing as they and their employees pay more tax, devote more on extravagant parties and generally thrust the cash around the global economy. References EmenyoÃÅ'Â ²nu, E. (2004).The master artist: Critical perspectives on Achebe's fiction. Trenton NJ: Africa World Press. Fumerton, R. A., Jeske, D. (2010).Introducing philosophy through film: Key texts, discussion, and film selections. Hunnewell, L. (2008).Internet piracy. Edina, Minn: ABDO Pub. Co. Langford, D. (2000).Internet ethics. Basingstoke, Hampshire [u.a.: Macmillan Press. Miller, J. (2013).Film and ethics: What would you have done? Newcastle upon Tyne, UK : Peterson, M. (2013).The dimensions of consequentialism: Ethics, equality, and risk. Shaw, D. (2012).Morality and the movies: Reading ethics through film. New York: Continuum.

Monday, December 2, 2019

Moby Essays (261 words) - Moby-Dick, Queequeg, Ishmael, Moby Dick

Moby Dick Symbolism Queequeg is getting very sick and is near death so he orders the ships carpenter to make him a coffin with a lid, in the shape of a canoe. Once the coffin/ canoe is finished Queequeg decides to live and turn the canoe/ coffin (because it is both) into a sea chest. During the next few weeks Queequeg carves little figures and symbols in the coffin/ canoe/ sea chest thus turning it in to a coffin/ canoe/ sea chest/ work of art. In the epilogue Ishmael floats in this coffin/ canoe/ sea chest/ work of art turning it in to a coffin/ canoe/ sea chest/ work of art/ life buoy. This object has so many titles and objectives it also symbolizes so many different things. As a coffin it can symbolize death, as a canoe/ coffin it can symbolize the journey to a final resting-place. The "...grotesque figures and drawings." (290) could symbolize events in Queequeg's life. When this object that was originally intended to be Queequeg's final resting-place "shot lengthwise from the sea, fell over, and floated..."(577) it transformed into a life buoy that could now represent life for Ishmael. Many things in Moby Dick have many meanings or could possibly symbolize many things that there is no way of knowing what any one thing or any chain of events for that matter could symbolize. For all we know there could be absolutely no symbolism in this book, Herman Melville could have just written this book with out even thinking about or trying to make anything symbolize hope, death, Satan or anything for that matter. Symbolism (like beauty) is in the eye of the beholder.