Based on her complaints as well as physical examinations, I can conclude that the diagnosis for this patient is Pelvic Floor Dysfunction (PFD). According to the International Urogynecological Association, there are multiple common diagnosis for PFD. It includes pelvic organ prolapse and urinary tract infection (Haylen, 2010). Three factors that contribute to this are childbirth, aging, and obesity. Eleanor’s increase in childbirth made her more prone to this disease. As a woman who gave birth twice
Are pelvic floor muscle exercises (PFMEs) beneficial in the prevention of urinary incontinence? Arnold Kegel, a gynecologist from the University of Southern California, was the first one who highlighted the importance of pelvic floor muscles. The aim of Pelvic floor muscle Exercises (PFMEs) is to condition and strengthen the striated pelvic floor muscles through regular exercise in order to improve the urethral sphincter closure. Celiker Tosun O et al had done randomized controlled clinical trial
Introduction Mr David King is a 71-year-old male who lives at home with his wife Mary. David is retired but remains active. He has no serious past medical history, but his parents died from ‘heart issues’ and remembered that his dad had experienced ‘blood pressure problems’. He self-administers analgesic for his headaches that he has been experiencing in recent months. David was admitted to the Accident and Emergency department with his wife. As told, David was found slumped upstairs in the shower
and results of the physical examination, my diagnosis for this patient, Eleanor, is pelvic floor dysfunction (PFD). It is a condition in which the pelvic floor, a group of muscles, is unable to be controlled properly because of an injury or weakness (Faubion et al., 2012). It happens most often to women (Wang et al., 2012), and Eleanor is a female. Pregnancy and childbirth may also cause impairment of the pelvic floor and cause PFD (Bartling et al., 2016). Eleanor has given birth twice, which further
How was this new museum going to present my story? I had to go and find out. When I first walked into the lobby, I noticed the large mosaic on the floor but I couldn’t figure out what it depicted. I just saw a campfire and a bunch of wiggly figures. Someone next to me told their kids that they’d be able to see the entire mosaic from the third floor. I decided to wait and do the same. The first exhibit I saw was the “It Ain’t Braggin’ if it’s True” (one of my friends told me I had to see the shrine
enjoy the weather. At that thought, I slowed my walk. Why am I nervous? I'm more prepared for my lesson this week than I have been in a long time. The set of doors now loomed ahead of me, and I tugged one of them open, making my way up to the second floor of the building. I knew there was no reason for me to be nervous, but the butterflies flitting around in my stomach didn't seem to care. As I approached Dr. Sternbern's office, his door came clearly into view--I always enjoyed looking at it. The
I walk in, the same two-year old cat food is right where it has been for the last six months: in front of the front door on the cold faded tile floor. The cat disappeared four months ago, but I guess there is still hope that he will come back one day. I approach the sliding wooden door to enter the front living room and see some bird feed on the floor that must have been spilled the previous week along with a stack of news papers. This single story brick house was purchased by my Grandma and
Opposites Attract Perhaps we all have the same memory of the first boy-girl party we attended. The floors were waxed, the music loud, the air thick with the smell of cologne. The boys stood on one side of the room and the girls on the other, each affecting a nonchalance belied by the shuffling male loafers and the occasional high birdlike sound of a female giggle. Eventually, one of the taller, better-looking boys, perhaps dogged by two slightly shorter, squeakier acolytes, would make
seating section which goes all along the arena and then the general admission section which is all along the floor of the arena closest to the stage. My friends and I were on the floor; this is our traditional spot and seems to be where all of the action takes place. This is where people mosh in the mosh pits and fans can try and get as close to the stage as possible. Not only is being on the floor the liveliest and most fun spot to be, it is also the most dangerous. People will begin moshing and run
seen below: 1. Increase sales by 25% in the next 6 months. 2. Increase staff members in each department by 2 in the next 4 months. 3. Introduce 3 new products to the company every 3 months. 4. Have 5 more counters available on the shop floor for the customers in the next 4 months. 5. Reduce costs by 10% in the next 4 months. 6. Decrease in absenteeism by 15% in the next 6 months. I aim to achieve these targets by being competitive in the department that I operate in as a Sales
bamboo flooring has the potential to be resilient, cost-efficient, and environmentally friendly. Durability Bamboo flooring is extremely durable; it is as solid as any hardwood flooring currently on the market. Depending on what part of the plant the floor is harvested from, it can even be sturdier than hardwoods like maple and oak. According to Nigel F. Maynard from Builder Online, he states, “Hardness is the main factor in durability” (Maynard, 2010). There are two different types of Bamboo flooring;
physical network design I will be using a fictitious textile company and work through the two design steps. The company that will be getting the network designed for them is a textile manufacturing company. They have a small office occupying one floor of an adjacent office building to process all the information concerning the business such as inventory, sales, and payroll. The first part of the designing process consists of collecting as much information about the company as possible. Everyone
rings and you get dressed as soon as you can, your ass still remains un-wiped. She enters the house, she sees the stains on the floor and asks what it is, You say its chocolate ice cream, You try to steer her away but you know you couldn’t show your ass to her incase the shit stain outline appears on your pants, she bends over to smell and examine the stain on the floor.... she smells it, she gets an idea of what it is, and you try to steer her away, she tells you to come look at it closer, by then
to bid for government money. This money has in the past been used building an interactive display where the old display gallery was; this includes some of the machinery that was moved down from the higher floors. The trust is awaiting further grant money in order to convert the first floor of higher mill into another exhibition area. The finishing room is now used as a demonstrative room to show the finishing processes. Throughout the mills lives they have both always been connected with
change accurately, ensuring a wide variety of reliable data. I predict that the as I increase the height of the slope (or the angle between the floor and the ramp), the acceleration will increase, due to a more direct force from gravity caused by less friction on a steeper slope. [IMAGE] Light gate Light gate Trolley Angle between floor and ramp Ramp I will measure the acceleration of the trolley by running it down a
been so gentle. She stared at him for a minute, and then he turned around to leave. She's not sure what came over her at that minute, she doesn't even remember what she was thinking. But she does remember jumping on him, and knocking him to the floor, and then taking her knife and plunging it in and out of his back. She had no recollection of what happened for the next 10 minutes, perhaps she blacked out, but when she finally stood up, she knew what she had to do. She walked out to the garage and
Mother breaks down and cries again. She lies down in her room. Her son lies beside her to comfort her. Mom rubbed him, kissed, and told him she loved him. She woke him up in the morning; he gathered his pajamas from the edge of the bed and on the floor. Mom today was extremely happy this morning. Dad no longer being around and me taking his place was just the thing that mom needed. Are there true causes to why there is a desire to want to have sexual preferences with someone younger, vulnerable,
Buffet. Casino Floor: Every game on the casino floor has to be purchased from a dealer. A blackjack table alone costs between $1,500 to $4,000 dollars, and on the floor there are 8 tables. Other games such as Three Card Poker and Let it Ride cost around $2,000 and the big tables such as roulette and craps cost $5,000 with the casino having 2 of each. All in total, the casino floor tables cost the casino $24,000. An investment that we think would help in our pricing for the casino floor would be reversible
Considerations in Casino Design “ Architecture organizes and structures space for us, and its interiors and the objects enclosing and inhabiting its rooms can facilitate or inhibit our activities by the way they use this language”(Lawson pg.6). Casinos are tough and competitive markets that strive to out do one another in promotions, amenities and overall design. A critical analysis of the considerations taken when designing a casino can be broken down into the theoretical forces of psychology
each rally by serving or returning the ball so the opponent is unable to keep the ball in play. A rally is over when a player (or team in doubles) is unable to hit the ball before it touches the floor twice, is unable to return the ball in such a manner that it touches the front wall before it touches the floor, or when a hinder is called. Points are scored only by the serving side when it serves an irretrievable serve (an ace) or wins a rally. Losing the serve is called a sideout in singles. In doubles