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Реферат - Diabetes Outline Essay Research Paper Craig R - Иностранный язык

Craig R. Kevorkian

Bell C Health Seminar

January 31, 2001

Diabetes Type 2

1. Insulin in a healthy human body

1. a pancreatic hormone that helps the body to convert glucose into energy.

2. Effect of Insulin on Protein Synthesis

(1) the total quantity of protein in the body is increased by insulin

(1) results from three functions of insulin similar to growth hormone

(1) increased active transport of amino acid into the cells

1) amino acids- the basic building blocks of proteins

(2) accelerated translation of the messenger RNA code by the ribosomes to form increased quantities of proteins

1) Ribosomes- the sites within a cell where protein is manufactured

(3) Increased transcription of DNA in the cell nuclei to form increased quantities of RNA, which in turn leads to still further protein synthesis

2. Diabetes Mellitus: An Introduction

1. 90% of all diabetics have type 2 diabetes

2. Affects 16 million people in the united states alone, 100 million in the world.

1. Estimated that half of all diabetics are unaware that they have it.

3. Most common disorder of the endocrine system

4. Brought on by disorders in blood levels of insulin.

3. Short- and long-term complications

1. A short term effect of diabetes in which the blood sugar is too low

2. Can be easily remedied if symptoms are recognized

1. A serious diabetic condition brought on by a lack of insulin

2. Blood becomes increasingly acidic from accumulation of ketone

(1) toxic by-products produced by the body as it breaks down fat for energy.

3. Also occurs if the body is starved for sources of energy.

4. Can occur if the body comes under sudden physical stress, illness, or from an accident

5. Warning signs:

(2) excessive thirst

(3) frequent urination

(4) extreme weakness

(5) abdominal pains

(6) rapid deep breathing

(7) loss of appetite

(8) reddened and warm skin

(11) fruity-smelling breath

(13) ketone in urine

6. Failure to respond immediately can result in coma or death

3. Diabetes can damage the following

(1) Diabetes accounts for twelve to twenty-four thousand of new cases of blindness annually

(2) the leading cause of blindness in patients ages twenty to seventy-four

2. Nervous system

(1) decreased or distorted nerve function particularly in the nerves responsible for sensation

(5) burning sensations in the extremities

(2) if the nerves are damaged, a person may be unaware of minor wounds that have become infected.

(3) if diabetes affects the autonomic nervous system, abnormalities of blood pressure control, bowel and bladder function, and sexual function in males may occur.

(4) in some cases neuropathy can block warning chest pains for heart disease and heart attacks

(5) diabetic patients should be aware of other signs of a heart attack

(1) sudden fatigue

(3) shortness of breath

3. Cardiovascular system

(1) heart attacks account for 60% of deaths in diabetics

(2) strokes account for 25% of deaths in diabetics

(3) people with diabetes and no family history for heart disease have the same seven-year risk for heart attacks as a non-diabetic with heart disease.

(4) diabetes accelerates the progression of atherosclerosis or blockage of the arteries

(1) leads to three major conditions

(1) coronary artery disease

(5) people with type 2 diabetes are more likely than the general population to have high triglyceride levels and lower high-density lipoprotein

(1) risk factors for heart disease

(1) kidney damage is a very serious complication of diabetes

(2) the risk for kidney damage is compounded by the presence of

(2) coronary artery disease

(3) problems in the urinary tract

(3) symptoms include

(1) swelling in the feet

(2) swelling in the ankles

(4) pale skin color

5. Overall resistance to infections

4. People with diabetes are prone to gum problems

5. Prone to yeast infections

4. What Causes Type 2 Diabetes?

1. Causes of Insulin Resistance

1. Insulin resistance is believed to be caused by elevated levels of three factors.

(1) free fatty acids

(1) acids in the blood produced by the breakdown of fat

(1) a protein produced by fat cells

(3) tumor-necrosis factor or TNF

(1) a component of the immune system

(4) how each of these factors are involved is under investigation

2. Genetic Factors

1. Impairment of beta cell functions and an abnormal response to insulin are involved.

(1) appears to be a critical link between obesity and insulin resistance

3. Researchers have identified a link between low birth weight and diabetes type 2.

4. Women have a higher rate of insulin resistance than men.

1. Onset typically occurs after age 40

2. Major concern for increase of diabetes type 2 in children possibly due to rising rate of child obesity

1. Rate of obesity in type 2 diabetics is very high

2. Regardless of family history, even mild weight gain is associated with an increased risk for diabetes.

3. Excess body fat plays a strong role in insulin resistance, but the way it’s distributed is also important

(1) weight concentrated around the abdomen and in the upper part of the body (apple-shaped body) is associated with insulin resistance and diabetes.

(2) fat that settles around the hips and the flank (pear-shaped body) appears to have lower association with these conditions.

1. Smokers are at a higher risk for diabetes type 2 and its complications

6. Family History

1. Between 25% to 33% of patients have a family history

2. People with first degree relatives have a 40% lifetime risk for diabetes

1. The risk for type 2 diabetes is higher in Africans and in Hispanics than in Caucasians.

5. Symptoms of Type 2 Diabetes

1. Symptoms may not appear for years or even decades.

2. Excessive thirst

3. Increased urination

5. Blurred vision

7. Severe gum problems

9. Unusual burning or tingling sensations in the extremities

1. Vaginal yeast infections are common.

2. Fungal infections may appear under the breasts or in the groin.

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Реферат: Heart Disease Essay Research Paper Development of - Сайт рефератов, докладов, сочинений, дипломн

Heart Disease Essay Research Paper Development of

Heart Disease Essay Research Paper

Development of fatty plaque is due partly to excessive intake of cholesterol and animal fats in the diet (see Nutrition Human). A sedentary life-style is thought to promote atherosclerosis and evidence suggests that physical exercise may help prevent heart disease (see Physical Fitness). A striving perfectionist temperament referred to as Type A personality has also been associated with increased risk of heart attacks (see Stress-Related Disorders) as has cigarette smoking. The occurrence of the heart attack itself is much more likely in persons who have high blood pressure (see Hypertension). The actual event precipitating the attack may involve products secreted by platelets in the blood. This has led to clinical studies testing whether persons who have had a heart attack will be protected from a second infarction if they take drugs that block the action of platelets (see Blood).

Many persons having severe angina because of atherosclerotic disease can be treated with drugs such as propranolol and nitrates which enable the heart to work more efficiently. Those who do not obtain relief with pharmacologic means can often be treated by a form of surgery called coronary bypass. In this procedure which became established in the 1970s a section of vein from the leg is sewn into the blocked coronary artery to form a bridge around the atherosclerotic region. In most recipients the operation relieves the pain of angina and in many persons it prevents a fatal heart attack. By 1986 more than 225 000 patients were undergoing these procedures each year in the U.S.

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Diabetes Outline Essay Research Paper Craig R

Bell C Health Seminar

January 31, 2001

Diabetes Type 2

1. Insulin in a healthy human body

1. a pancreatic hormone that helps the body to convert glucose into energy.

2. Effect of Insulin on Protein Synthesis

(1) the total quantity of protein in the body is increased by insulin

(1) results from three functions of insulin similar to growth hormone

(1) increased active transport of amino acid into the cells

1) amino acids- the basic building blocks of proteins

(2) accelerated translation of the messenger RNA code by the ribosomes to form increased quantities of proteins

1) Ribosomes- the sites within a cell where protein is manufactured

(3) Increased transcription of DNA in the cell nuclei to form increased quantities of RNA, which in turn leads to still further protein synthesis

2. Diabetes Mellitus: An Introduction

1. 90% of all diabetics have type 2 diabetes

2. Affects 16 million people in the united states alone, 100 million in the world.

1. Estimated that half of all diabetics are unaware that they have it.

3. Most common disorder of the endocrine system

4. Brought on by disorders in blood levels of insulin.

3. Short- and long-term complications

1. A short term effect of diabetes in which the blood sugar is too low

2. Can be easily remedied if symptoms are recognized

1. A serious diabetic condition brought on by a lack of insulin

2. Blood becomes increasingly acidic from accumulation of ketone

(1) toxic by-products produced by the body as it breaks down fat for energy.

3. Also occurs if the body is starved for sources of energy.

4. Can occur if the body comes under sudden physical stress, illness, or from an accident

5. Warning signs:

(2) excessive thirst

(3) frequent urination

(4) extreme weakness

(5) abdominal pains

(6) rapid deep breathing

(7) loss of appetite

(8) reddened and warm skin

(11) fruity-smelling breath

(13) ketone in urine

6. Failure to respond immediately can result in coma or death

3. Diabetes can damage the following

(1) Diabetes accounts for twelve to twenty-four thousand of new cases of blindness annually

(2) the leading cause of blindness in patients ages twenty to seventy-four

2. Nervous system

(1) decreased or distorted nerve function particularly in the nerves responsible for sensation

(5) burning sensations in the extremities

(2) if the nerves are damaged, a person may be unaware of minor wounds that have become infected.

(3) if diabetes affects the autonomic nervous system, abnormalities of blood pressure control, bowel and bladder function, and sexual function in males may occur.

(4) in some cases neuropathy can block warning chest pains for heart disease and heart attacks

(5) diabetic patients should be aware of other signs of a heart attack

(1) sudden fatigue

(3) shortness of breath

3. Cardiovascular system

(1) heart attacks account for 60% of deaths in diabetics

(2) strokes account for 25% of deaths in diabetics

(3) people with diabetes and no family history for heart disease have the same seven-year risk for heart attacks as a non-diabetic with heart disease.

(4) diabetes accelerates the progression of atherosclerosis or blockage of the arteries

(1) leads to three major conditions

(1) coronary artery disease

(5) people with type 2 diabetes are more likely than the general population to have high triglyceride levels and lower high-density lipoprotein

(1) risk factors for heart disease

(1) kidney damage is a very serious complication of diabetes

(2) the risk for kidney damage is compounded by the presence of

(2) coronary artery disease

(3) problems in the urinary tract

(3) symptoms include

(1) swelling in the feet

(2) swelling in the ankles

(4) pale skin color

5. Overall resistance to infections

4. People with diabetes are prone to gum problems

5. Prone to yeast infections

4. What Causes Type 2 Diabetes?

1. Causes of Insulin Resistance

1. Insulin resistance is believed to be caused by elevated levels of three factors.

(1) free fatty acids

(1) acids in the blood produced by the breakdown of fat

(1) a protein produced by fat cells

(3) tumor-necrosis factor or TNF

(1) a component of the immune system

(4) how each of these factors are involved is under investigation

2. Genetic Factors

1. Impairment of beta cell functions and an abnormal response to insulin are involved.

(1) appears to be a critical link between obesity and insulin resistance

3. Researchers have identified a link between low birth weight and diabetes type 2.

4. Women have a higher rate of insulin resistance than men.

1. Onset typically occurs after age 40

2. Major concern for increase of diabetes type 2 in children possibly due to rising rate of child obesity

1. Rate of obesity in type 2 diabetics is very high

2. Regardless of family history, even mild weight gain is associated with an increased risk for diabetes.

3. Excess body fat plays a strong role in insulin resistance, but the way it’s distributed is also important

(1) weight concentrated around the abdomen and in the upper part of the body (apple-shaped body) is associated with insulin resistance and diabetes.

(2) fat that settles around the hips and the flank (pear-shaped body) appears to have lower association with these conditions.

1. Smokers are at a higher risk for diabetes type 2 and its complications

6. Family History

1. Between 25% to 33% of patients have a family history

2. People with first degree relatives have a 40% lifetime risk for diabetes

1. The risk for type 2 diabetes is higher in Africans and in Hispanics than in Caucasians.

5. Symptoms of Type 2 Diabetes

1. Symptoms may not appear for years or even decades.

2. Excessive thirst

3. Increased urination

5. Blurred vision

7. Severe gum problems

9. Unusual burning or tingling sensations in the extremities

1. Vaginal yeast infections are common.

2. Fungal infections may appear under the breasts or in the groin.

Heart of Darkness

Marlow stands on the Thames River and remarks that the land he and his comrades is standing on was once a place of darkness and an uncivilized wilderness

· Through nostalgia he remembers an incident from his past when he commanded a steamboat on the Congo River.

· He talks about the Company’s chief accountant who first mentions Kurtz to him.

· The accountant tells him that Kurtz supplies more ivory for the company than everyone else combined.

· Marlow ’s interests in Kurtz is perked.

· Marlow discovers that the steamer he is supposed to command has been destroyed in a wreck.

· He meets the local manager who mentions Kurtz in conversation.

· He tells Marlow that Kurtz is ill and he must get to Kurtz swiftly and bring him back for medical treatment.

· Marlow speaks with a brick maker who admires and envies Kurtz.

· Marlow eavesdrops on a conversation between the manager and uncle. He learns that the manager resents Kurtz.

· Three months pass. Marlow and a crew set sail towards Kurtz’s location.

· Fifty miles before Kurtz’s station, they discover a hut bearing wood for the steamboat and message to proceed with caution.

· Two days later they awaken to an attack by the savages. The helmsman is killed. Kurtz blows the steamboat whistle to frighten away the savages. Dumps dead helmsman’s body overboard so cannibals don’t get any ideas about eating him.

· They arrive at the Inner Station. Greeted by a Russian that takes care of Kurtz.

· Through conversation with the Russian, they learn that Kurtz has not been the most upstanding and moral person. He’s been abusive to the natives.

· Kurtz appears, carried on a stretcher.

· They carry Kurtz onboard the steamboat.

· The manager tells Marlow he disapproves of Kurtz.

· The Russian makes a visit to Marlow, tells him that Kurtz ordered the attack on their vessel that killed their helmsman.

· Kurtz escapes and swims ashore. Marlow goes after him and cuts him off.

· They make a departure, savages show up, Marlow blows whistle and scares them away again.

· Journeying back down the river, Kurtz falls deathly ill.

· On his deathbed, he screams “The horror, The horror” and dies.

· Marlow also becomes ill.

· Marlow recovers, journeys to Brussels.

· Pays a visit to Kurtz’s fiancée.

· Tells her that Kurtz is dead. She is hysterical with grief.

· She wants to know Kurtz’s last words. Marlow can’t bear to tell her what a rotten SOB her fiancée was, he lies and says his last word was the utterance of her name.

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Heart attack essay

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  • Any row contains more than one of the same number from 1 to 9
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  • Any 3×3 grid contains more than one of the same number from 1 to 9

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  • Tip 1: Look for rows, columns of 3×3 sections that contain 5 or more numbers. Work through the remaining empty cells, trying the numbers that have not been used. In many cases, you will find numbers that can only be placed in one position considering the other numbers that are already in its row, column, and 3×3 grid.
  • Tip 2: Break the grid up visually into 3 columns and 3 rows. Each large column will have 3, 3×3 grids and each row will have 3, 3×3 grids. Now, look for columns or grids that have 2 of the same number. Logically, there must be a 3rd copy of the same number in the only remaining 9-cell section. Look at each of the remaining 9 positions and see if you can find the location of the missing number.

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Heart Attacks Essay Research Paper A heart

Heart Attacks Essay Research Paper A heart

Heart Attacks Essay, Research Paper A heart attack occurs when the blood supply to a portion of the heart muscle is severely reduced or stopped. This happens when one of the arteries that supply blood to the heart muscle is blocked by an obstruction. This blockage can be due to a condition called atherosclerosis (a build up of fatty like substance along the wall of the artery), a blood clot or a coronary vessel spasm along with a total obstruction. If the blood supply to a portion of the heart stops, that area of the heart will no longer receive the oxygen or nutrients needed to carry out its function and will die. If it is a very small part of the heart involved, it will be able to work without it. If a large portion is damaged, irreversible damage will happen which can lead

to death.Damage to the heart muscle may be so severe that it may cause abnormal heart rhythm, called arrhythmias. Most people who are of a myocardial infraction or a heart attack do so within a few hours due to a type of arrhythmia The heart attack victim will complain of pressure, discomfort or a squeezing sensation in the centre of the chest. There may be pain radiating to the arms or the neck. There may also be shortness of breath, weakness, fatigue, nausea, vomiting and or indigestion. The pain that occurs is the result of heart tissue ischemia (decreased blood supply). The area that is not receiving enough blood is literally crying out for help. When a person complains of any of the symptoms mentioned, they should be transported to the nearest hospital. The diagnosis of an

M.I. is made for the patient’s history, from special tests on E.C.G. and measurement of certain enzymes released into the bloodstream from damaged heart muscle.Once an M.I. has occurred and a portion of the heart muscle has died, something has to be done to prevent a piece of the obstruction from breaking off and blocking another artery somewhere else in the body. There are four main techniques to prevent this. Drugs may be given to breakdown a blood clot. The obstruction can be cleared by pushing the plaque towards the wall of the artery by inflating a balloon inside the artery (balloon angioplasty). The obstruction can be loosened up by brushing it and suctioning it out of the artery, this is called atheroectomy. The last technique is to clear the plaque out by using one of

the methods mentioned and then add a device, called a stent, that will remain in the artery and hold it open.These techniques are only temporary, because they do not fix the problem that caused the heart attack, they only slow down the process. These techniques must always be accompanied by risk factor modifications. There are many risk factors that contribute to heart attacks. Some risk factors can be modified or changed, while others can not. Risk factors that are non-modifiable (or can not be changed):Family History: If your parents, grandparents, or other close relatives have suffered heart attacks in the past – this increases your chances of having a heart attack.Male: Males are more likely to have heart attacks a younger age than females. However, once women reach

menopause, their chances of having a heart attack equal that of men.Age: As we get older, our risk of having a heart attack grows.Risk factors that are modifiable (or can be changed):Cigarette Smoking: Nicotine in cigarettes cause blood vessels to narrow. This can increase the chances of having a heart attack.Diet: A diet high in fat and cholesterol can add pounds, but can also add to atherosclerosis – or fatty build up on artery walls. Decrease fat intake and increase your fibre. High Blood Pressure: Hypertension can lead to blood vessel damage, because the heart has to work harder to pump blood through narrow or hardened vessels affected with atherosclerosis. This blood vessel damage can lead to blood clots.Limited Physical Activity: Regular physical activity can reduce the

Heart Attack Essay Research Paper A heart

Heart Attack Essay Research Paper A heart

Heart Attack Essay, Research Paper

A heart attack occurs when the blood supply to a portion of the heart muscle is severely reduced or stopped. This happens when one of the arteries that supply blood to the heart muscle is blocked by an obstruction. This blockage can be due to a condition called atherosclerosis (a build up of fatty like substance along the wall of the artery), a blood clot or a coronary vessel spasm along with a total obstruction.

If the blood supply to a portion of the heart stops, that area of the heart will no longer receive the oxygen or nutrients needed to carry out its function and will die. If it is a very small part of the heart involved, it will be able to work without it. If a large portion is damaged, irreversible damage will happen which can lead to death.

Damage to the heart muscle may be so severe that it may cause abnormal heart rhythm, called arrhythmias. Most people who are of a myocardial infraction or a heart attack do so within a few hours due to a type of arrhythmia

The heart attack victim will complain of pressure, discomfort or a squeezing sensation in the centre of the chest. There may be pain radiating to the arms or the neck. There may also be shortness of breath, weakness, fatigue, nausea, vomiting and or indigestion. The pain that occurs is the result of heart tissue ischemia (decreased blood supply). The area that is not receiving enough blood is literally crying out for help. When a person complains of any of the symptoms mentioned, they should be transported to the nearest hospital. The diagnosis of an M.I. is made for the patient’s history, from special tests on E.C.G. and measurement of certain enzymes released into the bloodstream from damaged heart muscle.

Once an M.I. has occurred and a portion of the heart muscle has died, something has to be done to prevent a piece of the obstruction from breaking off and blocking another artery somewhere else in the body. There are four main techniques to prevent this. Drugs may be given to breakdown a blood clot. The obstruction can be cleared by pushing the plaque towards the wall of the artery by inflating a balloon inside the artery (balloon angioplasty). The obstruction can be loosened up by brushing it and suctioning it out of the artery, this is called atheroectomy. The last technique is to clear the plaque out by using one of the methods mentioned and then add a device, called a stent, that will remain in the artery and hold it open.

These techniques are only temporary, because they do not fix the problem that caused the heart attack, they only slow down the process. These techniques must always be accompanied by risk factor modifications. There are many risk factors that contribute to heart attacks. Some risk factors can be modified or changed, while others can not.

Risk factors that are non-modifiable (or can not be changed):

Family History: If your parents, grandparents, or other close relatives have suffered heart attacks in the past – this increases your chances of having a heart attack.

Male: Males are more likely to have heart attacks a younger age than females. However, once women reach menopause, their chances of having a heart attack equal that of men.

Age: As we get older, our risk of having a heart attack grows.

Risk factors that are modifiable (or can be changed):

Cigarette Smoking: Nicotine in cigarettes cause blood vessels to narrow. This can increase the chances of having a heart attack.

Diet: A diet high in fat and cholesterol can add pounds, but can also add to atherosclerosis – or fatty build up on artery walls. Decrease fat intake and increase your fibre.

High Blood Pressure: Hypertension can lead to blood vessel damage, because the heart has to work harder to pump blood through narrow or hardened vessels affected with atherosclerosis. This blood vessel damage can lead to blood clots.

Limited Physical Activity: Regular physical activity can reduce the risk of a heart attack.

Obesity: Can result from limited physical activity and a diet high in fat. Keep your weight under control.

Stress: Almost everyone deals with stress everyday, whether it is in school, the workplace, or at home. The trick is to learn how to deal with it. Regular physical activity is a great way to relieve stress. Other ways include; relaxation techniques, a warm bath, and soothing music. Find a method that works and stick with it.

Each year in Canada, about 53 000 people are hospitalized with a heart attack and about 26 000 die. Anyone who has suffered a heart attack has increased risk of suffering another one in the following few years. The chances of surviving for many years can be improved by taking action to reduce the risk factors mentioned before.