Phlebotomy Essays - Blood Tests, Blood, Hematology, Venipuncture

Phlebotomy Learning the Art of Bloodletting If one needs to determine if they are going to be eating for two or needing to rule out a diagnosis of diabetes, the most accurate and efficient procedure is having your blood tested and analyzed by a Lab tech in a medical laboratory. Before the tech can run a test there must be a properly educated and trained health care worker to perform the bloodletting procedure, in modern day terms this person is a phlebotomist. In this paper I will take you through the training and experiences I have encountered at DMC Huron Valley Hospital, in the laboratory, while being a phlebotomy student. The DMC facility in Commerce Michigan, better known as DMC Huron Valley is a fairly new facility. Built in 1986 the facility had one lab that performed phlebotomy procedures, it wasn?t until 1999 when a second outpatient lab was open on the second level to accommodate the needs of several specialized physician offices opening. The specialist consist in one of the wings have practices contained in Time Share Offices, which is where several physicians will use the facility and its equipment on a certain day of the week, month and even sometimes during a particular season. (Hunter, 2009) The hospital itself offers several different medical services, such as radiology, labor and delivery, perinatology, pathology, dermatology, inpatient care and many more. The hospital however does not offer an internal medicine department or pediatrics. (DMC, 2009) Within the lab collection of specimens for blood, urine, stool, and sputum are offered. Ninety five percent of the blood collecting specimens are performed on outpatients. Occasionally one of the doctors will request for the patient to have their blood drawn while they are still in the examination room. Collection of blood specimens, such as Homocysteine Levels, Complete Blood Counts, Lipid Profile, Chemistry Screening, Electrolytes, and Glucose Levels are a few of the multitudes of test the lab draws blood for. The laboratory technician, which performs the test on the specimens, performs the testing on the inpatient specimens. The majority of the outpatient specimens are sent the main Detroit Medical Center laboratory in downtown Detroit. If the patients requisition or prescription is marked STAT, which is defined as ?with no delay; at once? (unknown, 2009), the test are performed at DMC Huron Valley Sinai. The lab here at DMC/HVS has different testing stations, such as Hematology w ere CBC and SED Rate testing is done, Chemistry does drug screening and electrolyte testing, Coagulation takes care of the PT,PTT and Fibrogen. There is a Microbiology department that performs only STAT test for conditions like influenza and strep. There are other testing stations, Urinalysis, Blood Banking, Pathology, and Virology. (Hunter, 2009) The morning shift, 7:30am-3:30pm, which I am presently doing my externship, sets the precedence for the rest of the shifts. Upon arrival we obtain the keys for the second floor lab from the main lab on the first floor. After unlocking the lab and turning on the lights, heat/ac, we check the stock of supplies so that we can service our patients in a proper and timely manner. Then we check for any notes left from the previous day. Sometimes there are glucose tolerance test scheduled for the morning, we check the desk calendar for appointments, if a glucose test is scheduled we pull the patients chart from the computer and get the necessary items for the patient. The sign in clip board and ink pen are now set out for the patients to sign in. During the night test results for the doctor?s offices on our floor is sent to a printer in our lab. The results are printed on a DOX matrix type of printer that we rip off separate by patient and then by doctor, we then deliver it to the doctor?s r eceptionist. If it is Monday ? Friday, in the upstairs lab we primarily only draw blood and collect urine specimens, we will spin off serum separator tubes in the centrifuge, we also spin off Ethylenediamine tetra-acetic acid tubes (EDTA) for Brain Nauturetic Peptide (BNP) test, then draw the serum off and put the serum in another container and store the container in a frozen bag containing a liquid

Atomic Number 2 on the Periodic Table

Atomic Number 2 on the Periodic Table Helium is the element that is atomic number 2 on the periodic table. Each helium atom has 2 protons in its atomic nucleus. The atomic weight of the element is  4.0026. Fast Facts: Atomic Number 2 Element Name: HeliumElement Symbol: HeAtomic Number: 2Atomic Weight: 4.002Classification: Noble GasState of Matter: GasNamed For: Helios, the Greek Titan of the SunDiscovered By: Pierre Janssen, Norman Lockyer (1868) Interesting Atomic Number 2 Facts The element is named for the Greek god of the sun, Helios, because it was initially observed in a previously unidentified yellow spectral line during the 1868 solar eclipse. Two scientists observed the spectral line during this eclipse: Jules Janssen (France) and Norman Lockyer (Britain). The astronomers share credit for the element discovery.Direct observation of the element did not occur until 1895, when Swedish chemists Per Teodor Cleve and Nils Abraham Langlet identified helium emanations from cleveite, a type of uranium ore.A typical helium atom contains 2 protons, 2 neutrons, and 2 electrons. However, atomic number 2 can exist without any electrons, forming what is called an alpha particle. An alpha particle has an electrical charge of 2 and is emitted during alpha decay.The isotope containing 2 protons and 2 neutrons is called helium-4. There are nine isotopes of helium, but only helium-3 and helium-4 are stable. In the atmosphere, there is one atom of helium-3 for every milli on helium-4 atoms. Unlike most elements, the isotopic composition of helium greatly depends on its source. So, the average atomic weight may not really apply to a given sample. Most of the helium-3 found today was present at the time of the Earths formation. At ordinary temperature and pressure, helium is an extremely light, colorless gas.Helium is one of the noble gases or inert gases, which means it has a complete electron valence shell so its not reactive. Unlike gas of atomic number 1 (hydrogen), helium gas exists as monatomic particles. The two gases have comparable mass (H2 and He). Single helium atoms are so small they pass between many other molecules. This is why a filled helium balloon deflates over time the helium escapes through tiny pores in the material.Atomic number 2 is the second most abundant element in the universe, after hydrogen. However, the element is rare on Earth (5.2 ppm by volume in the atmosphere) because nonreactive helium is light enough that it can escape Earths gravity and be lost to space. Some types of natural gas, such as that from Texas and Kansas, contain helium. The primary source of the element on Earth is from liquefaction from natural gas. The largest supplier of the gas is the United States. The source of helium is a non-renewable resource, so there may come a time when we run out of a practical source for this element. Atomic number 2 is used for party balloons, but its primary use is in the cryogenic industry for cooling superconducting magnets. The principal commercial use of helium is for MRI scanners. The element is also used as a purge gas, to grow silicon wafers and other crystals, and as a protective gas for welding. Helium is used for research into superconductivity and the behavior of matter at a temperature approaching absolute zero.One distinctive property of atomic number 2 is that this element cannot be frozen into a solid form unless it is pressurized. Helium remains liquid down to absolute zero under normal pressure, forming a solid at temperatures between 1 K and 1.5 K and 2.5 MPa pressure. Solid helium has been observed to possess a crystalline structure. Sources Hampel, Clifford A. (1968).  The Encyclopedia of the Chemical Elements. New York: Van Nostrand Reinhold. pp.  256–268.Meija, J.; et al. (2016). Atomic weights of the elements 2013 (IUPAC Technical Report). Pure and Applied Chemistry. 88 (3): 265–91.Shuen-Chen Hwang, Robert D. Lein, Daniel A. Morgan (2005). Noble Gases.  Kirk Othmer Encyclopedia of Chemical Technology. Wiley. pp. 343–383.  Weast, Robert (1984).  CRC, Handbook of Chemistry and Physics. Boca Raton, Florida: Chemical Rubber Company Publishing. pp.  E110.

Effective Distribution Strategy Wonderful Widgets Essay

Effective Distribution Strategy Wonderful Widgets - Essay Example It is also essential to understand the reason for approving or rejecting a certain strategy in order to determine whether a unique advantage of the cost is overlooked. The more the time spent in selecting the distribution strategy, the less the costs the company will incur after implementing the strategy. After evaluation of the above aspects, the best option for Wonderful Widgets is central management strategy. Centralized distribution strategy refers to a way of organizing the product’s recipient from the suppliers of the company and the onward delivery of the products to individual branches since the company has multiple retailing operations. After implementation of the centralized management strategy, the deliveries from the company are delivered to a central place, in huge amount, instead of delivering to a specific branch. Loads are then transported to all branches, retailers, or customers. One of the most appropriate ways for Wonderful Widgets Company to address its cur rent issues is through the creation of the central distribution center. From this distribution center, the distribution management will be able to make access to all the products of the company. In addition, the distribution department will be able to ship the products to any geographical location of its choice in a timely style. A central management strategy will allow the company management to focus on the essential aspects of the company such as retail, instead of trying to find means on how to get the products to the customers.

BPA fetal exposures affect male and female development and quality of Research Paper

BPA fetal exposures affect male and female development and quality of life as adults - Research Paper Example In essence, early exposure to BPA, as well as other chemicals, especially in the foetal stage signifies an increase in the risk of disease later in life. This paper will examine the impact of BPA in adults following foetal exposure. Health Concerns Some of the risks involved with foetal exposure to BPA include increased risk for prostate cancer in adult men and breast cancer in both women (Okada et al 32). In addition, foetal exposure to BPA results in adverse metabolic changes, early onset of puberty and decreased fertility. Furthermore, immunological changes are also a major consequence of foetal exposure to BPA (Rubin 30). Whenever foetal exposure to BPA occurs, the chemical infiltrates the body in an active fashion. BPA binds to the body’s oestrogen receptors replicating the functions of oestrogen. Furthermore, in both male and female adults, BPA causes adverse reproductive effects, particularly in populations exposed to BPA due to their occupations. During the initial 11 weeks of gestation, which is a time when most pregnant women are unaware of their pregnancy, the internal communication systems, and organs of the foetus develop quite rapidly, thus are extremely sensitive to external pressures. Organs such as the brain and mammary glands develop during gestation, thus experience a prolonged period of vulnerability to the effects of BPA, especially since foetal development of such organs is susceptible to oestrogen fluctuations. Additionally, in certain instances, BPA has been shown to cause obesity. When BPA binds to oestrogen receptors in the human body, it causes alternative estrogenic effects, which start outside the nucleus. The alternate path caused by BPA ultimately alters lipid and glucose metabolism, resulting in weight gain (Rubin 31). This is primarily since the alternative oestrogen receptors trigger pathways that result from exposure to BPA to rework the functions of vital components that play a significant role in metabolism, for insta nce, adiposities and pancreatic B cells. In a recent study, it was confirmed that foetal exposure to BPA has the capacity to potentiate the systems inherent in the central dopaminergy. This is bound to result in marked super sensitivity to the drugs linked to abuse-induced reward implications. In essence, by affecting mesolimbic dopamine activity, BPA causes adverse effects such as attention deficits, hypersensitivity and an increased sensitivity to drugs linked to abuse. Furthermore, BPA is also known to bind to receptors of the thyroid hormone, and possibly cause certain side effects on its functions. For instance, BPA impacts triiodothyronine in adults following exposure to the chemical during the prenatal development phase (Rubin 33). Researchers now consider that there are actually two ways through which BPA interrupts the regular endocrine function (Okada et al 32). The compound can perform as a weak estrogen, which binds to the estrogen receptor. It also can, on the other han d, impede the impact of stronger natural estrogens, restraining estrogen function. They are usually considered performing in the cell nucleus via the estrogen receptors, which control gene expression. Many other ways of BPA action are considered to be related to its biological

Law Essay Example | Topics and Well Written Essays - 2750 words - 4

Law - Essay Example l effect or used in the United Kingdom shall be recognised and available in law, and be enforced, allowed and followed accordingly; and the expression enforceable Community right and similar expressions shall be read as referring to one to which this subsection applies.†1 Essentially, Section 2(1) ensures that in the event there is a conflict between EC law and UK law, the former prevails. In other words EC law confers upon Bill and Jim â€Å"directly enforceable laws† within the UK.2 It was also held in Van Gend en Loos v Nederlandse Administratie der Belastingen that the EC represents a â€Å"new legal order† which binds all Member States. 3 To this end, there are three systems of law within the EC that determine Bill and Jim’s right to take action against the UK for personal injuries incurred as a result of their failure to implement Directive 2007/15/EC by the due date. The three systems of law are primary legislation which encompasses EC Treaties, secondary legislation which are Directives and regulations and the third source of law is Decisions.4 Bill and Jim’s claim for personal injuries will fall under the application of secondary injuries since the claim is directly related to a Directive issued by the Council of Ministers and the European Parliament. Directives require official enactment by Member States but they are nonetheless binding on all Member States.5 In fact Article 249 of the Treaty of Rome 1957 provides that Directives are binding on all Member States â€Å"which it is addressed.†6 Although the UK has a discretion as to how to implement the Directive on the phasing out of chalkboard, the Directive remains applicable under UK law once the date for implementation passes. The fact that the UK’s safety regulations adequately deal with the main objectives of the Directive does not weaken the application of the Directive.7 In Publico Ministero v Ratti [1979] ECR it was held that as a result of Article 189 (now article 249) of the

Of Mice And Men American Dream

Of Mice And Men American Dream The American Dream is presented as being unattainable in John Steinbecks novel, Of Mice and Men. This is predominantly evident in the case of George, Lennie, Candy, Crooks and Curleys wife. All of these characters admit to fantasising about the American Dream; untarnished happiness and the freedom to pursue their dreams. George and Lennies dream of owning land is unattainable as a result of Lennies careless actions caused by his ignorance of his physical strength. George constantly cautions Lennie not to retaliate if harassed. However, George knew it was inevitable that Lennie would act carelessly, thus endanger their dream. This is evident when George realises that Lennie has murdered Curleys wife: -I think I knowed from the very first. I think I knowed wed never do her. He usta like to hear about it so much I got to thinking maybe we would (Steinbeck, 2006, p.107). This portrays the doubt and uncertainty George had regarding his dream and the fact that he would never be successful in owning land. The American Dream, for George and Lennie, was unattainable due to Lennies careless actions that caused George to murder Lennie and, consequently eradicated their dream. Candys dream of owning land with companions to avoid becoming solitary, with the assistance of George and Lennie, was shattered when George murdered Lennie. Unlike George, Candy believed that the American Dream was within his reach from the initiation of the plan. However, after George murdered Lennie, all hope was lost. This is evident when Candy sceptically asked George if he still has the intention to purchase the land after slaughtering Lennie: Then-its all off? Candy asked sulkily. George didnt answer his question. George said, Ill work my month an Ill take my fifty bucks an Ill stay all night in some lousy cat house. Or Ill set in some poolroom til everbody goes home. An then Ill come back an work another month an Ill have fifty bucks more. (Steinbeck, 2006, p.107). Georges response to Candys question indirectly implies that George has resigned his. George has given up, making him and Candy no different to those people who waste their time and money in brothels for futile amusements as a result of lonely misery. Crooks views the American Dream as an unachievable objective. The visualisation of owning land and becoming self-sufficient was a modest ask, however, for many this was impossible because of the depression that occurred in 1937. Crooks states that he has heard numerous people have the same dream, however, never acquire a piece of land. For example, when Crooks strongly opposes the idea of Lennie and George reaching their dream, owning land: Youre nuts. Crooks was scornful. I seen hunderds of men come by on the road an on the ranches, with their bindles on their back an that same damn thing in their heads. Hunderds of them. They come, an they quit an go on; an every damn one of ems got a little piece of land in his head. An never a God damn one of em ever gets it. Just like heaven. Everbody wants a little piece of lan. I read plenty of books out here. Nobody never gets to heaven, and nobody gets no land. Its just in their head. Theyre all the time talkin about it, but its jus in their head. (Steinbeck, 2006, p.83-84). This is one of the most powerful messages in the novel illustrating that the American Dream is unattainable. George and Lennie were never alone in the sense that every American has the dream of land in their minds, and every single person will result like every other, as they are all destined to fail. Crooks statement has reinforced Steinbecks intent on showing that the American Dream is unachievable. Curleys wife dream of becoming an actress in Hollywood is unfeasible for the reason that she has resigned herself to an unfulfilling marriage. She imagines how great it would be to stay in fancy hotels, own several elegant dresses and have people wanting to take her photograph. She desires friendship, fame and financial security though her dream differs from the dream of the men. Her marriage with Curley has restricted her from interacting with men and most importantly, accomplishing her dreams: [à ¢Ã¢â€š ¬Ã‚ ¦] I cant talk to nobody but Curley[à ¢Ã¢â€š ¬Ã‚ ¦] I coulda made somethin of myself [à ¢Ã¢â€š ¬Ã‚ ¦] [Curleys wife] doesnt like Curley[à ¢Ã¢â€š ¬Ã‚ ¦] Coulda been in the movies, an had nice clothes-all them nice clothes like they wear. An I coulda sat in them big hotels, an had pitchers took of me. (Steinbeck, 2006, p.98-100). From this it can be deduced that her marital relationship with Curley has made her lonely because she cannot interact with the ranch hands, only with Curley who is always working and, her standards of living would have improved if she had pursued her dream of becoming an actress. The American Dream of the freedom to pursue ones dreams is made unreachable for Curleys wife because she has married Curley depriving her of freedom to do so. In John Steinbecks novel, Of Mice and Men, the American Dream is presented as being unattainable for a number of characters. The dreams of the characters have been hindered by many factors that have made them unachievable. In Georges, Lennies, Candys case the American Dream was not possible as a result of Lennies ignorance and recklessness. Crooks views that the dream of owning land to be self-sufficient is the typical dream of an American worker, however, owning the land is impossible. Steinbeck is intent on showing that the American Dream is unattainable by providing the message that those who have the dream of untarnished happiness and the freedom to pursue their dreams will fail in brotherhood of desperation and disappointment.

I Know Why The Caged Bird Sings: Chapter 25 Notes :: essays research papers

Chapter 25 1.  Ã‚  Ã‚  Ã‚  Ã‚  In this chapter, Maya and Bailey are introduced to the idea of being moved to California, this being because of Bailey’s incident with a murdered black man. 2.a)  Ã‚  Ã‚  Ã‚  Ã‚  In this chapter Maya Angelou gives us some more insight on Mamma’s character, she establishes the reason for Mamma’s secretive and over-protective nature â€Å"Her African-bush secretiveness and suspiciousness had been compounded by slavery and confirmed by centuries of promises made and promises broken. We have a saying among Black Americans, which explains Mamma’s caution. ‘ If you ask a Negro where he’s been, he’ll tell you where he’s going’† (Angelou 164). In this paragraph Maya Angelou lets us know why Negroes at that time were so shielding of their privacy and how this related to Mamma telling them a ‘part truth’ to cover up the ‘real truth’ for them being sent away. Maya effectively develops Mamma through the situation that occurred when Bailey came home in horror â€Å" ‘ When I passed the calaboose, some men had just fished him out of the pond. He was wrappe d in a sheet, all rolled up like a mummy, and then a white man walked over and pulled the sheet off. The man was on his back but the white man struck his foot under the sheet and rolled him over on the stomach.’† (Angelou 167). Mamma’s instinct told her to get those kids out of there, no child should have to witness the atrocity of a murdered body. â€Å" Whatever the real reason, The Truth, for taking us to California, I shall always think it lay mostly in an incident in which Bailey had the leading part† (Angelou 165). Mamma’s action to get the children away solidifies the readers faith in her as being a strong, powerful and caring individual. c)  Ã‚  Ã‚  Ã‚  Ã‚  A story that illustrates life in those times is Bailey’s incident by the river. This illustrates the racism and unfairness against Negroes, and the senseless violence against them. â€Å"Then a white man walked over and pulled the sheet off. The man was on his back but the white man stuck his foot under the sheet and rolled him over on the stomach†¦ My, he had no color at all. He was bloated like a ball.† (Angelou 167) Any white person could kill a black person, and instead of being punished they were congratulated and given encouragement. Also, the black people had become desensitized so seeing their own people murdered since it was a frequent occurrence.