Colloid Cysts, Physical and Personal Impacts on Patient and Spouse
Introduction:
The patient is a 45 year old male who was in a car accident that
involved alcohol on July 29, 2004. I have known the patient
for three years and will be referring to aspects of the patient
that I know to be true, but am unable to cite all details due
to learning them via the dynamics of the relationship. The
patient and the patients’ spouse have requested complete
anonymity for the purpose of this paper. The car accident
resulted in a series of injuries for the patient which were a
fractured pelvis, a lacerated bladder, internal organ bruising,
a moderate concussion, and sciatic nerve palsy (nerve damage).
The moderate concussion was determined by a computerized axial
tomography (CAT) scan which also showed the colloid cyst. The
patient believes he was made aware of the cyst; however his
memories are not absolute and the spouse was not made aware at
the same time. The cyst was mentioned (again) at the end of
September and the brain surgery happened on February 13, 2005,
six and a half months later. This series of interviews has
occurred during the two months after the surgery. (Patient,
Patient Spouse, personal communication, April, 27, 2005)
Symptoms:
The patient was suffering from intense dizzy spells for a year
prior to the car accident. The patient is a licensed
chiropractor and as he put it, “Doctors make the worst
patients”, so he rationalized the dizziness and never expressed
a need or desire to medically investigate it. The patient had
not been experiencing the most common symptom, a headache.
(Patient, Patient Spouse, personal communication, April 28,
2005) In the literature about colloid cysts there is a high
prevalence of symptomatic headaches in the patients, often it is
the headaches the patients are trying to resolve when the
colloid cyst is discovered. (www.healthcentral.com/encyclopedia)
The car accident fractured the patient’s pelvis so the treating
physicians rebuilt his pelvis and began physical therapy before
they scheduled the colloid cyst surgery. It was at this time
the patients spouse learned about the cyst; it had been two
months since its discovery. After becoming aware of the cyst,
the patient presented with mild headaches. (Patient Spouse,
personal communication, April 28, 2005)
Surgery:
The surgery occurred six and a half months after the CAT scan.
The patient is alert, oriented, no acute distress, she is sitting upright in her chair, however.
The patient has a history of anxiety disorder, depression, diabetes, and hypertension, controlled with medications.
...health of a patient and a follow up check at the GP’s may be required.
The patient I have chosen who has an issue with ventilation and perfusion is A.Z., a
Religion was the central focus during the Renaissance, but due to dreadful diseases called the “Black Death”, the church and society had a fallout. The cause of the Black Death was due to bad bacteria being passed along by black rats and fleas. It started along the Silk Road, than made its way into the Mediterranean and Europe. Since the bad bacterium was being passed along so quickly, it was impossible to stop. Due to this, over 17-200 million people were killed. This event happened so fast, it was unbearable and people did not have enough time to react and prepare themselves. People were becoming sick, getting extreme rashes and even, tumours in necks, armpits, and groins. The community’s went downhill, business men and workers were dying, guilds lost their craftsmen, and crops were dying due to no one being able to farm. This also lead to a time where food was very limited, and starvation was accruing. As a result of all of this happening, the church and religions were being targeted. Majority of groups were targeting the Jews because they ...
The tendency for chipping and micro fracture along the cutting edge increases with feed rate and cutting speed.
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
Referral should also be considered if the patient's condition does not improve in the expected time or if there is any deterioration
Mrs. D. was admitted to the unit in 2011. She is 84 years old widow who was diagnosed with dementia, diabetes mellitus type II, hypertension, high cholesterol
patient is in terrible agony, and since he is going to die anyway, it would
As the name of this group of abrasive operations suggests, their objective is to achieve superior surface finish up to mirror-like finishing and very close dimensional precision. The finishing operations are assigned as the last operations in the single part production cycle usually after the conventional or abrasive machining operations, but also after net shape processes such as powder metallurgy, cold flashless forging, etc. The finishing processes discussed in this section include honing, lapping, superfinishing, polishing, and buffing. Honing is a finishing process performed by a honing tool, which contains a set of three to a dozen and more bonded abrasive sticks. The sticks are equally spaced about the periphery of the honing tool. They
There are many other differences between the two machining processes. A comparison chart is listed below in order to better display those variances.
A surface manufactured by cutting processes is one of the most important criteria for quality. Surface roughness is a significant factor which is not only important for wear, friction and lubrication, which became traditional for tribology, but it is also important for sealing, hydrodynamic, electric, heat transfer. Surface roughness depends on many variables, such as material couple, manufacturing type, cutting conditions, etc. Surface roughness is one of the most important characteristic variables to be monitored in the cutting processes owing to the direct relation between the change of surface roughness and the cutting conditions. For many years, it has been recognized that the conditions during machining, such as Cutting Speed, Feed and Depth of Cut (DOC), should be selected to optimize the economics of the machining operations. Manufacturing industries in developing countries suffer from a major drawback of not running the machine at their optimal operating conditions. Machining industries are dependent on the experiences and skills of the machine tool operators for the optimal selection of cutting conditions. In machining industries, the practices of using hand book-based conservative cutting conditions are in progress at the process of the planning level. The disadvantage of this unscientific practice is the decrease of productivity due to the sub optimal use
In the quality assurance of machine components the so-called finishing and super-finishing processes have important roles. During recent years, the post-machining cold forming methods such as burnishing, shot peening, etc., have occupied a very important place in industry, because they are reported to induce compressive residual stresses on the work piece surface, which in turn, results in improvement of tribological properties such as wear resistance, fatigue life, corrosion resistance, etc.
South Africa is a unique country that has access to 11 different language uses (SA-Venues). In order from most used, they consist of Zulu, Xhosa, Afrikaans, English, Sepedi, Tswana, Southern Sotho, Tsonga, Swazi or SiSwati, Venda and Ndebele. Zulu and Xhosa being the 2 most commonly understood. Afrikaans derived from he Dutch and was used in its region as the 1st or 2nd language. The white inhabitants who have come to start a new life use English, Sepedi is grouped with the Northeastern part of South Africa. Tswana is the language of Botswana and are apart of Southeastern African language. The Vatsonga people, who are divided among their region, speak Tsonga. Swazi or SiSwati comes from this and create their own name in the country. Venda is a language common to the royal region of Limpopo. Their speakers are very popular and their speech influences others to adopt it. Then you have Ndebele, whose language is slowly fading because the other languages in Zimbabwe are more p...