Friday, January 24, 2020

Breast Implants Essay -- essays research papers

Breast Implants One of the first uses of silicone in a medical implant came in the form of lifesaving tubes implanted into young children to funnel excess fluid from the brain into the chest cavity, where the fluid could be safely metabolized and excreted. Since these "shunts" were first used, in the late 1950s, silicone in various forms has come to be an important part of many implants. "It is used in tracheotomy tubes, in artificial lenses for the eye, in artificial heart valves and in facial implants for birth defects or re-constructive surgery after cancer" (Ames 1). The most widely used implementation of silicone is through breast re- constructive surgery through elective surgery of an individual, or re- constructive surgery to replace breasts due to women recovering from mastectomies from breast cancer or miscellaneous types of accidents. The early history and use of implants showed no ill effects of the use of paraffin or silicone. Because of this newly developed surgical process and relatively little use of FDA guidelines there was no comprehensive testing done to ensure the utmost safety of a silicone recipient. By this time the millions of women throughout the world who already had Dow's silicone prosthesis implanted into their breasts had no idea of the dramatic health risks. Because of these potential health risks, women should avoid the use of breast implants. In 1976, Congress gave the FDA authority to regulate breast implants. By this time breast implants had been in use for a significant amount of time and were considered "grandfathered." This means that they were allowed to remain on the market, even though they have not gone through stringent testing. The FDA felt there was no evidence to substantiate that the implants were harmful. Furthermore Congress also gave the FDA the power to go back and require manufactures to provide proof that the implants were indeed safe and effective, if it was felt that there was a reason to do so. (Bruning 7) "In 1977, Richard Mithoff, a Houston attorney, wins the first lawsuit for a Cleveland woman who claims that her ruptured impla... ...'s internal memo's, thousands of these memo's revealed lack of long term testing, complaints from doctors, and leakage of silicone from the implants. The most outrageous incident discovered was complaints from surgeons of implants rupturing in the operating room, as they tried to install them into women's breasts (Byrne 98). Pathology reports indicate considerable silicone reaction to the extruded material can cause severe foreign body reaction in susceptible individuals. A letter written to Dow Corning from Charles A. Vinnick a predominant cosmetic surgeon in California wrote: " I am loathe to publish my series of cases as I feel that it may open Pandora's box. I do feel, however, that rapid dissemination of this information is very necessary to protect your comapny and my colleagues" (Bryne 98). Vinnick complained to Dow about an incident when he removed a pair of silicone implants, the gel in a ruptured implant was terribly runny while the gel inside the other implant was of ideal cohesion. This difference led him and some others to believe that when silicone gel came into contact with tissue fluids and fat the gel's consistency changed.

Thursday, January 16, 2020

Ben Jonson Song to Celia Essay

Ben Jonson’s â€Å"Song: To Celia† can vary in interpretation depending on the reader. The interpretation of the poem can either be that of a man confessing his love to a woman who rejects him or that of a man in love with a woman who he has had a previous, unsuccessful relationship with. Jonson’s diction, rhyme scheme, rhythm, and symbolism make â€Å"Song: To Celia† an intriguing piece which requires the reader to read creatively. â€Å"Song: To Celia† has a consistent rhythm of alternating iambic tetrameter and trimeter throughout the poem. The rhyme scheme is ABCB, ABCB until a change in line nine to DEFE with one slant rhyme pair. The change in rhyme scheme from ABCB to DEFE represents a change in the tone of the poem while staying true to its sing-song nature. From lines one through eight, Jonson uses drinking and thirst as metaphors for love and desire. In the opening line when he says â€Å"drink to me, only with thine eyes,† Jonson is personifying Celia’s eyes and metaphorically suggesting that they are able to declare love. The recurring reference to wine and drinking implies that love is intoxicating and in line two, it is implied that a â€Å"pledge† similar to a toast can be made of love similarly to a promise. In line five, the speaker mentions the â€Å"thirst†¦ from the soul† in reference to the speaker’s desire to live happily in love with Celia. The speaker even says that he will give up immortality presented to him in liquid form just to be with her. Line nine presents a change in the poem. The speaker’s love from line nine to the end of the poem is compared to a wreath. A wreath typically represents eternity with it’s round shape. The diction of this poem, however, suggests that the wreath represents rejection. The wreath is a gift that the speaker sent to Celia who returned it to him. In line fifteen, the wreath â€Å"grows and smells. † The growth of the wreath represents the growth of love inside the speaker only and the smell signifies the lingering of Celia’s presence in the speaker’s thoughts. Jonson makes an interesting choice by having the speaker send a â€Å"late†¦ rosy wreath† on line nine. Late can either mean at night or occurring after the proper time. Depending on the reader’s interpretation of this line, the poem can have completely different meanings. If the wreath is considered to be sent at night, Celia has simply rejected its sender. If the wreath is considered to be sent after the proper time however, it is implied that Celia and the speaker have had previous relations with each other and that the speaker has sent the wreath in hopes of another chance at romance and happiness. By describing the wreath as â€Å"withered† in line twelve, it is implied that something that once existed has now died. The difference between the hopeful, longing, intoxicated feeling of the first half of the poem with the defeat in the second half is what makes this poem profound in its telling of rejection. The use of metaphors and debatable language appeal to the readers’ emotions and provoke their thoughts add to the confusion and passion of one-sided love, thus making Ben Jonson’s â€Å"Song: To Celia† an effective work in its portrayal.

Wednesday, January 8, 2020

Dfdd - 636 Words

To complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the Introduction to the Miller Family document for specific information on each member of the family. Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing. She went into remission for some time, but now the cancer has returned and she is in the hospital. Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life. Ella has her preferences, though she is now so weak that she has given up in many ways. The family members are each experiencing their own fears and are grieving as they face the loss†¦show more content†¦Ã¢â€" ¦What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered? ââ€" ¦How is the neighborhood and extended family (mezzo) reacting to the situation? ââ€" ¦If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them. Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances. 4.Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home. When discussing medical issues in this case, use appropriate medical terminology. 5.Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time. How has the fact that this illness has been ongoing (chronic) impacted the family? 6.Analyze the current scenario as it pertains to diversity, as well as