Informative essay on obesity and weight loss surgery Essay

Weight loss surgery or ‘bariatric surgery’ are procedures which change the manner in which the digestive system functions, helping to limit the food consumed and in this way lower the weight of the individual along with lowering the risk of associated medical problems (NIDDK 2009). In certain cases, bariatric surgery also interferes with the manner in which nutrition is absorbed into the body. Individuals who undergo bariatric surgery may also have to ensure certain changes in their lifestyle such as regular exercise, dietary changes and avoiding certain other risks. One of the most frequently performed bariatric surgeries is gastric bypass in the US. Compared to other bariatric surgeries, gastric bypass is much safer, has lesser complications and can provide long-term results. However, there are also certain risks associated with the procedure, along with changes in diet, lifestyle and behavior. A lot depends on the patient for the success of the treatment (Mayo Clinic Staff 2009). Indication Gastric bypass surgery is required in obese and overweight individuals who are unable to reduce their weight through diet and physical activities. As the BMI ratio is between 35 and 39 (obesity) and above 40 (severe obesity), the health related risks are higher and the individual can be affected with diabetes, hypertension, heart disorders, etc. However, gastric bypass surgery may not only be required alone, but along with it, exercise, dietary changes and lifestyle changes to ensure that the results of the gastric bypass are satisfactory (Mayo Clinic Staff 2009). Bariatric surgery can also be performed if other methods of conservative treatment fail for obesity. The patient has to be properly informed about the details of the procedure, along with the benefits, risks and alternatives, so that an informed decision can be made (Medline Plus, 2010). The patient would have to give an informed consent for the procedure. The patient should also be committed to lifelong changes with diet, physical activity, behavior, medical monitoring and medication therapy. Insurance would be applicable for Bariatric surgery only if it has been medically indicated due to an obesity related cause, rather than cosmetic. Bariatric surgery may be indicated for adolescents only if other conventional methods have failed for about 6 months. Newer studies have demonstrated that gastric bypass may actually be ideal for adolescent obesity (NIDDK 2010). Procedure The entire procedure is done under general anesthesia, and the patient would require preparing for tests, dietary changes, X-rays (for planning the surgery), medications and hospitalization (Mayo Clinic Staff 2009). In the US, 4 types gastric bypass are performed. These include biliopancreatic diversion with a duodenal switch (BPD-DS), Roux-en-Y gastric bypass (RYGB), adjustable gastric band (AGB), and vertical sleeve gastrectomy (VSG). AGB involves placing a band around the top portion of the stomach to reduce the size of the stomach pouch to ensure that the food intake is reduced. In RGYB, involves placing a gastric band and also by bypassing the food directly from the pouch to the small intestine. In BPD-DS, a large portion of the stomach is removed, bypassing the food from the stomach to the small intestine and re-routing the bile and digestive tract juices, so that food is not absorbed and digested properly. In VSG, a portion of the stomach is reduced to ensure that the quantity of food consumed is reduced (NIDDK 2009). After the procedure, the individual should not consume anything for the next 24 hours. Following this, a special diet needs to be consumed, which includes liquids, soft foods and slow progress towards solid food. Following this, the indvidiaul needs to consume reduced quantity of food. There may be certain side-effects of the procedure (Mayo Clinic Staff 2009). Results Weight loss surgeries basically work by reducing the amount of food being consumed or the amount of food being digested. Some surgeries bypass a majority of the food consumed resulting in reduced amount of absorption of nutrients. Along with dietary and lifestyle changes, loss of body weight can be achieved. However, there are also a few risks associated with weight loss surgeries. The individual may lose about 50 to 60 % of the excess body weight within 2 years of the surgery. However, exercises, lifestyle changes and diet need to be included in the plan (Mayo Clinic Staff 2009). The risk of several health disorders such as diabetes, hypertension, sleep apnea, heart disease, infections, and cancer can be reduced (Daniel Jones, 2010). Complications In recent years with improvement in the surgical technique, there has been a reduction in the rate of complications from the year 2006, by about 21%. The rate of readmissions has also been under a decrease (NIDDK 2009). Some of the early complications related to gastric bypass include bleeding, infection, leakage of intestine, damage to the intestines, heart attacks, blood clots in the legs, emboli, etc. The other complications that can develop include malnutrition, (such as beri beri, pellagra, etc), strictures, hernias (includes internal hernias and intestinal hernias), pneumonia, nausea, vomiting, hypoglycemia, gallstones, kidney stones, dehydration, etc. If the contents from the stomach move very quickly, it can result in dumping syndrome causing nausea, vomiting and diarrhea. In patients with poor general health and with serious medical conditions, fatal outcomes may be a risk, but very rare (Mayo Clinic Staff 2009). In some patients further surgery may be required (Daniel Jones, 2010).

Free Essays on Ego-Boundary Thinking

to explain things that displease you. But I do hear things, under cover of darkness, what our country says in grief for this girl: that no one is more innocent, no death more awful, no deeds more noble than hers†¦Ã¢â‚¬ (833-839) But King Creon is so stubborn and proud that he fails to realize what his son is saying. Instead Creon is focusing on the image he must portray to keep order in his kingdom, his is not about to allow a woman to disobey a law and get away Scot-free. This single-mindedness is what makes Exterior-Thinking so bad, people get so focused on what the outside world will think of them when the make decisions. King Creon thinks that his kingdom will think that he is weak if he doesn’t punish Antigone. What he doesn’t realize is that his people sympathize with Antigone and if Creon were to let her go the people would think more highly of him. Haimon comes back to his father to make a second plea for Antigone’s life. He reminds his father of his love ... Free Essays on Ego-Boundary Thinking Free Essays on Ego-Boundary Thinking Part 1 Ego-Boundary is a form of thought that combines an individual’s moral view with his/her view of the outside world. This combination allows the individual to make uninfluenced decisions. I believe that Ego-Boundary thinking allows you the freedom to slip back and forth from both Interior-Thinking and Exterior thinking. It is hard to limit yourself to one particular type of thinking because every situation calls for a different reaction. Using a balanced approach allows the individual the opportunity to avoid being heavily influenced by a particular way of thinking. Haimon is able to balance his personal feelings for Antigone (Interior thinking) and the voice of the people (Exterior thinking) In Antigone, Haimon uses Ego-Boundary thinking to try and convince his dad, King Creon, that he is wrong to punish Antigone. He tries to convey to Creon what the people are saying: â€Å"Because, for the common man, your gaze is terrible. He can’t find words to explain things that displease you. But I do hear things, under cover of darkness, what our country says in grief for this girl: that no one is more innocent, no death more awful, no deeds more noble than hers†¦Ã¢â‚¬ (833-839) But King Creon is so stubborn and proud that he fails to realize what his son is saying. Instead Creon is focusing on the image he must portray to keep order in his kingdom, his is not about to allow a woman to disobey a law and get away Scot-free. This single-mindedness is what makes Exterior-Thinking so bad, people get so focused on what the outside world will think of them when the make decisions. King Creon thinks that his kingdom will think that he is weak if he doesn’t punish Antigone. What he doesn’t realize is that his people sympathize with Antigone and if Creon were to let her go the people would think more highly of him. Haimon comes back to his father to make a second plea for Antigone’s life. He reminds his father of his love ...

How to Start Green Fire With a Drop of Water

How to Start Green Fire With a Drop of Water You dont need a match to start a fire. In this project, start a fire by adding a drop of water to a dry chemical mixture. The best part? The flames will be green! Fire Safety You should be able to tell from the premise that this  is an adult-only project, best performed by someone with prior pyrotechnic project experience. Follow the instructions carefully to minimize the risk of a fire. Youre using water to start a combustion reaction, so keep your materials away from moisture, soft drinks, perspiration, etc. Got it? Green Materials Instant cold pack (3 grams ammonium nitrate)7 grams zinc filings or powder1/2 gram table salt (sodium chloride)Mortar and pestle If you dont have a cold pack, you can use pure ammonium nitrate, which is available online. You can buy zinc filings or powder online or you can sand a galvanized piece of metal from a hardware store to get the element. If you have to file or sand the zinc, its a good idea to wear a mask, such as the kind used for home repair,  so you dont inhale zinc particles. Procedure for Starting the Green Flames Open the cold pack. Remove and discard the bag of water. Open the bag of ammonium nitrate. Measure out 3 grams of the granules and put them in the mortar.Add 1/2 gram of sodium chloride (salt).Use the pestle to grind together the salt and ammonium nitrate to form a powder.Carefully grind the 7 grams of zinc powder into this mixture. Water can ignite the mixture at this point, so dont spill your drink or drip sweat into the powder. Its a good idea to wear disposable plastic gloves, because you dont want the final mixture reacting with water on your hands.Transfer the mixture to a metal or otherwise fire-proof container. Take it outdoors to start the reaction. Use a pipette or other long-handled dispensing device to add a few drops of water. The reaction can be spectacular, so move back immediately. Another reaction you can do using these materials is to mix ammonium nitrate with zinc and initiate combustion by adding a few drops of hydrochloric (muriatic) acid. Disclaimer: Please be advised that the content provided by our website is for EDUCATIONAL PURPOSES ONLY. Fireworks and the chemicals contained within them are dangerous and should always be handled with care and used with common sense. By using this website you acknowledge that ThoughtCo., its parent About, Inc. (a/k/a Dotdash), and IAC/InterActive Corp. shall have no liability for any damages, injuries, or other legal matters caused by your use of fireworks or the knowledge or application of the information on this website. The providers of this content specifically do not condone using fireworks for disruptive, unsafe, illegal, or destructive purposes. You are responsible for following all applicable laws before using or applying the information provided on this website.

Max Weber Research Paper Example | Topics and Well Written Essays - 4000 words

Max Weber - Research Paper Example The major thesis of concern was the Protestant and the Spirit of Capitalism where he discussed economical sociology and sociology of religion. This thesis dealt with ascetic Protestantism as one of the main â€Å"elective affinities† which relates the rise of Western market which was driven by capitalism and rational-legal national-state. Weber emphasized on cultural influences as the bedrock of capitalism (Kalberg, 2002). In search for religion insight, Weber’s publication of protestant ethics, he was able to identify the non-development of capitalism in the societies: ancient Judaism, religion of China and religion of India and was able to analyze the social stratification of such societies. Weber’s methodological works were influential in launching the self-identity in modern social science as a field of inquiry. Empirical positivists and hermeneutic detractors got their inspiration from Weber. The most important of Weber’s work are the â€Å"Protestant Ethic thesis† which was about a non-Marxist genealogy of present capitalism and â€Å"Rationalization thesis† which talked about the analysis of the dominance of west in the present times. On top of these two works, his contribution to politics is only comparable to that of Machiavelli and Hobbes. Weber entered politics after the World War 1 and ran for a seat in parliament which he failed to capture. He served as an advisor to the ill-fated democratic draft of 1919 that is Weimar Constitution. His work was cut shot by the untimely death which occurred at a tender age of 56 in 1920. He contacted a Spanish flu and died of pneumonia. Weber was the eldest of the Max Weber Sr. born in 1884 in Erfurt, Thuringia. Weber sr. was a prominent civil servant and wealthy. He was the National Liberal Party member and married to Helene who was from French Huguenot and had strong ethical absolutist

Analysis of Direct Costs Assignment Example | Topics and Well Written Essays - 250 words

Analysis of Direct Costs - Assignment Example Direct Labor: is the labor or employees who convert materials into the company’s products. The cost of direct labor can be traced directly to the finished products.† (Horngren, Harrison, & Oliver, 2009). All other costs charged under the categories Overhead Costs and General and Administrative Costs are indirect costs. These include indirect labor, repair, maintenance, utilities, rent, insurance, property taxes and depreciations. Direct material cost is the cost of significant materials that are used in the manufacturing of a product or that are used up in providing a service. Direct material costs are specifically identifiable to the contract. FAR regulations also provide provision for trade discounts, refunds, credits for scrap, salvage, and returns to vendor, to be adjusted to the direct material costs. Priced Bill of Sales, has detailed list of all materials needed to produce the required product or service is used for estimating the direct cost. To analyze estimated costs of materials, the factors in review focus are: Are the items quantities and costs of materials correct? Are making or buying decisions are appropriate? Is the material purchased efficiently and competitively? (Murphy, 2009). Direct labor cost is cost of labor specifically identified with a particular contract that a company is doing. Following are three types of direct labor: Labor directly associated with the work being produced, labor readily identified with a particular objective such as a contract, and labor important enough to warrant identifying and measuring so we can keep up with its cost. In general approach to analyze direct labor cost is to examine each element of proposed cost. The contracting officer should usually request analysis of cost or pricing proposals by asking requirements logistics, or other appropriate personnel to review and assess the need for the number and kinds of

Data analysiis and literature review Assignment

Data analysiis and literature review - Assignment Example The research does not establish a relationship between the salaries of the executives and the years spent in the company (Curwin, 2002). The data obtained in the research clearly indicates a variance in the relationship between the salaries of the executives and the years spent in the company. In some cases, the executives have spent quite a long duration in the company but their salary falls under the average level. The time spent in the company can have use in the determination of the salaries of the executives in the case where the other economic factors about the company are kept constant. The time spent in the company is also utilized in determining a company’s executive salaries given that the executive has the relevant experience in the general operations of the company. In addition, the companies can pay their executives based on the duration spent in the company given that the company’s performance reflects on its returns (Morris, 2003). Company’s executive’s salaries are determined based on their performance as well as the company’s performance. An executive salary is determined by the performance of the company in terms of the returns and fulfillment of its objectives. For example, an executive who have spent many years in the company and has implemented several effective policies in the departments they have been working. The executive who has been performing exemplarily in the finance department for many years can be rewarded based on their performance. On the other hand, the executives’ salaries are determined by the performance of the company based on returns and ability to reward their executives (Wright, 2000, p.600). When an executive is imported from another company to boost the performance of failing company, they accept reduced the salary with the expectation of a salary review after the company’s performance improves. Moreover, an executive who has been working to enhance the company’s performance

Media In The Vietnam War

Media In The Vietnam War Throughout Americas history, the United States has won the majority of all of its major conflicts. Up until the Vietnam War, America was seen as invincible and unbeatable. At the time, television and personal audio recorders were becoming more mainstream. News by television was growing for the first time, people were turning to TV rather than the newspaper or radio to learn about current events.  [1]  The news was uncensored, and citizens, for the first time, were able to view the reality of war. Although the Vietnam War initially had the publics full support, uncensored anti-war news coverage on the newly developed commercial television influenced popular sources of entertainment, like music artists, which in turn led people to protest the war; the protests, combined with the major losses and defeats in the conflict, prompted the government to withdraw from Vietnam. The Vietnam War was a Cold War conflict that officially started on the first of November, 1955. President Lyndon B. Johnson took full advantage of the Gulf of Tonkin Resolution, which occurred in 1964; the resolution allowed the President to use conventional military power in south Asia without the approval of Congress. President Johnson used this incident as a reason to escalate troop levels in Vietnam, thus escalating the conflict.  [2]  The escalated conflict, which turned into a full-scale war, was fought between North Vietnam and its Communist allies and South Vietnam supported by anti-communist nations. The larger strategy at hand was the containment of communism. Started as a Russian revolution, the Soviets had started spreading Communism throughout the world. Although the war technically started in 1955, it wasnt until the early 1960s that US troop levels began to grow rapidly.  [3]  In 1968, the US launched the infamous Tet Offensive, an operation in which there were many casualties on both sides.  [4]  The Tet Offensive marked the period in which approval for the war started to rapidly decline which would later cause the U.S, five years later to start a peace process in which the US would eventually withdraw from Vietnam.  [5]  This peace processes ended two years later in 1975 with the capture of Saigon by North Vietnamese forces.  [6]   Although veterans sharing their experiences of war happened in any previous war, the Vietnam War was exposed much more through new technology such as television, and personal audio recorders. At the same time the Vietnam War was starting, citizens started switching where they would get their news information. A series of surveys conducted by the Roper Organization for the Television Information Office from 1964 until 1972 demonstrates the growing power of television; multiple answers allowed, respondents were asked from which medium they got most of their news, 58 percent said television; 56 percent, newspapers; 26 percent, radio; and 8 percent, magazines.  [7]  By 1972, 64 percent said television while the number of respondents who primarily relied on newspapers dropped to 50 percent.  [8]  TV was more attention-grabbing than newspapers and radio the visual element allowed user to feel as if they were in the middle of the intense battles and death. Additionally, intense vis uals helped explain the complex nature of war to Americans who might not understand the militarys technical language. Furthermore, anchors, who hosted the news programs quickly became famous in fact, Walter Croncrite, a major anchor at the time was often cited as the most trusted man in America.  [9]  This trust in the media led people to quickly believe their word as fact, clearly spreading the medias bias throughout Americas culture. When footage of the Tet Offensive started coming out in early 1968, the dominant view that the war was just was quickly flip-flopped. The media started showing more anti-war footage, with a focus on critics of the Johnson administration.  [10]  Most importantly, the footage of the My Lai massacre, where hundreds of Vietnamese were killed in cold blood by Americans, acted as a main example of why peace needed to be established.  [11]  Later on, the media focused on domestic anti-war movements, which further exemplified how the Vietnam War was unjust. Not only were Americans seeing the war in a new way, they were also seeing more casualties coming back from the front. All the way from the beginning of the war to the end, the casualty rates were rising at a constant rate. By 1968, there was an average of 1200 men who died per month in Vietnam.  [12]  Correlating with the increase in deaths at the front, more and more American soldiers were sent to Vietnam, and by 1968 over half a million troops were stationed there.  [13]  At the same time, naturally, the approval rating for then-President Lyndon B. Johnson plummeted to an all time low even as low as 35% during the Tet Offensive.  [14]  Because American approval for Johnson went steadily lower over time, it can be inferred that it was because of his actions during his time as president. Since there were so many casualties and little progress was being made in Vietnam, most people thought the war was unwinnable, which was later confirmed in 1968 by the top news anchor o f the time, Walter Cronkite.  [15]  This notion that the war was unwinnable furthered the American publics cause to end the war and bring the remaining soldiers home. This general feeling of an American demise in Vietnam eventually spread to popular entertainment and popular culture. Although the media generally spread the anti-war message, music artists picked up its caused and spread the message of peace to the younger generation. Artists such as Edwin Starr, Billy Joel and Bruce Springsteen were incredibly popular in the 1960s and early 1970s. Much of their work consisted of anti-Saigon lyrics which displayed the harsh realities of war, and explaining why our soldiers should come home. These songs and artists sparked the counter culture of the time generally knows as hippies. These peace loving people carried out the messages of these artists peace, love and respect; their main goal was the end the Vietnam War and to create peace.  [16]  This counter-culture spread rapidly, especially among young people. Because of its amazing popularity, the media covered most of youth rallies and protests, such as draft card burnings and Human-Be-Ins.  [17]  This excessive media attention spread the counter-culture even further, spreading its ideas across the Unite d States. Because more people were being aware of these acts of civil disobedience, more people were tempted to follow the crowd. As more people got caught up in the movement the number of people at the protests rose, from as little as 700 participants in 1964 to 500,000 total in 1967.  [18]  This primarily shows how an anti-war bias spread by the media found its way into popular culture, which then caused many citizens to protest the war. Even those who did not go out and protest, which was the majority of the country, regarded the Vietnam War as a mistake.  [19]   Throughout the 60s and early 70s time, American citizens were constantly fighting against American involvement in Vietnam. Hundreds of thousands of people demonstrated every year to bring American troops back home. The number of people demonstrating kept rising as the approval rating for the war lowered exponentially every year.  [20]  As more people started demonstrating, pop-culture heavyweights, such as boxer Muhammad Ali and Dr. Martin Luther King Jr. publicly endorsed peace. Not only did this lead to an increase in media coverage of the issue, but it also lead those who were fans of those public figures to become active in the fight for peace in Vietnam. Civil disobedience was on the rise more than 16 million American citizens dodged the draft by the end of the Vietnam War.  [21]  Also, in 1967, a group of flower power hippies marched on the Pentagon where they were blocked by National Guard troops, and subsequently they put flowers in their gun barrels (Appendix A).  [22]  A photographer, Bernard Norman Boston took a photo of the incident, and it became the runner up for the Pulitzer Prize that year, further broadcasting the strength of the counter-culture movement in the United States. The more media converge there was, the more people decided to join the movement for peace. The media even had a profound effect on the soldiers stationed in Vietnam; some GIs decided to resist the commands of the US army. The army in Vietnam, according to Marine Colonel Robert D. Heinl Jr., a veteran combat commander with over 27 years experience in the Marines, and the author of Soldiers Of The Sea, was on the verge of collapse: By every conceivable indicator, our army that now remains in Vietnam is in a state approaching collapse, with individual units avoiding or having refused combat, murdering their officers and non commissioned officers, drug-ridden, and dispirited where not near mutinous. à ¢Ã¢â€š ¬Ã‚ ¦ Sedition, coupled with disaffection from within the ranks, and externally fomented with an audacity and intensity previously inconceivable, infest the Armed Services  [23]   Not only was the army mutinous, but there were also many fragging incidents that occurred on bases. Fragging, is where there is a bounty placed upon a commanding officer, and that man is to be murdered, and whoever does it gets a monetary reward. These bounties were placed in underground army newspapers which majority of the army read.  [24]  In the year of 1970 alone, there were 209 reported fraggings.  [25]  The people responsible for the fraggings mostly got away with it too, as the armys justice system was quite corrupt: The Armys Judge Advocate Generals Corps estimated that only 10% of fragging attempts resulted in anyone going to trial..  [26]  Although there were those who took action against their superiors, there were also those who ran away. By 1970, the U.S. Army had 65,643 deserters almost four infantry divisions worth of troops.  [27]  In 1966 the desertion rate was 14.7 per thousand, in 1968 it was 26.2 per thousand, and by 1970 it had risen to 52.3 per thousand; absence without leave was so common that by the height of the war one GI went AWOL every three minutes.  [28]  From January of 67 to January of 72 a total of 354,112 GIs left their posts without permission, and at the time of the signing of the peace accords 98,324 were still missing.  [29]  The army also resisted politically, releasing underground news papers to solders. By 1972 around 300 anti-war and anti-military newspapers, with titles like Harass the Brass, All Hands Abandon Ship and Star Spangled Bummer had been published by enlisted men.  [30]  Hundreds of GIs created these papers, but their influence was far wider with thousands more who helped distribute them, and tens of thousands of readers.  [31]  They were also those determined to stop the war based on the act of sabotage; in June of 1972 the USS Ranger was apparently disabled by sabotage, and it had to return to its home base for repairs.  [32]  A movement that embodied this ideology wa s SOS Stop Our Ship. They used petitions to try and get their superiors to ground naval operations.  [33]  Even the troops, who may have had a lack of media knowledge, knew the war was wrong, and they decided to do something about it. They did all of this not only because they were saving themselves from being killed unnecessarily, but also because they knew the war which they were fighting was either not worth the fight or it was unjust. The media was the most decisive factor that drove the United States to end the war. Indirectly, they caused the public to accept that the war was unwinnable and that it would keep taking up the time and resources of the U.S. By conveying their message to popular culture artists, the media was able to target a larger audience, which was also coincidentally more active group socially. These people led protests which were both seen and heard by the national government. The media instigated these protests, displaying primarily anti-war protests on the daily news. Not only was the war being lost overseas, a battle against the government was being fought at home to end the war. Because of the constant pressure from Americas citizens and the North Vietnamese Army, the U.S decided to withdraw from Vietnam, letting Saigon fall into enemy hands, but at the same time, sparing many American lives. Although the media may have ended up tarnishing the honor of the United States with its first major loss since its creation, it stopped a cycle that would have ended up killing more American soldiers. Without the media causing an end to the war in Vietnam, the US would have been in a much worse place than it is today. Word Count: 2101