Aortic Aneurysms Essay Example | Topics and Well Written Essays - 4500 words

Aortic Aneurysms - Essay Example And in its management, several studies have shown that the newer endovascular repair is much preferred over the conventional open surgery for practical and scientific reasons. Without trying to look like a meta-analysis, I have searched the World Wide Web for articles on this disease entity. And my purpose in doing this is to evaluate the advantages and disadvantages of the methods for its diagnosis, its indications for surgery, methods of surgery, and general outcome after treatment. An aneurysm in its most simple definition is a localized dilatation of an artery involving an increase in its diameter of at least 50 percent in comparison to its original normal diameter. Anatomically, it often represents a weakness in the wall of the artery at any given segment of the aorta. It is noted that there is an increasing incidence of aortic aneurysms lately. Hence, there is also a trend in seeking better methods for diagnosing and treating this pathology. Without trying to look like a meta-analysis, I did an on-line systematic Medline and PubMed search and then reviewed the retrieved articles on the diagnosis, pathogenesis, treatment and current management of aortic aneurysms. ... Just for the purpose of discussion in this paper, I shall classify aortic aneurysms based on their location, since these may appear elsewhere. If the dilation appears on the aortic root they are called aortic root aneurysm. If the dilatation is found in the thoracic aorta, they are called thoracic aortic aneurysms. Aneurysms are also classified based on their location in the thoracic segments of the thoracic aorta; hence we may have an ascending, an arch aneurysm or a descending thoracic aneurysm. Aneurysms found after the descending segment is termed abdominal aortic aneurysm. In the physical examination for suspected aortic aneurysm, the only maneuver of demonstrated value is abdominal palpation to detect abnormal widening of the aortic pulsation. Palpation appears to be safe and has not been reported to precipitate rupture. The diagnosis of aortic aneurysms is confirmed based on findings with ultrasonography or computerized tomography. There is limited data to suggest that abdominal obesity decreases the sensitivity of palpation. Abdominal palpation specifically directed at measuring aortic width has moderate sensitivity for detecting an aneurysm that would be large enough to be referred for surgery but cannot be relied on to exclude aortic aneurysm, especially if rupture is a possibility. The role of genetic factors influencing familial aggregation of aortic aneurysms has also been reviewed. Aortic aneurysms, particularly the thoracic ones, and those in association with multiplex pedigrees represent a new risk factor for aneurysm growth. Pedigree analysis suggests genetic heterogeneity. The primary mode of inheritance seems to be autosomal dominant, but X-linked dominant and recessive modes are also evident. In the past,

PMF Essay Example | Topics and Well Written Essays - 1000 words

PMF - Essay Example New opportunities – Every business has to constantly look out for ways it can expand the base of its customer. Therefore, new opportunities are created by use of better communication skills especially in writing or else this can limit oneself the chance for success. Effects of changing the framework - this enables an organization to allow adjustments, and respond to changes made on objectives, of the organization. Participation in management change and process improvement projects and initiatives. As well as providing recommendations to develop and enhance existing systems and controls. Determining data systems and process solutions that addresses business needs, and enhancing developed methods for implementation. How these activities have prepared me for a PMF position with the Federal Government? From these activities, my day to day skills on management are enhanced through a significant understanding of the business strategy. My increased knowledge in business has enabled m e to be better equipped when dealing with complicated business management. There is a great enhancement on my ability to manage, motivate and lead other workers. Through the projects, working with the federal government can help gain valuable consultation designed particularly for its needs. These activities have offered me the exposure to various federal departments through a position at PMF. I have the opportunity to make connections with mentors of a senior level. The different projects I indulged in have prepared me psychologically to deal with more challenging tasks imminent in a PMF position. The leadership roles prevalent in the special projects have enhanced and prepared me to demonstrate my leadership ability and potential once I have become a PMF. I am at a better position as a budget analyst to work on several projects that I could not get access to while on the leeway. The business financial matters are important in a PMF position hence as a business analyst my capabilit ies will form a basis in solving financial matters eminent in the business industry. How I have demonstrated my commitment to public service? It is such an inspiration for me to work for the public service as I am willing to commit myself and serve my country as well as my fellow citizens. I have always desired to work in the public service especially for the government as I see it like a privilege to use my skills and help other people. This commitment developed into a career path when I was on internship at Clothing and Textiles Company whereby I created the annual budget plan of 2012 for the company, which was successfully approved by the board of trustees and the CEO was amazed by what I had structured as well. To start with, I ensured that I have followed a well structured idea of the duties a budget analyst should perform. I had to ensure that every department adhered in accordance with the company’s procedures and policies. I saw to it that the company’s managem ent was provided with a good analysis regarding budgetary issues and ensured the financial data was readily available for the company’s decision making. I made sure that the estimation of the budget was adequate and reasonable at the same time. I developed policies and guidelines which would help govern the maintenance of using these budgets. From time to time I conducted