Experience at clinical hospital Neurological ward Essay Example for Free

Experience at clinical hospital Neurological ward Essay I was a specialist at a children’s clinical hospital ward. Royal Glamorgan Hospital in Llantrisant. This hospital offers services to children such as inpatient neurology, neurosurgeon, radiology, neuropathology and paediatrics neurology with the children department. This work as it sounds is highly specialized and can only be achieved in a center with high and excellent academicians and research done regularly. Some work such as Neuro-radiology is highly specialized and is only provided in a few centers in the U.  K. Which dictates regular increase knowledge by consulting references, identifying learning resources within the center and making use of them. I was a neurologist which means I attended to Brain and Nervous system diseases. Due to the fact that they are few centers taking care of Neurologist. Difficult cases are referred to our clinics. For instance stroke, brain saving treatments are available if the patients are seen, scanned and diagnosed on time in specialist centers. As a neurologists, I was interested in dealing directly with emergency care but hospital senate was usually interested on how many patients are attended which leaves the emergency care to non-specialists. On this particular week I was on duty or what this center called a call. That means for 24 hours a day and 7 days am available for emergency referrals. On Monday that week a very young child was aged 9 years had a brain biopsy, he was on the intensive care unit. I was not sure what is wrong which was a difficult time for me and his family. I requested for a brain test, which helped me diagnose the problem. I had an interest on multiple sclerosis. Children will have an attack once an year, eventually there was no treatment but now we had it only that it is too expensive, money had run out for the treatment, how cumbersome!. In the afternoon, I had a general neurology clinic at the hospital. I was also following on the patient who were fourteen in number those that I had been treating but seventeen have booked in. This was so frustrating because I would not give my patients attention as desired. In the evening I would return to the ward to see a patient I have not been there so files had really piled up. At night I received a call concerning a patient who have fever and there are no doctors so I went back. Tuesday I was on call for emergencies but routine work went on, Traffic was very built up so I had to leave early to get there by 8. 00 am. and its 10 miles. Tuesday afternoon a child with a bad headache was admitted, I was worried she had a clot in her head. Radiologist said the brain scan could stay until morning but I objected and supported an immediate brain scan. Wednesday I began by paper work then proceeded to give attention to my patients in the ward. In the afternoon there was multidisciplinary Neuro inflammatory clinic at 2pm. As the hospital had 15 beds, I could not pay attention to all these patients so I gave advice to those who were in General medicine. I was called to see a patient with a weak leg he had a scan which ruled out an operation but we dint know why the leg was weak I recommended some more scans. Thursday We get to the office and do paperwork, I saw some of the patients, had a long talk with a couple whose child had a massive brain cycles. Friday I had a clinic in the morning. I tried to be as responsible as possible to all our patients. We were attending to three patients each week to assess new symptoms to see if the patients will need a treatment. We also collected disability date with use of questionnaires which we then did a careful neurological examination. I got a call from the bone marrow transplant unit to see a child who had been in a coma for 24 hours. The question was whether he was epileptic. However he was given a sedative treatment for that day. We arranged an emergent brain test and it looked like the coma was from infection or metabolic problems given that his liver was not functioning well or maybe he was reacting from yesterday’s drug. While working at the hospital, the pharmacist working in the department,gave medication to a patient who I had been treating, but the patient died. The family was convinced that the medication was the main reason as to why the child died. The family went ahead and sued him and the regarded it as a second degree manslaughter. He chose me as his attorney as I was the one in charge of neurological childrens ward which I reluctantly accepted. I found myself so confused, I was not sure I wanted to do this but due to the fact that I was in charge neurological ward for children I had to. To be the attorney defending the pharmacist. I was not sure which way to go I was caught up in a moral dilemma. I felt that the pharmacist would have been more careful in serving the customers in accordance to the domains of conduct and competence. On the other hand, I felt that I should be with him in that trying time. It was also a difficult time for me. It was a real test for my ethical standards. This is because I felt so carried away by the family’s reaction which I felt were justified. The second degree manslaughter, is a difficult case an attorney can take. Defending a person against murder charges whether attempted murder or manslaughter requires every possible weapon even if the prosecution is weak. This involuntary manslaughter usually carries four years. The Pharmacist was so worried and nervous feared for the worst since the prosecution seemed very strong. When he stood in the docket to testify, there was nothing he said that seemed to satisfy the judge, which placed us in a worse situation than we were already in. This was the first time I was being an attorney in any ones case so that particular morning I was so confused. I tried to relax and get all the facts right concerning the case. When my time came to stand in the docket I was very composed. So I gave my testimony as the neurosurgeon who was in charge that week. I argued that they were many conditions that surrounded the death of the boy. The death was not necessarily caused by the medication the patient was in bad shape which may have mainly contributed to his death. At this juncture it looked like am convincing the judge who then asked me to give a document backing my testimony which I handed over to him. The patient who was a ten year body had suffered from stroke which was very serious. The pharmacist seemed to relax a little bit when the judge finally started to nod his head in agreement. I concluded my testimony by stating that the death of the patient was surrounded by many instances which was hard to draw any conclusion. The prosecutors were given a chance to give their evidence, they argued that the boy was fine until he took the medication. We were told to came back in the afternoon to hear the judges verdict. We came back at two in the afternoon. There was anxiety and tension in the court room as we awaited the judge verdict. The Judge threw out the prosecution as murder charge which he said the evidence was inadequate to support such a conviction of murder. The prosecutor could not take that and vowed to appeal, calling the judge decision as â€Å"ultra vires†. The lead prosecutor complained to the judge accusing him of committing the offense of negligence. We were very excited and drove to the hospital feeling very achieved. This two experiences gave me more confidence to face future challenges, it was very hard in the beginning. With time I was able to learn so much, the reason I included the week when I was in duty is because it gave me the most experience it was a week of career growth without depending on the more experienced specialists. This week also, I was able to measure my performance and how I could improve. In addition, I discovered my weakness which I hope to overcome as I advance in my career. I also noticed the importance of giving high quality services to my patient as it gives satisfaction and happiness to know that you did you did your best. When I needed to top up my knowledge I consulted other more experienced specialists or visited the hospitals library. which had enough resources. This helped me improve on my knowledge, which I hope to widen further as a advance in my career.

Cell Matrix Adhesions and Fibroblast Essay -- Biology

Missing results figures How are cell matrix contacts regulated? The two papers explained in this website: "Regulation of protrusive and contractile cell-matrix contacts" and "Dynamics and segregation of cell-matrix in cultured fibroblasts" explore both the types of cell matrix contacts and the interactions between these contacts in many different bodily cells. Cell matrix contacts are parts of the cell surface where specialized adhesion receptors in the membrane attach to the extracellular matrix (ECM), the matrix outside the cells. These receptors are also linked to the inside of the cell, to the cytoskeleton (the skeleton of the cell) and to the signaling pathways of the cell (the biochemical steps that cause cells to act in a particular way). An extracellular matrix is a structure that is made of proteins, glycoproteins and other materials that cells are surrounded by or in contact with. Cells inside or near the matrix create the matrix by secreting these substances. Cells interaction with the ECM is very important for several reasons. Contact with an extracellular matrix is fundamental to the organization of both the cell and the tissue of which the cell is a part. Cell matrix interactions maintain and regulate cell adhesion and motility. Cell matrix contacts also act as sites for transmission of mechanical force and electrical signals between cells. Cell matrix interactions serve as the cells indicator for its surroundings, and its messenger for where this particular cell needs to be according to the vicinity of others. Cell adhesion is very important in embryonic development, regulating how tissues are built, the function of tissues and signaling across cells. The protein complexes involved in adhesion are very dive... ...l switch is matrix deformability or pliability. This kind of a switch would allow a cell to respond to environmental cues such as a rigid substrate by switching to an adhesion mode that provides firm anchorage. 4. Large focal contacts are generally stationary but small focal contacts can translocate. One end makes a polar extension then the other end contracts making for an inchworm like motion. This movement also seems to be dependent on contractile actomyosin. Specific cell types may use only one adhesion mechanism. Some cells can switch on fibrillar adhesion formation when fibronectin is present. In summary the authors found that the cell-matrix adhesions were very dynamic and diverse in their range of form, molecular components and locations. This dynamic and diverse system allows cells to have great variety and flexibility in their matrix contacts.

Comparison and Criticism

Countee Cullen is one of the most famous African-American poets who has won more literary prizes and recognitions than any black American has ever won before. He came into prominence quite early in his life. Becoming quite famous already in the high school he has been recognized as an outstanding poet before he was 25 when he published such poems as â€Å"I Have a Rendezvous with Life† and â€Å"The Ballad of the Brown Girl† (Johnson). So, â€Å"The Medea† and â€Å"The Lost Zoo† which I am going to compare and criticize in this paper are during his late period (in the age of 37 and 31 respectively).I am going to argue that both poems are still valuable today because of their didactic nature. By writing them Cullen attempted to express and somehow summarize his ideas of that what is good and what is bad, as well as about morals and proper behavior. They are all written for children, even if those children believe themselves to be adults. Since 1934 Cullen taught English and French at the Frederick Douglas Junior High School. He has been offered a position of a lecturer at the Fisk University in Nashville which he declined. Thus he has chosen a career of a teacher, not a lecturer and scientist.His interest to work with children and writing for children later clearly revealed when he wrote â€Å"The Lost Zoo†, yet it can be traced already in the â€Å"Medea and other poems†. Why among numerous Greek tragedies has Cullen chosen to translate exactly â€Å"The Medea†, and why has the translation been accompanied by a set of Cullen’s own verses? The answers can be found after reading this poetry collection and comparing its themes and motifs to the ones of Euripides. The original myth of Medea, as it has been told by Euripides, is a story of an aggrieved woman who has been driven to a disastrous path by her passion and despair.Cullen provided a modern translation of Euripides story (Corti 202) and the other poem s included to the collection can be viewed as Cullen’s commentary to the problem. Medea’s fate is reflected in â€Å"The Magnets† in which Cullen writes of â€Å"The straight, the swift, the debonair† who â€Å"are targets on the thoroughfare†. This passage can be viewed as a personal reflection, yet in the light of â€Å"Scottsboro, Too, Is Worth Its Song†, another Cullen’s poem, it can be interpreted in a broader social context, as a vision of an entire nation driven to the wrong pass.Cullen begins the poem by imagining poets who will sing and their cries â€Å"Their cries go thundering Like blood and tears†. The period when Cullen wrote this poem was marked by a deep spiritual crisis following the Great Depression, so Cullen observes that in the world â€Å"Is all disgrace And epic wrong† and wonders why the poets have not eventually risen their voices against this wrong. This poems is to put a rhetoric question but n ot to give an answer. Cullen attempts to make his readers themselves concerned with the moral descent, to awaken their own minds and conscience.Otherwise they are likely to repeat Medea’s mistake. This was Cullen’s teaching method: he has not expressly developed own philosophy and preferred to teach through parallels and comparison (Nelson 91). It can be observed that Cullen’s teaching and moralization is not only for children, but for adults as well, perhaps more for adults than children. His â€Å"The Lost Zoo† published in 1940 is for the â€Å"young but not too young†. Although this writing may seem childish, in it Cullen once again (after â€Å"Black Christ†) rises to the Biblical heights in his poetry (Nelson 90).In â€Å"The Lost Zoo† Cullen tells tales of animals that for some reasons could not get onto Noah’s Arc thusly teaching his readers certain life lessons (Silvey 3). Squilililigee’s story is a warning both against teasing and against excessive susceptibility, while the story of a Snake-That-Walked-Upon-His-Tale is a warning against arrogance and false vanity (See: Cullen, Pinknee 1991). In fact, neither of the lost animals was fated and each of them could be saved in case they themselves behaved in a proper way. The conduct of the lost animals ruins them because they attempt to be that what they are not. This is a typical mistake of all times.Cullen is a man of his time, yet his verses are of universal everlasting value. They are topical in our days same as in the days of Cullen. When Cullen wrote both â€Å"Medea† and â€Å"The Lost Zoo† he played a role of a teacher rather than a poet and he was able to teach not only children but adults as well. Human passions never change, and so Cullen’s poems will never lose their importance, just like â€Å"Medea† by Euripide and the Biblical story of an Arc have not lost theirs. Each generation understands and inte rprets them in their own manner just as Cullen interpreted the Bible and Medea. Works Cited: 1. Cullen Countee. The Medea and Some Poems.New York: Harper & Bros. , 1935; 2. Cullen, Countee; Pinknee, Brian J. The Lost Zoo. Silver Burdett Pr. , 1991; 3. Corti, Lillian. The Myth of Medea and the Murder of Children. Greenwood Press, 1998; 4. Nelson, Emmanuel Sampath. African American authors, 1745-1945. Greenwood Publishing Group, 2000; 5. Silvey, Anita. The essential guide to children's books and their creators, Houghton Mifflin Harcourt, 2002; 6. Johnson, Clifton H. About Countee Cullen's Life and Career. 27 May 2009 http://www. english. illinois. edu/MAPS/poets/a_f/cullen/life. htm 7. Countee Cullen 27 May 2009 http://www. harvardsquarelibrary. org/poets/cullen. php

Coca Col Marketing And Advertising Campaigns Essay

If I am going to spotlight a historic company with tons of great advertising to learn from, who is better than Coca-Cola? This classic brand started of reminding us to â€Å"Drink Coca-Cola† since 1886 and now recently encourages everyone around the world to â€Å"Open Happiness† every day. Even though their slogans are always changing as the years go by, one thing that has remained constant throughout the history of Coke is the innovative marketing and advertising campaigns that have launched and re-launched the brand. Coca-Cola advertising history is filled with famous campaigns that rank among the best in the world. Coca-Cola history began in 1886 when the curiosity of an Atlanta pharmacist, Dr. John S. Pemberton, led him to create a unique tasting soft drink that could be sold at soda fountains. He created a flavored syrup, took it to his neighborhood pharmacy, where it was mixed with carbonated water. It was deemed â€Å"excellent† by those he had chose to sample it. Dr. Pemberton’s partner and bookkeeper, Frank M. Robinson, is credited with naming the beverage â€Å"Coca Cola† as well as designing the trademarked, distinct script, which is still used today. When it first launched in the late 1800s, Coca-Cola was already ahead of its time in its marketing, using coupons and creating branded merchandise. Coca-Cola may be one of the best-known brands in the world today, but that wasn t always the case. However, by the beginning of the next century, it had a surprising million dollarShow MoreRelatedCoca Cola Brand Building Strategy3065 Words   |  13 PagesIntroduction-: Coca-Cola is a carbonated soft drink sold in stores, restaurants and vending machines internationally. The Coca-Cola Company claims that the beverage is sold in more than 200 countries. It is produced by The Coca-Cola Company in Atlanta, Georgia, and is often referred to simply as Coke or (in European and American countries) as cola, pop, or in some parts of the U.S., soda. 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