Endoscopic retrograde cholangiopancreatography (ERCP) has become one of the most important techniques for the diagnosis and treatment of choledocholithiasis. Endoscopic balloon dilatation (EBD) and endoscopic sphincterotomy (ES) are the most important endoscopic techniques used for retrieval of common bile duct stones (1) and ES is the most commonly used method as a standard technique. (2) Despite the relative safety of ES the overall complication rate is about 10%. (3) The short-term risk of pancreatitis
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Grace Marks “Gone mad is what they say‚ and sometimes Run mad‚ as if mad is a different direction‚ like west; as if mad is a different house you could step into‚ or a separate country entirely. But when you go mad you don’t go any other place‚ you stay where you are. And somebody else comes in.” (Pg-33) Grace Marks was convicted of the murder of her employer‚ Thomas Kinnear‚ and his housekeeper and mistress Nancy Montgomery which took place in Kingston‚ Ontario in 1843.Tried and convicted
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Case study 1 Josephine is a 47-year-old single woman. The hardest times of the year for Josephine’s family are holidays and family gatherings; Josephine never seems to enjoy herself. She seldom smiles‚ laughs‚ or reacts to people and events around her. She remains detached and often goes into a room and plays video games or watches TV by herself‚ even when the rest of the family is eating. Her family members say that she is rude and do not want her around. Josephine lives by herself. She has
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To present a study about comparisons‚ differences‚ and similarities in both the psychologists‚ it is deeming necessary to understand both of them in individual context and their history together. To start the research I will first try to explore the two theorists separately‚ their contributions and philosophies about their said school of thoughts. Later‚ I will compare them‚ their similarities and differences. And to conclude I would try to emphasize on the changes what Alder brought upon the more
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Multiple Personality Disorder Multiple Personality Disorder is also known as Dissociative Identity Disorder (DID)‚ which is a severe condition in which two or more identities‚ or personalities‚ are present and take control of an individual. The person will also experience memory loss‚ causing them not to remember any of their identities but their own. DID was called Multiple Personality Disorder until 1994‚ when the name was changed to reflect a better understanding of the condition‚ that it is
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Like some small children‚ the moon has fascinated many since the beginning of the universe. Scientific research of the moon took many years‚ up until the 1960s. Some will remember the book from when they were children‚ “Goodnight Moon” by Margaret Wise Brown. It is a story about a small bunny telling familiar things in his great green room. goodnight. We all associate the moon with night‚ but have you ever asked yourself how the moon formed? What is on the surface of the moon? How big is the moon
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The next morning‚ Lucy meets Peter’s brother Jack. After spending time with each other‚ Jack and Lucy fall in love. Soon‚ Peter wakes up and doesn’t recognize Lucy. The family‚ still believing the Lucy and Peter are engaged‚ thinks that Peter has amnesia. Peter re-proposes to Lucy‚ believing that he really is in love with her. The wedding is at the hospital‚ when Lucy shows up‚ she looks flustered and nervous. As Peter and Lucy are getting married‚ Lucy objects. She begins to tell the whole family
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A Transcultural Case Study As the world’s multi-cultural population increases‚ the significance of transcultural nursing in healthcare is strongly evident. Health care professionals are challenged by the need to understand the various cultural factors that influence a person’s response to health and illness and must develop attitudes and skills that will help them behave in culturally appropriate ways (Walsh & DeJoseph‚ 2003). Transcultural nursing works as a formal education that equips nurses
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Music: "Come Out‚ Come out Wherever you are..." Setting: A room with a bed‚ presumably a bedroom - Dorothy in night attire‚ desperate (lights in) Wizard as Munchkin: (taking a fit) Four feet‚ one and a half inches is not short! (grumbles under Dorothy) Dorothy: (impatient) I wasn’t trying to insult you. I just want to know how you got in! Wizard as Munchkin: (not listening) I’m the tallest one around! (grumbling continues) Dorothy: I really don’t want to argue - I just want your help... Wizard
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the head and headaches‚ the temporary loss of consciousness‚ confusion‚ dizziness‚ amnesia surrounding the event‚ hearing loss‚ nausea or vomiting‚ slurred speech‚ stuttering‚ and fatigue. All are a direct result of brain damage. Long term affects of concussions are more devastating. The most common long term symptom is confusion. Confusion can include disorientation and memory problems such as permanent amnesia. There are physical side effects as well. The physical side effects can include migraines
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