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 Appendectomy Essay
similar for obese patients with perforated appendix, with the laparoscopic approach demonstrating
a superior outcome. Mason et al. [31] corroborated these findings using data from the American
College of Surgeons National Surgical Quality Improvement (NSQIP) Program database. In a
sample of 13, 330 obese patients with a body mass index =30 kg/m2 who underwent
appendectomy between 2005 and 2009, they showed that laparoscopic appendectomy was
associated with a 57% reduction in overall morbidity in all obese patients, and a 53% morbidity
reduction after a 1:1 matching to reduce bias. After matching, laparoscopic appendectomy showed a
reduction in length of stay by 1.2 days compared to open. A review of the NSQIP database by
Tuggle et al.... Show more content on Helpwriting.net ...
Kiviluoto et al. [34] randomized 63 patients with acute cholecystitis and similar demographic,
physical and clinical characteristic to receive either LC or OC. They found a significantly lower
postoperative complication rate, shorter postoperative hospital stay and lower mean length of
stay in the LC group. El Awadi et al. [35], in a randomized controlled study, evaluated 110
cirrhotic patients with symptomatic cholelithiasis. They demonstrated a longer operative time
(96.13 vs. 76.13 minutes, p 0.01) and higher postoperative morbidity in the OC group compared
to LC. Ji et al.[36] performed an RCT in 80 patients with symptomatic gallbladder disease and
portal hypertension from cirrhosis in a bid to compare LC vs. OC. LC demonstrated superior
outcomes over OC with lower intra operative blood loss, shorter time to resume diet, fewer post
operative complications and shorter length of hospital stay. In terms of costs, multiple studies have
demonstrated a net cost effectiveness profile that favors laparoscopic cholecystectomy, with some
others showing equivalent costs. While initial studies demonstrated a higher operating room costs
for LC, these were offset by lower overall hospital costs due to shorter hospital length of stay.
McIntyre et al. [37] reported a mean hospital charge of $6471 for LC vs. $8896 for OC. As with
laparoscopic appendectomy, there are still clear
 Advantages and Disadvantages of Conformyit
The advantages and disadvantages of conformity.

The New Zealand Oxford dictionary defines conformity as accordance with established practise and
agreement suitability. Conformity comes with many advantages and disadvantages. Conformity
exists so people don t feel left out. It also comes with many dangers such as losing your logic and
forgetting whether what you re doing is good or bad.

An advantage of conformity is feeling that you re not alone. You feel accepted and a part of a
group where will nobody will judge you. An example of this is Adolf Hitler and the Nazi party.
Hitler influenced fellow Germans and Austrian s that Jews needed to be killed off and did not
deserve to live, as well as homo sexuals, gypsies, anyone mentally or ... Show more content on
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Osama Bin Laden managed to gain an army called Al Qaeda . Bin Laden lead this group and
managed to plot many attacks in the world such as the September 11th attacks on the Twin
Towers, 1998 U.S embassy bombings and the 2002 Bali bombings. These attacks were so bad
that many people in the Al Qaeda army would put there life s on edge and be involved in these
attacks all for the pleasure to please Bin Laden. The same goes with Kim Jong, he along with
many North Koreans in the Workers Party of Korea are threatening to bomb America and start war
against them. This is a disadvantage of society because too many people tag along all because one
dictator begins to let the population believe what he thinks is right in his opinion.
Another disadvantage of conformity is body image. Magazines and media portray stars as skinny
and beautiful. This begins to get into younger and older women s brains that they need to look
like this. That they need to buy the latest beauty product in order to look like Jessica Alba or to
eat the same diet as Jennifer Anniston does to look as skinny as her. Media often touches up
images that are out in the open, commonly airbrushing their skin to make us think it is perfect or
reducing their waist and leg size. Many girls believe you need to be skinny and pretty to fit into
society and that if you don t look like girls in the media you aren t going to be accepted. Too many
girls think being model thin is
 How To Get Free Public Education In Australia Essay
There s no denying that Australia has become a safe haven for many people fleeing injustice,
prejudice and suffering, and that many of these people are illegal immigrants as they haven t
escaped their torment through the usual process in place. Much has been agreed about what we
should do with these people, including whether once they are in Australia they should be entitled
to a public education. The answer to this question is simple to any child focused, non racist
compassionate person. Of course illegal immigrants should obtain an education via our education
system. Because I believe illegal immigrants can be as successful as ordinary people. There are
those who believe that these people do not deserve the right of free public education because they
use a large amount of our resources. I am here to fight for the children and those who have escaped
injustice; they deserve to be entitled to public education, because education is a human right.
Illegal immigrants can become as successful as ordinary people through studying, if they are
entitled to a public education. There are many famous people who you know that were formally
illegal immigrants, Arnold Schwarzenegger was an illegal immigrant because he violated terms of
his visa. Arnold came over to the U.S to become a bodybuilder and was... Show more content on
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Whether they are illegal immigrants or children living in a third world country, they deserve to
be educated, not kept behind high fences under strict rules or stuck in a factory working for
hours every day . UNICEF and UNESCO are planning a program to educate every child no matter
their status. UNESCO s Director General Irina Bokova stated that she wants to advance global
citizenship education for those who can t afford it or those whom are banned from education. It is
a Human right for all to have education as a child even if you are an illegal
 Quebec Act Dbq
I believe that the Quebec Act is the best act when the majority of the people living in the

thirteen colonies label themselves as something other than British citizens. Such as in the

Quebec Act which is in 1774 on June 27, It was passed by British parliament to replace brief

government created at the time of the proclamation of 1763. It gave French Canadians

complete spiritual freedom and restored the French form of the civil law. The Quebec act was

arranged to extend the borders of Quebec and pledged religious freedom to broad Canadians.

The 1774 Act had sweeping effects, in Quebec itself, as well as in the thirteen colonies. In

Quebec, English speaking immigrants from Britain and the southern colonies objected to a

variety of its ... Show more content on Helpwriting.net ...

of the Quebec Act were seen by the colonists as a new model for British colonial management

which would strip the colonies of their elected assemblies. It seemed to cancel the land claims

of the colonies by granting most of Ohio to the area of Quebec. The Americans were especially

angry that the Act recognized Catholicism as the state religion in Quebec. In particular in the

regions of Virginia, New York, and Pennsylvania for the reason that the lands of Ohio that were

given to Quebec were in fact assigned to them beforehand by the Parliament and if that was not

bad enough the new order also provisioned that the seigneuries that would uphold them.

Although I listed some bad things there are also some more bad things such as, the act did not

include the provision for the law making body. The act plus issued that the officer should

readdress their oath with Elizabeth the first and George the third which had no direction to the

protestant religion however the French Canadians were given the abandoned practice
 The Darkness Of Relationships. Relationships Are The...
The Darkness of Relationships
Relationships are the foundation of everything in this world, especially in literature. If there is no
relationship present, there is essentially no story; in the short story A Temporary Matter by Jhumpa
Lahiri the entire story focuses on the married immigrants, Shoba and Shukumar, and their
relationship. Unfortunately, their relationship is an example of something that is commonly seen in
many North American relationships. Lahiri clearly depicts them as an unhappy couple that
possesses a deeply flawed marriage, and are only able to connect through negativity, irritation, and
grief. This text clearly portrays an intensely damaged relationship and shows the ways in which a
relationship can quickly fall apart ... Show more content on Helpwriting.net ...
On page 13 it states, Okay, he said, remembering. The first time we went out to dinner, to the
Portuguese place, I forgot to tip the waiter. I went back the next morning, found out his name, left
money with the manager. (Lahiri 13) This scene is the first night of their power being out, and
Shukumar s first confession to Shoba. It is about the memory of the first time they went out for
dinner together, which is a happy memory for both of them. It is also a humorous confession
because it is about something so simple and innocent. He finishes this confession in an adoring
way, Shoba asks, Why did you forget to tip the waiter? (Lahiri 14) and he replies with, By the end
of the meal I had a funny feeling I might marry you. (Lahiri 14) This shows how the use of
memory brings a couple closer together and allows them to feel a similar feeling that they might
have felt when they were first meeting. This is often referred to as the honeymoon phase of their
relationship, meaning they are happy and the relationship is still within its innocent state. They have
little to no problems between the two of them because they have known each other for such a short
time. They are just beginning to fall in love, and these types of joyful memories are the kind that
people love to hold onto because of all the wonderful feelings they get from them. As the nights go
on, the confessions begin to change from these blissful, innocent
 Identifying Understanding Communication Styles
Identifying Understanding Communication Styles
As a training professional, you need to be able to differentiate effective and ineffective
communication styles, and understand that their style of communication may often conflict with the
way messages are interpreted. By understanding different communication styles, we can help our
students begin to understand how to separate the message from the communication style of the
person with whom they are communicating and to appropriately respond to the content of the
message.
Examples would be a supervisor saying to a subordinate in loud and angry tone of voice ...can t
you do anything right? (aggressive style) or a shop clerk rolling her eyes back as she tells the
customer rummaging through her purse take your time, I m not busy at all (passive aggressive style).
Our communication skills are developed based upon our education, attitudes, and preconceived
notions. The good news is that communication styles can be changed with effort and the right
attitude.
No matter your style, effective communication always includes positive feedback. Constructive
comments help those you are speaking with to feel good about themselves, to feel more comfortable
and confident trying new things, to grow, to be heard and to be taken seriously. Critical and
judgmental comments will inhibit growth and learning. For example:
Critical/Negative Feedback
Your voice is way too low. Nobody will hear a word you have to say! Try it again!
Don t
 Federal Drug Policy, And Its Correlation With The Shortage...
In this essay, federal drug policy, and its correlation with the shortage of drugs in Canada, will be
considered. In particular, the disruption of drug supply will be discussed, with a specific focus on
drug supply within the province of Ontario. A discussion will ensue surrounding drug pricing and
policy, and the ways in which these frameworks can ultimately serve to affect the efficacy of
medical treatment and the safety of patients. In addition, the paper will focus on the accountability
of multiple stakeholders, at both the federal and provincial levels, in terms of supplying medically
necessary drugs to Canadians. This analysis will encompass the dominant role played by
pharmaceutical actors in Canada. Finally, conclusion will be drawn which take account of existing
federal and provincial programs that aim to address drug shortages and the recommendations on
comprehensive and appropriate drug funding.
Throughout this paper, an attempt will be made to tie the paper to major concepts covered in the
course, as well as thematic issues canvassed in the scholarly literature and grey literature. Critical
analysis, rigorous evidence, and consideration of counter arguments will all be leveraged in support
of strengthening the main thesis statement of this essay: the grey area of drug policy left in the wake
of the federal and provincial division of powers pertaining to healthcare, in that private interests in
the form of the pharmaceutical industry can serve to detract from a
 Bill of Rights Essay
The Bill of rights had been proposed as a follow up to Parliament s original Habeas Corpus bill,
which safeguarded personal freedom and liberty. Now just about every colony had a bill of
rights, so James Madison suggested that if the United States was to survived as a a country it
would need to have a set of rules versus thirtheen and every state would have the same rules. In
1789, James Madison proposed a series of legislative articles to the first United States congress, but
the processes took a while; Madison proposed twelve but only ten became known as the Bill of
Rights in December 15, 1791. Brant gives a summary of how these amendments proposed by James
Madison, would be added quickly to the Constitution: The first ten... Show more content on
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Bill of Rights with its earlier analogue, noting that even in the colonial period Americans had
progressed far beyond the English in securing their rights....The English Bill of Rights, its exalted
name notwithstanding, had a narrow range of protections, including the freedom of petition, free
speech for members of Parliament, and, in language closely followed by the American Eighth
Amendment, bans on excessive bail, excessive fines, and cruel and unusual punishments. As an
antecedent of the American Bill of Rights, the English one was a skimpy affair, though important
as a symbol of the rule of law and of fundamental law. (Levy 5). But it is important to realize the
the English Bill of Rights had been proposed as a sort of follow up to Parliament s original Habeas
Corpus bill, which safeguarded personal freedom and liberty. Although Habeas Corpus still serves as
the legal bedrock of the freedom but left to one s judgment or choice in the lives of individuals by
the state, it falls far short of the extraordinary number of counts of liberties that would comprise the
Constitution s first ten amendments. Madison s proposals would compensate for the skimpy
character that Levy attributes to these existing provisions, from which the American authors of the
Constitution derived little more than the name and the
 The Syrian Refugee Crisis Essay
A refugee is defined as an individual who has been forced to leave their country due to political or
religious reasons, or due to threat of war or violence. There were 19.5 million refugees worldwide
at the end of 2014, 14.4 million under the mandate of the United Nations High Commissioner for
Refugees (UNHCR), around 2.9 million more than in 2013. The other 5.1 million Palestinian
refugees are registered with the United Nations Relief and Works Agency (UNRWA). With the
displacement of so many people, it is difficult to find countries willing to accept all the refugees.
There are over 125 different countries that currently host refugees, and with this commitment comes
the responsibility of ensuring these refugees have access to... Show more content on Helpwriting.net
...
Despite the efforts of parents to keep traditions alive, children are changing, fighting over food,
clothing and anything of any value. Many children feel like they are prisoners in their host
countries. Many are not allowed to leave their homes due to safety concerns and chores that need
to be completed. Twenty nine percent of Syrian refugees leave their home less than once a week.
In many cases, multiple families are crammed into the same, often one roomed house. People
who held jobs, and often led successful lives now live off of handouts, or by working odd jobs.
Many children have been out of school for over two years, and there is no opportunity to begin
school in their host country. Last year, over 40% of elementary children dropped out of school
due to the civil war and resulting displacement. With no job and no opportunity of education for
their children, there is little hope for those who have fled Syria. Aside from the difficulty of
finding a place within a school, many children are also expected to work and to help provide for
their families, as many parents cannot find a job. Many go to school all day, and then work night
shifts at restaurants or factories. Many children are often exposed to extremely long working hours,
dangerous types of work and many are exposed to illegal activities. Those that do manage to go to
school are faced with harsh discrimination, and often segregation. The parents of Jordanian and
Lebanese
 How Serial Killers came to be Essay
A serial killer is traditional defined as the separate killings of three or more people by an
individual over a certain period of time, usually with breaks between the murders. (Angela Pilson,
p. 2, 2011) This definition has been accepted by both the police and academics and therefore
provides a useful frame of reference (Kevin Haggerty, p.1, 2009). The paper will seek to provide
the readers with an explanation of how serial killers came to be and how they are portrayed in the
media. Several serial killers have a definitive and common personality profile. Almost every major
social, biological, psychological behavioural influence that has been seriously suggested as playing a
role in causing crime has been thoroughly thought as potentially... Show more content on
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According to FBI Special Agent Robert K. Ressler, more than 60 percent of serial killers went the
bed beyond the age of 12. Many are involved in vicious activities. Frequently, serial murders come
from dysfunctional families, where the father is almost absent and the mother is often passively
domineering. (Julieta, p.2, N.D.) Families of serial killers will often have criminal, psychiatric or
alcoholic histories. Family members often abused the serial killer as they were growing up,
physically, emotionally or sexually. There are 4 major typologies of serial murders. One type is
referred to as visionary type. A visionary type serial killer murders due to pressure from delusions,
hallucinations or visions. They exhibit extreme psychopathy and do not clean up their crime scene.
They often report that they have committed the crime because voice in their head told them too.
Another type is power and control serial killers, they tend to enjoy their victim s suffering and
torture. They often sexually abuse their victims, but they are not interested by feelings of desire.
Mission orientated serial murders feel as through they are doing society a favor by murdering
certain people such as prostitutes, drug dealers, or homosexuals, people they feel that society could
do without. These murders are very seldom psychopathic. Last, but not least is known as trill
orientated motive type,
 Mother Child Coresidence
This study is a research article that uses cross sectional secondary data. The study explores the extent
of mother child coresidence and the mother characteristics explaining children s coresidence with
their mothers using the full birth histories from the 2014 Lesotho Demographic health survey data.
Research has predominantly used the children s reports from the household schedule for exploring
children s coresidence with their parents. In the children s reports mothers are identified and their
information readily available if part of the household, but there is no information on the mothers who
are not part of the household. Our study uses the women s full birth histories which allow analysis of
mothers characteristics associated with
 The Frogs
Aristophanes The Frogs was first performed at the festival of Dionysus in 504BC, a year before
the end of the Peloponnesian war, and was so well received it not only won the competition for
comedy, but was also given an encore taking the form of a second performance in that same year.
At the time of the plays performance Athens was run by an assembly of its citizens, in some ways
comparable to a modern democracy, where any man who had completed two years of military
service was able to vote. Politics therefore was an important part of Athenian life, with many young
men studying the art of debating, something reflected in The Frogsby its many references and
illusions to political figures. It is hard to doubt that in his play Aristophanes intended to educate or
inform his audience, especially considering the plays many allusions to the advisory role of poets.
The objective of this essay therefore is not to answer the question does Aristophanes inform, educate
and entertain his audience in the frogs but to identify both where and how he does so, both
linguistically and structurally. The problem with this however is that any talk about the... Show more
content on Helpwriting.net ...
In the parabasis the chorus leader exits the dance and, either partially or fully taking on the voice
of the poet, addresses the audience directly. It is hard to doubt that in his inclusion of a parabasis
Aristophanes intended to take on the advisory role of a poet. In his article A lesson From Frogs
Geoffrey Arnott argued that Aristophanes used the parabasis in Frogs to advocate for two different
policies: the pardoning of those exiled after the oligarchic revolution of 411 10, and the formation
of a government led by the noblest families in Attica . Whether you agree or disagree with Arnott s
specific claims, it is clear that in his parabasis Aristophanes seeks to educate and inform his audience
into having a certain political
 Reflection On Communication And Communication
In the genome editing class, we had to work with our lab partner, and almost all tasks required us to
work together as a team. Anyhow, we had several presentations that needed to be done together as a
team. On our first presentation, my lab partner and I discussed which sections we would each cover,
splitting the assignment in exactly half. Therefore, deciding how we would divide the presentation
was an excellent start, but apparently, he felt that was all we needed to discuss. Consequently, that
was the extent of our communicationsince I did not hear from him until the day of class when we
were doing our presentation. In my mind, for all, I knew he didn t even do his portion of the
presentation, and I expected constant communication while working on the project. Apparently, he
felt that no communication was appropriate, however, I felt nervous and uncomfortable. Anyhow,
I arrived at class and handed him my thumb drive with my portion of the presentation. I told him
we need to exchange numbers, and emails so when we work on our other presentations that we
can communicate and aid each other. I explained to him that all weekend I had worried that he did
not do his portion of the project since I had no contact or communication with him at all. He replied
why wouldn t I work on my section? I replied I am not familiar with you or your work ethic.
Apparently, my communication approach was using the Theory X based on the assumption that
employees or people are inherently lazy
 Pros And Cons Of Devolution
Lawmaker, Braulio Guerra, climbed the border between the United States and Mexico to send a
message to President Donald Trump . He says that the fence that s there now is 20 feet high and
is easy to climb, so he could easily get into the United States. It s going to take l 15 million dollars
just to build the wall between the U.S. and Mexico. President Trump said he would make the
Mexican government pay for it, which they refused. Braulio Guerra message is that the wall is
unnecessary and is a waste of money . President Trump is mentioned in this article . Guerra is a
member of Mexican President Enrique Peña Nieto s ruling political party. I feel that we shouldn t
build a wall between the U.S. and Mexico. It is unnecessary and a waste of