Flap Reconstruction Following Rhomboid Excision Of The...

Limberg flap Reconstruction following rhomboid excision of the sacrococcygeal Pilonidal sinus. INTRODUCTION Pilonidal sinus is a common disease of the young adults. Most frequently seen in the sacrococcygeal region. Estimated incidence is 26 per 1, 00,000 people. It generally presents as a cyst, abscess, or sinus tracts with or without discharge in the presacral region. Men affected more often than women, rarely seen before puberty as well as after the age of 40 years. Pilonidal sinus is not a major problem in terms of surgical techniques. However, considering the age group and gender it affects, it is a grave disease that can cause a significant loss in labor and earning and can cause disruption of the educational activities. Literature suggested the various surgical methods to treat sacrococcygeal pilonidal sinus disease like good hygiene of the area with clipping of hairs, wide excision of the area and packing, excision and primary closure, marsupialization, and newer flap procedures, but none is widely accepted. Recurrence ranged from 1–40 % regardless of the technique used. It is the main concern in the treatment. Male gender, obesity, smoking, family tendency, poor body hygiene, sinus size, and the surgical procedures performed have been confirmed in a number of studies as primary risk factors for postoperative complications and recurrence. Limberg in 1946 first designed Limberg rhomboid flap for sacrococcygeal pilonidal sinus. He described a technique for

Issues With Binge Drinking And Its Effects On Your Body Essay

Lindsey Salas Period 3 Mr. Bolivar November 2, 2016 Issues with binge drinking Many people consider alcohol as a drug because people are addicted to it ,and it can kill you. It has affected our society because many people have died or killed someone innocent causing their lives to end shortly. Alcohol is considered a depressant, the amount of alcohol you consume depends how your body reacts .This research paper will analyze alcohols immediate, permanent and fatal effects on your body. Our brain is an example of an immediate change due to causing many effects that can damage us forever. Some side effects are difficult walking, blurred vision, a slurred speech, slow reaction,it can even cause you to forget your memory from slips of memory to permanent memory loss. A slow reaction can be bad because if you are in danger you will have a low reaction and it can cause you to be killed or be in danger of an accident. Alcohol is known as a depressant it can disrupt balance,affecting our thoughts, feeling, and actions. Many people go to alcohol for a stress reliever and to forget about their problems. It may help you forget your problems, but will it solve them? You may start of with only one shot then that will lead to 10 more then to a bottle next thing you know you don t know what is going on. If your mind isn t completely conscious it makes it easier for you to be a victim of rape. For women it is easier to be a target due to having alcoholShow MoreRelatedThe Effects Of Alcohol Poisoning On Australia1635 Words   |  7 PagesThis report is outlining the effects of alcohol poisoning. Describing what it is, why the report is required and a specific high risk group – young Australians ages 18-24. The benefit of this report will outline the main dangers of alcohol poisoning and why it’s a big problem in Australia. Alcohol poisoning in Western Australia alcohol caused 2.85% of total health problems for Australia, Costing the medical industry in Western Australia $379,689,476.83. This includes all the problems associatedRead MoreEffects Of Alcohol On The Body s Organs And Brain Activity1350 Words   |  6 Pagesprolongs the messages from the brain to the body affecting the way one thinks, feels and behaves (Alcoholthinkagain.com.au, 2014). Excessive alcohol consumption can have many negative effects on the body’s organs and brain activity. Major health problems such as cardiovascular disease, cirrhosis, depression, gout and pancreatitis can occur as a result of consuming large quantities of alcohol and have the potential to be fatal (Freeman, 2016). Binge Drinking is the act of consuming an excessive amountRead MoreEffects Of Binge Drinking On Children960 Words   |  4 PagesThere is a lot of support and treatment for binge drinking. Organisations such as Alcohol know your Limits and l ike a drink. These organisations provide support and advice to people who are suffering with binge drinking. They provide useful information about alcohol and what each genders drinking guidelines is. In addition they also provide information on the long and short term effects of binge drinking on an individual both physical and mental. Furthermore they have hotlines that people can callRead MoreThe Effects Of Binge Drinking On Teens1519 Words   |  7 Pagesto look at binge drinking in teens. Binge drinking interested me because so many teenagers drink alcohol when they go out and don’t know what consequences it has on the body. Binge drinking is the consumption of an unreasonable amount of alcohol in a short period of time. I have chosen to research ‘What are the psychological and physiological effects of binge drinking in teens?’. I chose this question because I wanted to inform myself and other teens on the effects of binge drinking. The researchRead MoreEm erging Adulthood : Developing Adults Experience Alcohol1575 Words   |  7 Pageslearn about themselves, their roles, and who they are. C. In this context, we will use binge drinking to describe the abuse of alcohol. Wechsler and Nelson (2001) defines binge drinking as for drinking 5 or more alcoholic drinks at one time in the span of half a month for men and 4 or more drinks for women in that same time frame. They suggest that the difference in the amount of drinks is not a result of different body weights, as they controlled for it, but because of the differences in the metabolismRead MoreThe Effects Of Drinking On College Students1225 Words   |  5 Pagesdoes not finish until they reach adulthood. Drinking can have harmful effects on the development of the brain, which has a major impact on the student as they age. College is a very stressful time period for some and a common mistake is students abusing the amount of alcohol they consume to cope with the stress they have. The question that comes to my mind is why do those who are fully aware of what they re doing to themselves continue to drink? This issue need s to be addressed more strictly to preventRead MoreThe Dangers Of Adolescent Binge Drinking1279 Words   |  6 Pageshas the necessity to awe his or her friends, sweetheart or better half. Throughout your high school years, our friends and companions get to be more important than our own families. They are the ones we as adolescents turn to in an emergency for backing. Because of feeling the need to fit in with our peers, there is a steady associate weight. This has been one of the principles calculated in high school binge drinking. There is frequently a necessity to contend with one another. When living in a fraternityRead MoreThe Dangers of Underage Drinking775 Words   |  4 Pageslethal by alcohol poisoning. â€Å"Alcohol can enter the blood stream; binge drinkers can ingest a fatal dose of alcohol before passing out.† (â€Å"Binge Drinking Can Be Fatal†). The legal minimum age should not be lowered, teens under 21 don’t have the responsibility to get int oxicated and those include car accidents, homicides, suicides, and other injuries. I’m going to tell you why minors should not drink, how alcoholic beverages effects teens, and why the legal minimum age shouldn’t be lowered. The agesRead MoreEssay about Keeping the Drinking Age at 211662 Words   |  7 PagesWhen it comes to the subject of drinking and teenagers, what is the first thing that comes to mind? To me its the legal age limit of when teens should be able to drink. Having it lowered is controversial because according to prior experiences, data shows that younger age drinking is well known for its fatalities. According to Mothers Against Drunk Driving (MADD), on one of the most popular prom nights in 1999, as many as 62 percent of the traffic deaths were alcohol-related (). The most importantRead MoreStages Of Alcoholism Leading Cirrhosis Of The Liver Essay1202 Words   |  5 Pagesdifferent levels of drinking leading to alcoholism. Finally, the paper will also discuss the deterioration levels leading to the signs and symptoms of cirrhosis. Keywords: Cirrhosis, a chronic disease of the liver marked by degeneration of cells, inflammation, and fibrous thickening of tissue. It is typically a result of alcoholism or hepatitis. Stages of Alcoholism Leading to Cirrhosis of the Liver The liver is the upper part of the abdomen and it the only organ is the body that can regenerate

Psycho Movie Reveiw Free Essays

The film Psycho by Alfred Hitchcock is a horror film made in 1960. The film As yecch caused a huge amount of commotion in 1960 when it was released, it was a movie unlike any other that had ever been made, people were outraged and midtown by this movie for many reasons. In the movie Psycho a young female takes a large amount of cash fro m her job and leaves town planning to disappear, she is caught in a heavy rain storm and is f arced off the road and finds the nearest motel, Motel Bates. We will write a custom essay sample on Psycho Movie Reveiw or any similar topic only for you Order Now She finds that Motel Bates is compel tell vacant so she stays the night and has dinner with the owner; Norman Bates, Norman then eaves and she takes a shower and is brutally stabbed to death in her shower by a woman that app ears to be Normal’s mother, the rest of the movie is an about finding the girls killer and figuring o UT what happened. The film Psycho has many great literary, dramatic, and cinematic aspects. The movies plot is very interesting and new and keeps viewers interested the whole movie e. The movie also uses many great dramatic aspects to keep the viewer in suspense, for example , when the main character is in the shower and we see that the killer is coming but she doesn’t expect it. The movie also has many plot twists that a person watching the movie would not expect, such as the ending of the movie. The movie has amazing cinematic effects such as camera a angles that emphasize the scariness or happiness of a certain place, object, or person. Some things about the movie Psycho I noticed could have been a bit better. O en thing noticed was that the effects were a bit subpart, or could have used work. In the e film, the scene hen the main character is being stabbed the blood is so obviously fake and t he acting was not really great, this made it a big downside for me because it made the movie no t seem as real, and I personally like when I feel like movies are real. Also I wish that they would have e left the background of Norman Bates a bit more of a mystery in the end of the movie, instead of explaining every little detail. I like when movies leave me wondering about so meeting, and this movie just did not do that. Irony Malamute like the movie Psycho a lot, by the ending of the movie I was very happy with he movie. I really liked how the movie used a very realistic scenario, It made the whole movie very relatable, like it could possibly happen to me, or someone I know. I also liked how the movie kept me in suspense through the whole thing, it was a very fun movie to watch h, and a very well put together movie. So the two most important things that led me to really like e this movie were: how I could really identify with the main character of the movie, and how real sticks the movie was. The other key point that made me really like the movie was: how well the vie was put together and how suspenseful it was. In conclusion, really enjoyed the movie psycho. There were many great asps acts of the movie that liked. The movie also had its faults. There were a few things AIBO t the movie that I didn’t like, like how unrealistic the effects were, and some scenes the acting w assn that great. The movie Psycho did have a lot of great things too, and overall I really liked the m vie. Would give the film psycho by Hitchcock a 4. 5 out of 5 for a rating because it was a great movie, but it wasn’t flawless. How to cite Psycho Movie Reveiw, Papers

Hyflux free essay sample

In order to maximize the use the use of this natural resource, the Singapore government goes to extent where they recycle and purify the water they capture. These â€Å"policies have developed an expertise in water management that has spawned a host of profitable companies† (Chowdhury, Singapores All Wet- TIME, 2009) and one of the major companies in this industry is Hyflux. Hyflux is a Singaporean homegrown water treatment company that†purifies waste-, salt- and rainwater† (Chowdhury, Singapores All Wet- TIME, 2009).Hyflux provides a wide-ranging set of integrated services in water and renewable resources, from research and development, membrane manufacturing, process engineering, engineering, procurement and construction to operations and maintenance. Hyflux provides water desalination and filtration solution for its customers and is a global leader in membrane technology and applications for renewable resources and water solution. The company takes pride in its award winning membranes which is one of the company’s main core products. Company Vision To be the leading company the world seeks for innovative and effective environmental solutions.Company Mission To provide efficient and cost-effective solutions to meet our clients’ needs through innovation and technological advancement. Company Values: Boldness Dare to dream, dare to do and dare to excel Entrepreneurship Nurture the entrepreneurial spirit, embrace challenge and master change Satisfaction Exceed internal and external customer satisfaction, take pride in work and deliver excellence Testimony Be the face behind the brand, excel in business conduct and embrace best practices in corporate governance Hyflux has 2,000 staff worldwide (Hyflux Ltd. NA) including â€Å"200 multidisciplinary membrane specialists, researchers and scientists† (Hyflux Ltd. , NA) in the company’s networks of innovative centers and plants. Employees are widely diverse not only in terms of the countries they are from but also in their previous working background, cultures and experiences. The diverse workforce of Hyflux contributed greatly to the success of the company through high productivity, creative thinking and effective and efficient decision making.Hyflux started business and is established in Singapore in the year 1989 and since then it has grew and built 1,000 plants in more than 400 countries worldwide. Appendix 1. 1 highlights some of the countries in which Hyflux operates in. In the countries they have plants and operate in, they provide different types of services and products. For example, in Dubai, they provide services in the sewage treatment industry and providing Kristal Membrane products while in Thailand, the company operates in both wastewater reclamation industry and chemical industry providing Kristal and FerroCep membranes. The fame and reputation of Hyflux grew bigger in Singapore and in the year 2001, it became the first water treatment company in Singapore to be listed in the Singapore Stock Exchange. The current financial standing of the company, a table is shown below comparing last year’s final year reports and this year’s reports Source: Hyflux Year end news release 2010 and 2009 (Hyflux Ltd. , 2010), (Hyflux Ltd. , 2009) The company has been increasing in revenue in the year 2010 due to the major projects that are ongoing like their major plant in located in China that has been in halt for the past year due to the economic downturn.In addition the company also earns high revenue from the public and industrial sectors. Source: Hyflux Year end news release 2010 and 2009 (Hyflux Ltd. , 2009), (Hyflux Ltd. , 2010) - External and Internal Analysis The SWOT analysis will be used in this report to understand the company’s internal strength and weaknesses and also its external opportunities and threats. Strength One of the root strengths that Hyflux has is their CEO, Ms Olivia Lum who started the business and its operation in the year 1989.Ms Olivia Lum set strategic directions and made effective and efficient decisions for the company which enabled them to grow a small sized company hiring only 3 staff with the capital of S$20,000 to one being of the â€Å"world’s fastest-growing technology driven water solutions company† (Hyflux Ltd. , NA). As a chief executive officer, they â€Å"develop and define the organization’s purpose, objectives, strategies, and long term plans† (Lussier, 2009).Ms Lum has accumulated several skills and knowledge in the hydro-chemical, chemistry, health and entrepreneurship which enable her to make effective and efficient strat egic moves which leads to the company’s growth and success. Secondly, Hyflux hires 2,000 staff worldwide, in which a staff of â€Å"200 multidisciplinary membrane specialists, researchers and scientists â€Å"(Hyflux Ltd. , NA) in their innovative centers in Singapore. Employees are great assets to any company and add more value when they are skilled, motivated and diverse.Even if Hyflux has all the advance technologies and machines, it would be of no use (or unproductive) without a human working behind it. Hyflux employs â€Å"passionate, talented and ambitious people who are constantly willing to push the boundaries of the possible. † (Hyflux Ltd. , NA). Employees who take the initiative and are driven are likely to add value to the company and its production compared to an employee who is being â€Å"forced† to do their job. According to authors John Ivancevich and Lee Soo Hoon â€Å"In most organizations in Asia, effectiveness is measured by the balance of such complementary characteristics as reaching goals, employing the skills and abilities of employees efficiently and ensuring the influx and retention of well-trained and motivated employees. † (Ivancevich Hoon, 2002). In addition, having a diverse workforce who are specialized to do their task contributes greatly on the company’s productivity through the creative ideas given from employees who are from different backgrounds and society.Moreover, Hyflux owns award winning water-machinery and advance technology which increases their popularity and the quality of their reputation. This encourages more customers to partner and/or purchase from Hyflux and also encourages more investors to invest in the company. Weaknesses High cost on employees has accumulated a significant increase in the operational cost of the company. in order to motiv ate employees, Hyflux has to train and financially reward their employees. However, the company is focused on employees too therefore they are not looking at it as a cost but as an investment instead.Moreover, the company is experiencing high cost in the operations itself and the fluctuation of exchange rates contributes to this problem notably and that includes high loan rates from banks as well. Opportunities In Singapore, water treatment facilities are encouraged by the government to supply the country with more of the natural resource and â€Å"The first of the water agreements with Malaysia, which expires in 2011, is not likely to be renewed† (Chowdhury, 2009) therefore the government is supporting the growth and operations of Hyflux.As a matter of fact, the company has PUB, Singapore’s national water agency, as a customer and has built 4 major water desalination plants under the management of PUB. PUB has become one the largest clients of Hyflux which reflects the company’s good and sustainable relationship with the government. I n most countries that Hyflux go into, the government has always looked upon them with favor and a good relationship is formulated. For example, building the â€Å"world’s largest membrane-based seawater desalination project in Magtaa, Algeria. (Hyflux Ltd. , 2009). This is supported by the local government and allowed them to be financially supported by national banks in Algeria. Threats As mentioned on the latest news release by Hyflux, one of its threats is the unpredictable change in the currency markets (Hyflux Ltd. , 2010). An instability in the currency (especially in those wherein the company operates) could accumulate losses for the company. In some parts of the world, the supply, for example, could be more costly than expected in the budget due to unstable exchange rates. In addition, operational cost of the Hyflux Group as a whole can also be unpredictable because of fluctuations in the currency. One month’s operational budget and cost can be lower and the following month, expenses could just shoot up. Another threat affecting the global operation of the company is the â€Å"persistent high unemployment rate† (Hyflux Ltd. , 2010) in key markets in the US and EU. If this goes on, the economy of those markets will definitely be affected mainly on the interest rates. As more people are unemployed, GDP decreases, leading to a decrease in the prices of goods and services.This in return will affect the exchange rates and investors will be encouraged to invest in Hyflux, however in a smaller amount but then will be paid higher dividends and returns if the economy picks up. - Object of concern for the company One of the main objectives and strategies of Ms Olivia Lum is to be able to achieve growth in the company by expanding and reaching to all its key markets globally. But in contrast, it is also a challenge for the CEO to sustain its rapid growth† (Smith, 2004).