Diverticular Disease What is the difference between...

When pockets develop in the wall of the colon, this is called diverticulosis. The pockets that form are called diverticula; the pockets pick up fecal matter as the body’s waste is propelled through the colon. Diverticulosis and diverticulitis are classified as diverticular disease. The main difference between diverticulosis and diverticulitis is that there is no inflammation, and with the second there is. Approximately 80 percent of the individuals who have been diagnosed with diverticulosis never advance to the more serious condition, diverticulitis. Most people who have diverticulosis have no symptoms at all. Symptoms of diverticulosis Abdominal bloating Constipation Diarrhea Left lower abdominal pain (relieved after passing†¦show more content†¦The weak spots in the colon pooch outward and fill up with fecal matter. It is believed that a diet which lacks enough fiber is a primary cause of the high pressure created in the colon. The increased pressure causes tissue breakdown of the colonic wall. If you don’t eat enough fiber, the stool gets hard. When stool gets hard, it tends to stay in one spot and more fecal matter packs up behind it, which causes more pressure to be exerted on the wall of the colon. Causes of diverticulitis The causes of diverticulitis are also thought to be due to internal pressure in the colon. It’s not completely understood what causes the diverticula to become inflamed and infected. The internal pressure of fecal matter in the diverticula can impair circulation; when circulation is reduced in the diverticula, the tissue can break down and sometimes the pouches can burst. It is believed that aging has something to do with compromising the muscle tone of the colonic wall; people aged 50 and over are most at risk for diverticulosis and diverticulitis. It is believed that high fat diets and obesity also play a role in developing diverticular disease. How is diverticular disease diagnosed? Diverticulosis – Since diverticulosis usually has no significant symptoms, it is often found during routine screening exams. Diverticulosis may also be found when you are having scans t rule out some other

Cast System in india Free Essays

History of the Indian caste system From Wikipedia, the tree encyclopedia Jump to: navigation, search Indian society has consisted of thousands of endogamous clans and groups called latis since ancient times. The Brahmlnlcal scriptures and texts tried to bring this diversity under a comprehensible scheme which hypothesised four Idealised meta groups called varna. The first mention of the formal varna Indian caste system Is in the famous Purusha Sukta of the Rigveda, although it is the only mention in the entire body of the Vedas and has been decried as a much later, non-Vedic insertion y numerous Indologists like Max M?ller and also by Ambedkar. We will write a custom essay sample on Cast System in india or any similar topic only for you Order Now [citation needed] Contents 1 Hindu scriptures 2 Emergence of rigid caste structures 2. Mobility across the castes 3 Reform movements 4 Reterences 5 External links Hindu scriptures In the Vedic period, there also seems to have been no dlscrlmlnatlon against the Shudras on the Issue of hearing the sacred words of the Vedas and fully participating in all religious rituals, something which became progressively restricted in the later citation needed] Manusmriti, dated between 200 BCE and 100 CE, ontains some laws that codified the caste system. The Manu Smriti belongs to a class of books that are geared towards ethics, morals. nd social conduct – not spirituality or religion. Emergence of rigid caste structures In its later stages, the caste system is said to have become rigid, and caste began to be inherited rather than acquired by merit. In the past, members of dfferent castes would not partake in various activities, such as dining and religious gatherings, together. In additio n, the performance of religious rites and rituals were restricted to Brahmins, who were the designated priesthood. Mobility across the castes The view ot the caste system as â€Å"static and unchanging† has been disputed by many scholars. For Instance, sociologists such as Bernard Buber and Marriott McKlm describe how the perception of the caste system as a static and textual stratification has given way to the perception of the caste system as a more processual, empirical and contextual stratification. Other sociologists such as Y. B Damle have applied theoretical models to explain mobility and flexibility in the caste system in India. [2] According to these scholars, groups of lower-caste individuals could seek to elevate the status of their caste by attempting to emulate the practices of higher castes. Some scholars believe that the relative ranking of other castes was fluid or differed from one place to another prior to the arrival of the British. [3] According to some psychologists, mobility across broad caste lines may have been â€Å"minimal†, though sub-castes (Jatis) may change their social status over the generations by fission, re- the question of rigidity in Caste. In an ethnographic study of the Coorgs of Karnataka, e observed considerable flexibility and mobility in their caste hierarchies. [5][6] He asserts that the caste system is far from a rigid system in which the position of each component caste is fixed for all time. Movement has always been possible, and especially in the middle regions of the hierarchy. It was always possible for groups born into a lower caste to â€Å"rise to a higher position by adopting vegetarianism and teetotalism† i. e. adopt the customs of the higher castes. While theoretically â€Å"forbidden†, the process was not uncommon in practice. The concept of anskritization, or the adoption of upper-caste norms by the lower castes, addressed the actual complexity and fluidity of caste relations. Historical examples of mobility in the Indian Caste System among Hindus have been researched. There is also precedent of certain Shudra families within the temples of the Shrivaishava sect in South India elevating their caste. [2] Reform movements There have been cases of upper caste Hindus warming to the Dalits and Hindu priests, demoted to outcaste ranks, who continued practising the religion. An example of the latter was Dnyaneshwar, who was excommunicated from society in he 13th century, but continued to compose the Dnyaneshwari, a Dharmic commentary on the Bhagavad Gita. Other excommunicated Brahmins, such as Eknath, fought for the rights of untouchables during the Bhakti period. Historical examples of Dalit priests include Chokhamela in the 14th century, who was India’s first recorded Dalit poet, Raidas, born into Dalit cobblers, and others. The 1 5th- century saint Ramananda also accepted all castes, including untouchables, into his fold. Most of these saints subscribed to the Bhakti movements in Hinduism during he medieval period that rejected casteism. Nandanar, a low-caste Hindu cleric, also rejected casteism and accepted Dalits. [7] In the 19th century, the Brahmo SamaJ under Raja Ram Mohan Roy, actively campaigned against untouchability. The Arya SamaJ founded by Swami Dayanand also renounced discrimination against Dalits. Sri Ramakrishna Paramahamsa founded the Ramakrishna Mission that participated in the emancipation of Dalits. Upper caste Hindus, such as Mannathu Padmanabhan also participated in movements to abolish Untouchability against Dalits, opening his amily temple for Dalits to worship. While there always have been places for Dalits to worship, the first â€Å"upper-caste† temple to openly welcome Dalits into their fold was the Laxminarayan Temple in Wardha in the year 1928 (the move was spearheaded by reformer Jamnalal Baja]). Also, the Satnami movement was founded by Guru Ghasidas, a Dalit himself. Other reformers, such as Mahatma Jyotirao Phule also worked for the emancipation of Dalits. Another example of Dalit emancipation was the Temple Entry Proclamation issued by the last Maharaja of Travancore in the Indian state of Kerala in the year 1936. The Maharaja proclaimed that â€Å"outcastes should not be denied the consolations and the solace of the Hindu faith†. Even today, the Sri Padmanabhaswamy temple that first welcomed Dalits in the state of Kerala is revered by the Dalit Hindu community. The 1930s saw key struggles between Mahatma Gandhi and B. R. Ambedkar, most notably over whether Dalits would have separate electorates or Joint electorates with reserved seats. The Indian National Congress was the only national organisation with a large Dalit following, but Gandhi nalysis of Untouchability, but lacked a workable political strategy: his conversion to Buddhism in 1956, along with millions of followers, highlighted the failure of his political endeavours. 8] India’s first Prime Minister, Jawaharlal Nehru, based on his own relationship with Dalit reformer Ambedkar, also spread information about the dire need to eradicate untouchability for the benefit of the Dalit community. In addition, other Hindu groups have reached out to the Dalit community in an effort to reconcile with them, with productive results. How to cite Cast System in india, Papers

November 28, 1999 I Was One Of Only Nine Survivors Of The Waco Blaze -

November 28, 1999 I was one of only nine survivors of the Waco blaze -- 74 men, women and children died -- and I've devoted the last six years to understanding what happened there. Back in 1990 I had been drumming in a stagnant Los Angeles rock band when I met and befriended David Koresh. I needed some new drumsticks, and on the way to a gig stopped in at the Guitars R Us on Sunset Boulevard. Seeing the sticks in my hand, two strangers introduced themselves and asked if I was playing in a band. The two were David Koresh and Steve Shumacher, the closest thing Koresh had to a deputy. Schumacher gave me his card and I promptly handed it back. The backside was full of Bible verses. You guys are a Christian band, I said. I had never been religious in my life, but I was curious. There were questions that I wanted answers to. Schumacher and Koresh weren't pushy and made it clear that all they really were looking for right now was a drummer. I'd like to play some music with you, Koresh said, and see where we can go from there. My band was going nowhere, and Koresh intrigued me. So I took the card back, and a few days later gave him a call. Over the next weeks I hung out with Koresh and some other musicians in his band. I got to know Koresh and was tremendously impressed. Having never paid much attention to the Bible, I was astonished to find that it actually did have some relevance to my life. And while Koresh had never gotten much in the way of formal education, it was clear that his knowledge of and insight into the scriptures was remarkable. That fall I went out to Waco to play music and meet the larger community. The people at Mount Carmel were extremely involved in knowing and learning the Bible. In the process of demonizing Koresh and the Branch Davidians, a name we never used when describing ourselves, people have made it seem as if Mount Carmel came out of nowhere. In fact, Koresh was the third leader of a religious community that spun off from the Seventh Day Adventists in 1934. They had been living outside of Waco for almost 60 years before the ATF raid in 1993. I was fascinated with their spiritual search, and I began to read the Bible. Koresh was interesting, and the ways in which he explained the scriptures were complex and demanding. He was clearly a serious religious scholar and I wanted to understand what he was saying. So I stayed. The people around Koresh came from many backgrounds. I met folks who hadn't finished high school, and others with degrees from places like Harvard law school. I spent time with African-Americans, Australians, black Britons, Mexican- Americans and more. We certainly weren't as isolated as people seem to think. We shopped in town, some of us worked in the community and our band performed in Waco clubs. I worked as a bartender in Waco for a time and I doubt a single customer would tell you that I stood out in any way other than my ability to mix a mean margarita. Many have suggested that Koresh was a Jim Jones-like madman. But he wasn't. He had no plans for mass suicide; indeed, in sharp contrast to Jones, Koresh allowed members of the community to leave at any time, and many of them did, even during the siege. But many of us stayed, too, not because we had to, but because we wanted to. The FBI and ATF had been confrontational from the start, they had lied to us and they continued lying up through the siege. The FBI and ATF had many reasons for their attack on Mount Carmel. The initial ATF raid, in which four ATF agents and six Davidians were killed, was based on allegations that we were running a drug lab. But later even ATF employees would admit the charges were a complete fabrication. One member had allowed speed dealers to operate from the building in the mid-1980s, but everyone knew Koresh hated drugs, and he'd asked the Waco sheriff to remove the methamphetamine lab when he took over as leader in 1987. Charges that we were assembling an arsenal of weapons to be used against the government were equally off-base. We ran a business, buying and selling weapons at gun shows, to bring in

5 steps to becoming more optimistic

5 steps to becoming more optimistic Unless you naturally always see the glass as half-full, focusing on the sunny side of things may not seem like the easiest task in the world. (And even those natural optimists have their moments of frustration and doubt.) Positivity is a trait you have to work on, but it’s one worth cultivating- being optimistic is an asset in all aspects of your life, especially in your career. If you’re not confident and open, opportunities may pass you by. Here are some tricks to use when you need to boost your optimism and confidence.1. Note any negativity.When you first respond to something, is your instinct to see what’s wrong? Take a mindful approach to your thoughts and statements throughout the day. You don’t need to feel ashamed of the negativity you feel, just make a note of it and think about why that might be your default response. Think about the assumptions you make. What’s behind them? Is it fear? Anxiety? It’s going to be very difficult to ch ange your thinking if you aren’t putting much introspection into why you’re thinking negatively in the first place.2. Fake it ‘til you make it.When you have a negative thought, consciously add a positive one. Even if you don’t really mean it, or you don’t think it’s totally true, that’s okay. It might feel like you’re forcing it at first, but after a while you’ll find yourself automatically adding the positive to the negative- or even seeing the positive part first.3. Pick a positivity mentor.You probably know someone who’s routinely positive, or able to take a lesson from the bad things that happen. Make that person the little voice in your head (and they never have to know). How would she approach this situation? What perspective would he take? This is part of the mindfulness that can help you change your thinking and your behavior.4. Be kind to yourself.We’re usually our own worst critics- especially when things aren’t going very well. Changing your outlook starts with cutting yourself some slack. It might feel cheesy to (mentally) pat yourself on the back or cheer on your own decisions, but who’s going to know you’re doing it? Start by giving yourself positive feedback in everyday life like, â€Å"I did this poorly, but I did this other thing right,† or â€Å"I got lost, but I stayed calm and eventually found my way back to the road.†5. Be ready to commit.Changing how you see things (and how you react to things) is not going to be an instant process. And it’s not something you can set aside, say, an hour to practice on a Saturday afternoon. If you try to add kind of an internal review to your thoughts as often as you can, you’ll find that you’re tweaking your levels of positivity over time. You will also likely find that you’re feeling less anxious and stressed and more open to opportunities and possibilities if youâ₠¬â„¢re not dwelling on all the reasons it just won’t work, or why you don’t deserve it. You deserve happiness, so go find it!

Common Characteristics of the New England Colonies

Common Characteristics of the New England Colonies The North American colonies that were settled by the English are often divided into three different groups: the New England colonies, the Middle colonies, and the Southern colonies. The New England colonies consisted of Massachusetts Bay, New Hampshire, Connecticut, and Rhode Island. These colonies shared many common characteristics that helped define the region. The following is a look at these key characteristics. Physical Characteristics of New England All of the New England colonies had been covered by ice during the last Ice Age, which created poor, rocky soil. The final melt-back of the glaciers left some of the rocky areas peppered with large boulders.Rivers are fairly short and their floodplains are narrow, unlike in other areas of America, and do not allow for the creation of huge agricultural plots along their banks.The major resources available and used by the colonists were lumber and fish. The People of New England The New England region was an area of mostly homogeneous culture, mostly settled by large groups of people from England who were fleeing religious persecution or seeking new opportunities.The New England colonists settled in towns, typically surrounded by 40 square miles of land that were farmed by the individuals who lived in the towns.Indigenous Native American groups such as the Pequot in Connecticut were involved in extensive trading with the Dutch, but the situation became tense when the English started arriving in the 1630s. Britain launched the Pequot War in 1636–1637, after which many Pequot were executed and many survivors were sold into slavery in the Caribbean. In 1666 and 1683, Connecticut colony built two reservations for the remaining Pequot. Major Occupations in New England Agriculture:  Farms surrounding the farms were not terribly fertile. As a group, the farmers brought a high degree of mechanical ingenuity and self-sufficiency.Fishing:  Boston began exporting fish in 1633. In 1639, Massachusetts Bay was exempted from paying taxes on fishing boats; and as a result, by 1700, the fishing industry was huge. The colonists obtained crustaceans and pelagic fish from saltwater bays and freshwater rivers, and Pilgrim fathers also hunted right whales off Cape Cod.Commerce:  Individuals from the New England area were heavily involved in commerce. Extensive trade with England allowed ship holders to flourish, and the New Englanders also maintained lucrative trade connections with the West Indies and French colonies to the north. New England Religion Calvinism and the Social Contract Theory: Many individuals who lived in the New England area were Calvinists or heavily influenced by John Calvins works and thought. While many look at John Locke as the primary founder of the idea of the social contract (which defined proper government as an agreement or contract between the individuals to join together into a society), the Calvinist doctrine was one of the first to espouse the idea in England. The fact that many New England settlers followed the religious doctrines of John Calvin meant that this theory was part of their religious heritage. Further, this belief in the importance of social contracts transferred to economic contracts as well.A Belief in Predestination:  One of the tenets of Calvinism is the idea of predestination. This was the belief that God had already predetermined everything, including who was going to heaven and who to hell. The idea that God had chosen the British colonies for a special destiny  to take the N orth American continent and develop and maintain an ideal of liberty and democracy later fed into 19th century manifest destiny. Congregationalism:  This style of religion means that the church itself was governed by its own members, and the congregation chose its own minister, rather than being assigned one by a hierarchy.Intolerance:  While the Puritans might have escaped England due to religious persecution, they did not come to America to establish religious freedom for all. They wanted to be free to worship the way they wished. In Massachusetts Bay colony, people who did not subscribe to the colony religion were not allowed to vote, and nonconformists such as Anne Hutchinson and Roger Williams were excommunicated from the church and banished from the colony. The Spread of the New England Population The small towns only lasted a few years, as the populations outgrew the 40-acre supporting fields. That resulted in the rapid increase of many new small towns: instead of having a few large metropolises, New England was dotted with many smaller towns that were established by breakaway groups. This low-intensity settlement pattern lasted until the 1790s when a transition to commercial agriculture and small-scale industry began. In essence, during its first few decades, New England was an area that had been founded by a fairly homogeneous population, most of whom shared common religious beliefs. Because the region lacked huge tracts of fertile land, the area turned to commerce and fishing as their main occupations, though individuals within towns still worked small plots of land in the surrounding area. Slavery did not become an economic necessity in New England, as it grew to be in the Southern colonies. This turn to commerce would have a major impact many years later after the founding of the United States when questions of states rights and slavery were being discussed. Sources and Further Reading Carroll, Charles F. The Timber Economy of Puritan New England. Providence: Brown University Press, 1973.Foster, David R. Land-Use History (1730-1990) and Vegetation Dynamics in Central New England, USA. Journal of Ecology 80.4 (1992): 753–71.Foster, David R., Glenn Motzkin, and Benjamin Slater. Land-Use History as Long-Term Broad-Scale Disturbance: Regional Forest Dynamics in Central New England. Ecosystems 1.1 (1998): 96–119.Scott, Donald M. The Religious Origins of Manifest Destiny. Divining America: Religion in American History. National Humanities Center.  Silliman, Stephen W. Change and Continuity, Practice and Memory: Native American Persistence in Colonial New England. American Antiquity 74.2 (2009): 211–30.Stout, Harry S. The New England Soul: Preaching and Religious Culture in Colonial New England. Oxford: Oxford University Press, 2012.  Yankee Whaling. New Bedford Whaling Museum, 2016.

How Is Angina Diagnosed Essay Example | Topics and Well Written Essays - 750 words

How Is Angina Diagnosed - Essay Example Prior to the management of unstable angina it is crucial to diagnose the problem. Unstable angina can be diagnosed by means of clinical presentation of patient and by the measurement of certain biochemical markers. Cardiac troponin and myoglobin are valid diagnostic markers (Kumar and Clark, 2012). The main tool used in diagnosis of unstable angina is the clinical presentation of the patient. The patients complain of chest pain, chest pain may occur at rest or while exertion. The patient feels chest pain which radiates to the shoulder, arm, jaw, neck or the back. A feeling of discomfort might be felt by patient, and they might describe it like tightness in the chest. Dyspnea and sweating are also the possible symptoms of unstable angina (Kumar and Clark, 2012). On physical examination the patient is usually normal. Elder patients and women present with rare symptoms such as weakness, nausea, lightheadedness and diaphoresis (Sami et al, 2010). Electrocardiography plays a vital role is assessing unstable angina. It is a good prognostic tool for physicians to make decisions for patients who are at high risk for coronary syndromes. The 12 lead electrocardiogram is used for the diagnosis. For instance if a patient with symptoms of angina comes to the ER, physicians should do an ECG as soon as possible to rule out the underlying problem. In unstable angina the findings on an electrocardiogram include ST-segment depression, brief ST-segment elevation and inversion of T-wave. The ST-segment elevation in two continuous leads as a confirmation for acute myocardial infarction (Kumar and Cannon, 2009). Measurement of cardiac biomarkers is done in patients with acute coronary syndromes. The cardiac troponins are highly specific and sensitive in marking myocardial injury. Cardiac troponins have taken over CK-MB. The major disadvantage in using cardiac troponin is that it starts to rise in the patient after about 6 hours of the appearance of the symptoms (Kumar and

Assessing the marketing and business capability of small to medium Assignment

Assessing the marketing and business capability of small to medium sized businesses (SMEs) - Assignment Example Diagnostic audit is one of the important audit tools that examine the marketing operation of a specific business unit. Objective of the study The study has provided the backdrop for the crystal clear review of the marketing components and activities of the companies under the small and medium scale enterprise. The study has been conducted considering three companies such as Jain Estates, Multisoft Systems and Infinity Informatics. Multisoft Systems is an India-based software development company listed under growing SMEs in India. Infinity Informatics is an information technology products development company situated in Bangalore. Jain Estates is one of the emerging real estate company listed under SMEs list in India. These three small and medium scale enterprises are increasing their market reputation slowly and gradually. The major objective of the study is to review or assess the marketing and business capabilities for these small and medium-scale enterprises. In order to uncover t he study, the following objectives can be set for the purpose of research work. Determining and closing the marketing and business capability gap. Implementation of marketing audit and toolkits in order to betterment the SMEs business and marketing capabilities. Importance of the Diagnostic audit to measure the marketing performances of the three companies. Elaborating the findings of thorough analysis and recommendation plan for the problem statements. In order to draw a decision, the study needs a conclusion whether the marketing audit is effective or not in terms of the business practices of the three small and medium-scale enterprises. Marketing and business capability gap The gap between the...It is necessary as it identifies and rectifies the problems in business practices. The marketing audit efficiently assesses the business performance of a company. The owners of SMEs need to learn and implement the audit for the betterment of their business practices. The government should organize some events or programs related to the awareness and importance of the marketing audit considering the SMEs as the SMEs significantly contribute to countries’ economical development. The SMEs owner can be benefited by such awareness programs. Moreover, it is necessary that small and medium-scale enterprises appoint an external market auditor due to the small size of industry. In order to evaluate marketing planning and performances and establishment of improved and integrated business strategy, the marketing auditor is need to be appointed in a SME. Conclusion Without effective assessment of previous business performance, SMEs cannot rectify and improve their business performance in the near future. The above study has clearly stated the potential of small and medium-scale enterprises. Moreover, it is feasible from the research work that effective marketing audit will help structure the marketing budget for sales and marketing activities of specific products and services.