Nethergrave vs. A Sound of Thunder Essay Sample free essay sample

You and I live in a universe were modernism is making new highs every twenty-four hours. One twenty-four hours that touchscreen phone is considered new. and so following hebdomad it’s old intelligence. These two narratives that I am traveling to compare are about the function of engineering. scientific discipline and how it affects me and you. Based on how it uses new engineering and modern scientific discipline A Sound of Thunder is a better sci-fiction narrative. When it comes to engineering. ‘A Sound of Thunder’ uses it better than ‘Nethergrave’ . In ‘Nethergrave’ the computing machine is the engineering and it doesn’t seem like a chief portion in the narrative until the terminal. ‘A Sound of Thunder’ uses a clip machine. This is an extract from the book – â€Å"†¦ . -1999! 1997! Gone! The Machine roared†¦Ã¢â‚¬  ( Bradbury pg. 289 ) . This tells you that the narrative includes a Time Machine and is sounds like some action is traveling on with it. We will write a custom essay sample on Nethergrave vs. A Sound of Thunder Essay Sample or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page However. ‘Nethergrave’ uses a computing machine as the chief portion of engineering. This is besides a portion from the narrative – â€Å"Two techno encephalons would transport in a bran-new computing machine †¦-â€Å" ( Skurzynski pg. 316 ) . The computing machine feels like a remnant it merely shows its importance in the terminal of the book. This is why I know ‘A Sound of Thunder’ uses the consequence of engineering is greater. When it comes to the development of the scene. Bradbury’s ‘A Sound of Thunder’ helps us to acquire to cognize location better and its consequence on the other elements of the narrative. Bradbury helps us visualise the scene with giving us the twelvemonth it puting is on. which is 2055. The narrative tells us that the edifice mark says – â€Å"TIME SAFARI. INC. SAFARIS TO ANY YEAR IN THE PAST†¦-â€Å" . This shows that it is set in the hereafter which is normally where clip machines are. In contrast ‘Nethergrave’ deficiency of puting committedness made the sci-fi narrative expression like it had three different secret plans. For case the narrative showed him being bullied. so his pa being absent. following on to him populating a dual life. and eventually to meeting and disappearance with ‘NetherMagus’ . The manner ‘Nethergrave’ develops is less effectual. In general. ‘A Sound of Thunder’s scene is more to the full developed. When it comes to the chief message ‘A Sound of Thunder’ is a batch more effectual. The chief message I interpreted from it was â€Å"be careful what you do. it could impact everyone in the long run† . An illustration is when the hunter/guide. Travis said â€Å"Well. what about the foxes that’ll need those mice to last? For privation of 10 mice a fox dies†¦-’’ . He is explicating to the readers that every small and little thing has an consequence on though you may non see it instantly. Conversely ‘Nethergrave’ didn’t have a message that you could see in mundane life. The secret plan was non fluxing with the narrative and it seemed like three different narratives lines/plot. ‘A Sound of Thunder’ have the best chief message overall that had a true significance. ‘A Sound of Thunder’ is better than ‘Nethergrave’ because the usage of engineering. function of scientific discipline and the chief message. Its function of engineering is alone and the function of scientific discipline is unusual. Its chief message was to ‘be careful’ because every small or large thing ‘has an consequence on person. somewhere’ . This message is true and can be incorporated in life every bit good as engineering. This is why I know that ‘A Sound of Thunder’ was an overall better pick of sci-fi fiction than ‘Nethergrave’ . Plants Cited * Skurzynski. Gloria. Nethergrave pg. 313-324* Bradbury. Ray. A Sound of Thunder pg. 287-301

Adoption why is it so hard free essay sample

Many people may be against single parent adoption for one main reason. They may think that the child needs a stable family environment with a mother and father. But however, the main purpose of adoption in addition of saving a life of a possible victim of abuse, neglect, and homelessness, is to provide children a loving and caring parent disregarding if the person who is adopting the child is a single mother, a single father or a couple. There are no scientific facts proving that a two-parent household is better for a child than a single parent household. However, single parents are usually of higher education and most of the times have higher incomes in comparison to the other countries average since most of the times, single parents dedicated most of their life, making a good economy, or just working hard to get the type of life they want to live. We will write a custom essay sample on Adoption: why is it so hard? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page They have focused on their careers and have established a type of life and a stable home in which the upcoming child is free to grow without any restrictions and necessities. On the other hand, divorced parents most of the time are dealing with emotional and financial stress, which can negatively affect the child and his/her development since a childs mental state depends on the support that he/she receives within his or her home. Based on an article from New York Times, â€Å"Out of one-fifth of the nations 51.1 million Caucasian children, over half of the 9.8 million African American children and almost one-third of the 7 million Hispanic children live with one parent due to divorce and unwed mothers .Also according with https://www.childwelfare.gov ;a government official page, single parents would be able to adopt a child as long as they count on the help of a close friend, a family member, etc. that could be able to help the single parent to pick up the child from school if something unexpected happened, a reliable person that would answer the phone in the middle of the night and will come help if the single parent or the child is sick. In other words, according to the statistics shown above, there is no reason to discriminate against a single person for adopting a child when he or she is quite capable of providing a stable and nurturing environment since in all over the world. Also, adoption of a child from a single parent is valid when the parent count with the help of a reliable person that will go over to help you if something unexpected happen with the child or the parent.

Tips For Fighting Addiction In College

Tips For Fighting Addiction In College Mental Health Issues: Addiction in the Campus Partying hard and abusing addictive substances often accompanies the life of a college student. A lot of students start to lead a more conscious way of life after some years of such lifestyle or after graduating from the university. Unfortunately, for some students, it becomes a huge burden that turns into addiction. Addiction is defined as repeated abuse of a certain substance, which is characterized by continuity and obtrusiveness. According to the National Institute on Alcohol Abuse and Alcoholism:Around 80% of students who study in the college drink alcohol Near 50% of those students are binge drinkers 1,825 students die from injuries related to alcohol Assaults, sexual abuses, and aggressive behavior more frequently come from those whos been drinking Around 25% of those who have developed a regular drinking habit have academic problemsWith alarming stats like these, it becomes evident that addiction is an important issue and needs an urgent solution. Symptoms Of Addiction Students who became dependent on alcohol and drugs usually have the following symptoms:Being paranoid, anxious, stressed, or fearful for no reason Getting into troubles, fights, and conflicts Having impaired coordination and bloodshot eyes Needing to use more and more alcohol or drugs to get the same effects Negative change in the grooming habits and physical appearanceIf you experience some of the symptoms listed above, you may be addicted. If you notice that you are using alcohol or drugs in order to numb your negative emotions, you should contact the health center on your campus and consult a qualified specialist. Addictions need to be taken very seriously. Recognizing The Signs Of Addiction It may be difficult to differentiate when ones use of alcohol has turned from occasional to habitual. Besides, those who cant admit that they have an addiction will use all possible arguments to ensure you that theyre totally in control of their alcohol consumption. To understand if your friend has developed the destructive addiction, ask yourself the following list of questions:Is your friend drinking in order to drown his sorrow or for recreational reasons? Has their drinking or drug use influenced their relationships in a negative way? Have drugs and alcohol become one of the central themes of your friends life? Are there negative changes in their personality connected with drugs and alcohol consumption? Have you noticed some strange, unpleasant smell from their clothing, body, or breath? Do they feel uncomfortable or anxious when they cant get access to drugs or alcohol? Have any of the blood relatives of your friends had alcohol addiction? Have they ever lost the memory of the previous evening?It often happens that addicts dont want to confess that they have an addiction; therefore it is very important to observe their behavior and notice the alarming symptoms. If they receive a proper treatment in the earlier stages, they have a good chance of getting their conscious life back. If you want to warn your friend about the problem he or she has with addiction, find the time when they are sober and tell them that you have noticed some worrying changes about their behavior. Dont be judgmental, let your friend understand that you are concerned about their health, and explain the reason behind your concerns. Offer your help in solving the issues of addiction you can consult an online resource or go to your student health center with your friend. Resources To Help Treat Addiction Consult these resources to find out more about addiction and get help:National Institute for Drug Abuse Narcotics Anonymous Alcoholics Anonymous National Council on Alcoholism and Drug Dependence Substance Abuse and Mental Health Service Administration Your Student Health CenterAddiction can turn into a serious problem if its not treated timely and correctly. Please, be very attentive to the addictive substances that you are using and never turn their use from recreational to habitual. Better stop using alcohol or drugs to relax. Consider such relaxation techniques as meditation and yoga that have a much more constructive influence on your body and mind.

Catch it Bin it Kill it Essay Example | Topics and Well Written Essays - 1500 words

Catch it Bin it Kill it - Essay Example The second aspect of NHS, as mentioned earlier, is communicating the problem to the public and making sure that they are aware of the issue in hand properly. Communicating the problem or increasing awareness becomes extremely critical in situations in which the problem at hand is risky, and taking action is urgent. Not dealing with or not communicating such a problem properly can lead to creating a hype among the public, and making the people who are not at risk of the problem worry about the problem, too. This is what has been named as the â€Å"worried well† people. Therefore, an important responsibility that government or any other concerned organization has is to communicate properly (House of Lords Select Committee on Communications, 2008-2009). Let the paper precisely see what does communicate properly mean. Firstly, it deals with deciding upon the target group or the group with the maximum level of risk. Selecting the right target group is critical as the later steps de pend upon it. Next step includes a well researched and a well thought-out script or content to be delivered. For this purpose, the organization needs to conduct a proper research and collect as much information about the problem in hand as possible. This includes deciding upon the research methodology and making sure that the right people conduct the research. The third important thing is to decide upon the communication channels i.e. deciding upon whether to use T.V., newspapers, pamphlets etc. It is important that the communication channels chosen be relevant with the target group selected. A mismatch in the communication channel and target group would lead to a total failure, as the message would not reach where it is supposed to reach. The last and an equally important thing is collecting feedback on the impact or effect of the communication made, and taking corrective measures if necessary. In other words, it includes checking out progress of the campaign periodically. Presence of all the above steps is necessary in order to make the communication effective. This paper specifically details the campaign named â€Å"Catch it, Bin it, Kill it†, which was conducted by NHS/Government in order to bring about public awareness about the sudden outbreak of Swine Flu after the first case was diagnosed earlier in 2009 (Jonathan Van-Tam, 2009, p. 189). Swine Flu was then a new thing; therefore, scientists were put to task of doing research as to what causes it and the ways to combat with this virus. After considerable research was done and some antibiotics were identified that would prove helpful in dealing with this virus; an awareness campaign was launched towards the end of 2009 with the name â€Å"Catch it! Bin it! Kill it!† This campaign had a well-researched content that included information about swine flu, measures taken by government, protective measures, symptoms of swine flu and ways and importance to keep oneself updated with news regarding swine flu (Smith, 2010). This campaign, if seen from a broader perspective, was a success with some loopholes too that can be pointed out. The main strengths of the campaign included its catchy slogan and its simplicity (Stephenson, 2009, p. 126). The slogan was not only simple, but it was functional at the same time. This is

Southern Baptist Church Essay Example | Topics and Well Written Essays - 1000 words

Southern Baptist Church - Essay Example She being in the image of God as her husband and thus equal to him has the God-given responsibility to respect her husband and to serve as his helper in managing the household and nurturing the next generation." Another part of the document declares emphatically: "the office of pastor is limited to men as qualified by Scripture." To some church members, SBC is living in the past. Thus, at least 10 faculty members of the Southeastern Baptist Theological Seminary and an unknown number of educators from five other SBC seminaries have reportedly left or were forced out of their jobs for refusing to sign the church document. Indeed, the women's fight for equality has come a long way since the Suffragists won the right to vote such that the meaning of women's "submission" to men may have changed significantly over time (Melick, 1998). Now, it is considered right and just for women to serve in the military, work in underground mines or fly an airplane (Hosken, 1981). Does the SBC edict agai nst women pastors belong to the dark ages when the prevailing culture expected women to be subordinate to men and very few women were as well educated as men The SBC in its Baptist Faith and Message acknowledges its commitment to gender equality, pointing out that men and women are of equal worth before God since both are created in God's image. Thus, both men and women are qualified for service in the church. However, the church maintains that the position of pastor is limited to men and women can only serve as helpers, the same way 10 of the 16 helpers in Paul's ministry were women as noted in the Apostle's letter to the Romans. According to SBC, its position on women pastors complies with the explicit teachings of the Scripture, which does not support the practice of allowing women to serve as pastors (Melick, 1998). On this subject, the SBC cited three reasons: 1) there were no women pastors in the New Testament times; 2) none of the instructions regarding church order include instructions for women pastors; and 3) some texts on church order explicitly forbid women to occupy the position of pastor. In effect, the church acknowledges that women have the same rights and privileges as men but in the same breath say that a woman cannot occupy a man's position, which at a glance seems to be contradictory. The church maintains that there is no contradiction here, as there is no contradiction when Paul in 1 Timothy 2:12 affirms the equality of men and women in salvation but equally and just as clearly affirms the priority of men in church leadership. In addition, the Bible says marriage is to be a companionship of equals (Genesis 2:24) and husband and wife have equal value as persons (Galatians 3:28). Nonetheless, the Scripture teaches a hierarchy of responsibilities, which is necessary for creation, time and our humaneness (SBC, 2000). In this organizational hierarchy, everyone needs to submit to someone else to maintain human order. The wife submits to her husband, while the husband submits to Jesus, who in turn submits to God. Each of them should then treat those who submit to them with respect. In this connection, Ephesian

Example Medicolegal Report

Example Medicolegal Report MEDICOLEGAL REPORT Prepared for the Court Claimant:Mrs A Address:Unspecified Date of Birth:1958 Occupation:Housewife Date of Accident:15 February 2005 Examining Doctor:Dr D Consultant Obstetrician and Gynaecologist Statement of Instruction This report is prepared on behalf of the defendant, Dr D in connection with the complications following treatment of Endometriosis on Mrs A started from 23 April 2003. Case Summary Mrs A has suffered complications from foecal peritonitis and pulmonary embolism following the procedures of total abdominal hysterectomy and bilateral salpingo-oophorectomy for the treatment of endometriosis. Case Details Mrs A was referred by her GP and attended the clinic on 23rd April 2003. Mrs A was complaining of constant, severe abdominal pain, per vaginal bleeding with irregular cycles for 2 months with a background history of tubal ligation in 1999. Dr D was unsure of the diagnosis as to whether it was due to endometriosis, polycystic ovarian disease, or tubal infection associated with the previous tubal ligation. Therefore Mrs A was admitted, prescribed with painkiller (Pethidine), and booked for laparoscopy the next day. The result of laparoscopy confirmed active endometriosis with 2 small fibroids and medical treatment of GnRH analogue (Zoladex) was discussed with Mrs A and agreed. Mrs A treatment was then to be reviewed in November 2003. On 5th November 2003, Mrs A attended the clinic and her medication was changed from GnRH analogue to Medroxyprogesterone acetate (Provera). On review in 4th February 2004, Mrs A was not happy with Provera and the prescription was reverted back to Zoladex. On review in 14th July 2004, side effects due to prolonged use of Zoladex were explained and she agreed to start on combined oral contraceptive pills (COCP). On 24th Novemeber 2014, Mrs A came in complaining of severe pain not resolved with COCP and painkiller. Surgical treatment was discussed and she was booked for operation for the removal of uterus, cervix, Fallopian tubes, and ovaries called â€Å"Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy (TAH/BSO)† in February 2005 and for the meanwhile she was also prescribed with non-steroidal anti-inflammatory drug Mefenamic acid (Ponstan) and an opioid analgesics tramadol (Zydol) to relieve the pain. On 15th February 2005, Mrs A was admitted to the hospital for TAH/BSO. On 16th February 2005, Mrs A complained of pleuritic chest pain, shortness of breath, fever, and sweating. On examination she was tachycardic, and on auscultation, there were coarse crackles on the right base of the lung and fine crackles on the left base. She was commenced on antibiiotics without delay – ciprofloxacin and gentamycin together with an anticoagulant low molecular weight heparin – Innohep post-surgery. On 17th February 2005, CT pulmonary angiogram confirmed pulmonary embolism on the right side with possibility on the left side. She was commenced on warfarin and Innohep was continued until INR stabilized. On 18th February 2005, Mrs A complained of non-pleuritic chest pain, numbness going down on the left arm and up into the neck, and tenderness over the left axilla. Cultures showed positive Gram negative coccobacili. Antibiotics treatment was continued and respiratory consult was obtained. On 21st February 2005, cultures showed anaerobic organism that usually comes from the gut – Prevotella loescheii. The antibiotic course was changed to include metronidazole. On 23rd February 2005, radiology report confirmed the diagnosis of foecal peritonitis. Stomatherapy was discussed and anaesthetic consult was obtained. This was day 9 post-TAH/BSO and Hartmann procedure was done to treat the peritonitis. On 24th February 2005, antibiotic treatment of cephalosporin (Cephradine), metronidazole, and gentamycin were continued. The Results of Investigation Mrs A was diagnosed endometriosis through laparoscopy and 2 small fibroids were also found. It was confirmed from the histopathology report. Pulmonary embolism was diagnosed through radiological findings on CTPA and increased in D-dimer while sepsis was identified from the blood culture. Peritonitis was suspected from the finding of anaerobes on culture and clinical signs and symptoms together with CT scan of the abdomen formed the diagnosis of foecal peritonitis. The Nature of Treatments Received by the Claimant Endometriosis When Mrs A first diagnosed with endometriosis, she was treated by medical treatments – GnRH analogue for 6 months, then changed to Medroxyprogesterone for the next 4 months, back to GnRH analogue for another 6 months afterwards, and changed to Combined OCP. Mrs A condition was getting worse and surgical option of TAH/BSO was decided. Pulmonary Embolism (PE) and Sepsis Mrs A was prescribed with antibiotics and anticoagulant when lower respiratory tract infection or PE was suspected. When PE was confirmed, she was already on anticoagulant (Innohep). Warfarin was prescribed after the diagnosis made and antibiotics were continued due to suspected pneumonia or sepsis. The next day, blood culture result was out and confirmed positive. Peritonitis Mrs A was suspected of having sepsis and once culture showed the presence of anaerobes from the gut (Prevatella loescheii), metronidazole was prescribed to cover the anaerobic bacteria. When bowel perforation and foecal peritonitis were confirmed, surgery was carried out to clean up the abdominal cavity. Antibiotics, painkiller, and anticoagulant were continued post-surgery. Opinion on the Patient Management It was a regretful incident that Mrs A suffered complication from peritonitis secondary to bowel perforation, either secondary to adverse event where the operating surgeon unintentionally cut the bowel or due to advanced endometriosis. My review of the managements of this patient from her initial presentation of endometriosis are they are evidence-based, performed in a timely manner, and displayed the knowledge and action of an experienced clinician, and that the complications aroused were less likely due to poor management of the patient. In 1999, Mrs A underwent a laparoscopic tubal ligation and during the operation, there was suspected retrograde menstruation found which may possibly suggest endometriosis. It was in 2003 that the patient was actually diagnosed with endometriosis. However, this could be common where there was delay between the onset of symptoms and the diagnosis of the disease. There is no difference in the delay in diagnosis between mild to moderate and severe endometriosis. In a comparison study conducted in UK and US, the average delay before the diagnosis of endometriosis was 7.5 years and this will likely decreases the women’s capability to cope with the symptoms in which they would present to the formal healthcare [Ruth Hadfield, 1996]. The clinical evaluation of Mrs A was done in a sufficient and timely manner as the diagnosis of endometriosis was suspected in the first presentation since this will usually require high index suspicion due to the wide variety of symptoms and unpredictable course of disease (Lobo, 2007). Video-assisted laparoscopy was also carried out in the second day of admission showing that the clinician involved has a very high suspicion index of endometriosis from the beginning, as laparoscopy is the gold standard to reach a definitive diagnosis of endometriosis. [Bagan et al, 2003] The approach of the management of endometriosis was done properly and the choice of medical treatment as opposed to surgical treatment is wise. Unlike surgery for cancer, Adamson GD (1997) and Sutton et al (1997) said that in the case of endometriosis, surgery is relatively more effective for severe endometriosis rather than in mild cases such as in those with chronic pelvic pain and infertility and because of that, medical treatment is much preferable in the first presentation of endometriosis apart from it being non-invasive. A Canadian study of more than 53 000 admissions showed that 25% patients who had surgical treatment would need another surgery within 4 years and 10% would require hysterectomy and therefore, continual medical management is much preferred over serial surgeries [Weir et al, 2005]. Alifano (2003) mentioned that the prescription of GnRH analogue is recommended as it may have both diagnostic and therapeutic values. The prescription of not more than 6 months in this case was also supported by clinical literatures and Royal College of Obstetrician and Gynaecology (RCOG) guideline as the treatment may result in loss of 6% bone mineral density in the first 6 months [RCOG, 2006]. Extended treatment may result in further loss of bone minerals. Falcone (2011) recommended the commencement of combined oral contraceptive pills (COCP) following the cessation of GnRH analogue and therefore, the choice of COCP after GnRH analogue in this case was also supported by clinical evidence. Shakiba et al (2008) also described the usage of COCP as cost-effective, well tolerated, and clinically effective as danazol and GnRH analogue. The medical treatment is initially acceptable for this patient as earlier laparoscopy in June 2003 showed adhesions between the omentum and uterus with multiple spots of endometriosis and thick, stale, reddish green blood while the later microscopy findings in February 2005 showed well bordered white lesion and occasional white coloured spots that may be suggestive of healed or inactive lesions which should reduce the likelihood of invasive treatment. Brosens (1994) believed that the early and very active lesion would be in red, active and advanced lesion in black, and inactive or healed lesion in white, even though this might be varied from case to case. It is worth to note that there is currently no cure for endometriosis as current treatments aim at symptoms relief such as pain and infertility and organ damage prevention in severe cases. There is no randomized clinical trial comparing medical with surgical treatments; therefore the change of medical to surgical treatment has its own advantages and disadvantages [Sally et al, 2013]. From the record, there was a gap between the patient presentation of severe pain not improving with painkiller and COCP to the last clinic before surgery in November 2004 and the booked surgery in February 2005. This may be justified by non-invasive over invasive management; for example managing the pain by prescribing stronger painkiller such as in this case, tramadol. Since there is no relationship between the severity of pain with the severity of endometriosis, short delay in deciding on hysterectomy or watchful waiting may be an advantage for the patient and the clinician as well to see if there woul d be any improvement. Apart from that, there was no guarantee that surgery may treat the endometriosis. The decision of TAH/BSO was also recommended in this case as the preservation of one or both ovaries in some women may have left the problems with endometriosis behind. Whether the hysterectomy being subtotal or total, it would definitely improve the quality of life of this patient and thus should be considerable decision by the clinician. [Thakar et al, 2004] Even though all precautions and preventive measures have been made, while incidence of internal organ injury is rare, however it does happen especially when the risk is higher in the patient with history of pelvic infection, endometriosis, and adhesive diseases [John, 1997]. However, considerations that need to be taken into account is whether the complications aroused were due to an adverse event such as bowel perforation from the surgery, expected complication arising from the condition such as secondary to adhesions from endometriosis, or the combination of both. The risk of bowel perforation in this open abdominal surgery is much lowered compared to scope-assisted hysterectomy. Bowel injuries happen in about 0.2-1% of cases and primarily due to adhesions involving bowel or cutting within the pouch of Douglas – the space between rectum and uterus. Therefore, it was difficult to expect that this case was to be an addition to the 0.2-1% risk in the study. (Gary et al, 2004) Infection is a common complication following abdominal hysterectomy carrying the risk of 6-25%. Above all, about 33% of patients develop infection after the operation regardless of careful precautions taken [Rice et al, 2006]. Other than infection, severe complications that may occur involve lung collapse, heart attack, stroke, kidney failure, and clotting in the blood vessel (ie pulmonary embolism- clot blockage in the lung) with 4% risk. Greer (1997) mentioned that the risk of developing pulmonary embolism in patient following major general or gynaecologic surgery without clot prevention treatment (thromboprophylaxis) is very low at 0.2-0.9% while in another study, the risk of pulmonary embolism for patient receiving clot prevention treatment of anticoagulants is 0.2%. Therefore, this is a rare severe complication of abdominal hysterectomy that less expected to happen. Despite psychological effects following hysterectomy and prolonged hospitalisation, patient has benefit from the improvement in the quality of life in longer term. And even though multiple complications resulted from the procedure, most women are quite satisfied with the results of the surgery and with the significant symptom relief they experience [Kjerulff et al, 2000]. Conclusion Complications after surgery despite their rareness does happen and this was unexpected incident befall upon Mrs A. However, I believed Dr D, within his capabilities, has managed Mrs A with acceptable, sufficient, and evidence-based methods from the initial treatment until the last resort of hysterectomy to prevent any complications from happening. Duty of an Expert I understand my duty is to the Court; to help the Court on matters within my expertise, and I have complied with that. I understand that this duty over-rides any obligations to those by whom I have been instructed. I believe that the facts I have stated in the report are true and within my own knowledge and that the opinions I have expressed represent my professional opinion. BIBLIOGRAPHY Brosens I. Is mild endometriosis a progressive disease? Human Reproduction 1994; 9: 2209–2211. Adamson GD. Treatment of endometriosis-associated infertility. Seminars in Reproductive Endocrinology 1997; 15: 263–271. Sutton CJG, Pooley AS Ewen SP. Follow-up report on a randomized, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild and moderate endometriosis. Fertility and Sterility 1997; 68: 170–174. AstraZeneca. Zoladex 3.6mg Implant. Summary of Product characteristics. 2012. Brown J, Pan A, Hart RJ. Gonadotrophin-releasing hormone analogues for pain associated with endometriosis. Cochrane Database of Systematic Reviews 2010, Issue 12. Art. No.: CD008475. Falcone T. Lebovic DI. Clinical management of endometriosis. Obstetrics Gynecology. 118(3):691-705, 2011 Sep. RCOG. The investigation and management of endometriosis. Green-top guideline 24. 2006 Lobo R. Endometriosis: Etiology, Pathology, Diagnosis and Management. 5th ed. Katz VL, editor. Comprehensive Gynecology. Philadelphia, PA: Mosby Elsevier; 2007:473–499. Alifano M, Roth T, Broet SC, Schussler O, Magdeleinat P, Regnard JF. Catamenial pneumothorax: a prospective study. Chest. 2003;124:1004–1008. Bagan P, Le Pimpec Barthes F, Assouad J, Souilamas R, Riquet M. Catamenial pneumothorax: retrospective study of surgical treatment. Ann Thorac Surg. 2003;75:378–81; discusssion 81. Weir E, Mustard C, Cohen M, Kung R. Endometriosis: What is the risk of hospital admission, readmission, and major surgical intervention? J Minim Invasive Gynecol 2005;12:486–93. Shakiba K, Bena JF, McGill KM, Minger J, Falcone T. Surgical treatment of endometriosis: a 7-year follow up on the requirement for further surgery. Obstet Gynecol 2008;111: 1285–92. John D Thompson. Operative Injuries to the Ureter: Prevention, Recognition, and Management. In: John A Rock and John D Thompson. Te Lindes Operative Gynecology. Eighth. Philadelphia New York: Lippincott-Raven; 1997:Chapter 40 Pages 1135-1173. Thakar R, Ayers S, Georgakapolou A, Clarkson P, Stanton S, Manyonda I. Hysterectomy improves quality of life and decreases psychiatric symptoms: a prospective and randomised comparison of total versus subtotal hysterectomy. BJOG. Oct 2004;111(10):1115-20. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. Jun 1997;24(2):235-258. Wykes CB, Clark TJ, Khan KS. Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review. BJOG. Nov 2004;111(11):1204-1212. Ruth H, Helen M, David B, Stephen K. Delay in diagnosis of endometriosis: a survey of women from the USA and the UK. Human Reproduction; 1996: vol.11 no.4 pages 878-880. Kjerulff KH, Langenberg PW, Rhodes JC, et al. Effectiveness of hysterectomy. Obstet Gynecol. 2000;95:319-326. Rice CN, Howard CH. Complications of hysterectomy. US Pharm. 2006; 31(9):HS-16-HS-24. Greer IA. Epidemiology, risk factors and prophylaxis of venous thrombo-embolism in obstetrics and gynaecology. Baillieres Clin Obstet Gynaecol 1997; 11:403. Garry R, Fountain J, Mason S, et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 2004; 328:129. Mà ¤kinen J, Johansson J, Tomà ¡s C, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod 2001; 16:1473.

Schneck vs United States :: essays research papers

Schenck vs. United States- 1919 HOLLIES, J. This is an indictment in three counts. The first charges a conspiracy to violate the Espionage Act of June 15, 1917 . . . by causing and attempting to cause insubordination, &c., in the military and naval forces of the United States, and to obstruct the recruiting and enlistment service of the United States, when the United States was at war with the German Empire, to wit, that the defendants willfully conspired to have printed and circulated to men who had been called and accepted for military service under the Act of May 18, 1917, a document set forth and alleged to be calculated to cause such insubordination and obstruction. The count alleges overt acts in pursuance of the conspiracy, ending in the distribution of the document set forth. . . . They set up the First Amendment to the Constitution forbidding Congress to make any law abridging the freedom of speech, or of the press, and bringing the case here on that ground have argued some other points also of which w e must dispose. It is argued that the evidence, if admissible, was not sufficient to prove that the defendant Schenck was concerned in sending the documents. According to the testimony Schenck said he was general secretary of the Socialist party and had charge of the Socialist headquarters from which the documents were sent. He identified a book found there as the minutes of the Executive Committee of the party The book showed a resolution of August 13, 1917, that 15,000 leaflets should be printed on the other side of one of them in use, to be mailed to men who had passed exemption boards, and for distribution. Schenck personally attended to the printing. On August 20 the general secretary's report said, "Obtained new leaflets from printer and started work addressing envelopes" &c.; and there was a resolve that Comrade Schenck be allowed $125 for sending leaflets through the mail. He said that he had about fifteen or sixteen thousand printed. There were files of the circular in questio n in the inner office which he said were printed on the other side of the one sided circular and were there for distribu|tion. Other copies were proved to have been sent through the mails to drafted men. With; out going into confirmatory details that were l proved, no reasonable man could doubt that the defendant Schenck was largely instrumental in sending the circulars about.