Cushings Disease: Symptoms, Treatment and Causes

Cushings Disease: Symptoms, Treatment and Causes Julie Seel   Introduction Cushings disease is relatively rare and is commonly in adults. Cushings is a hormonal disorder that the bodys tissues care exposed to increased levels of the hormone cortisol. (NIH) The cortisol hormone is released when there is stress and with exercise in some people. The main things that the cortisol does are: throttling or suppressing the immune system, metabolizing fats and carbohydrates, and increases blood sugar. (healthline) The Cushings disease is more commonly observed in women, and about 90% of those cases are due to pituitary microadenoma or corticotroph hyperlplasia. (virtual library) Signs and Symptoms Signs and symptoms vary, but most cases have upper body obesity, round face (moon face), increased fat around the neck and shoulder area (buffalo hump), osteoporosis, high blood pressure, increased blood sugars. Also women can have increased hair on face and chest, abdomen and thighs. Men may get a decrease in fertility and absence of sexual desire and possibly erectile dysfunction. (Nih)(Lab) the ICD-10 code for the Cushings disease is E24.9. In some rare cases people have had inherited the gene for Cushings disease, such as multiple endocrine neoplasia type 1 or Men-1. This can increase risk for tumors developing throughout the endocrine system and sometimes include the pituitary and adrenal glands. People who are obese and have diabetes are at a high risk for this disease (Lab). Diagnostic Testing There are a number of tests the doctor can give for the Cushings disease diagnosis. A 24-hour urine cortisol, dexamethasone suppression test (low dose), salivary cortisol levels are taken in early morning and late at night. These three tests will confirm too much cortisol in the body. Also, the tests can determine the cause of the disease are: blood ACTH level, brain MRI, corticotropin-releasing hormone test, dexamethasone suppression test (high dose), and inferior petrosal sinus sampling (IPSS). Other tests that can be done but isnt necessary are: fast blood glucose and A1c for diabetes, lipid and cholesterol testing, bone mineral density can too check for osteoporosis. (Medline Plus) Treatment Options At the follow-up appointment the doctor will go over all the test results, and the next plan of action will be. The treatment would be surgery to remove the pituitary tumor and the pituitary gland may return to normal and start to work slowly again. During the recovery process, cortisol replacement therapy, so the pituitary needs to be able to have time to make ACTH again. Also, if the doctor could not remove the whole tumor completely radiation might be done to the pituitary gland. If surgery and radiation doesnt work on the tumor, medication may be needed to stop making the coritsol in the body. The last resort if none of these treatments work, the adrenal glands will be removed, and it will stop the increased levels of the cortisol. Also, if the adrenal glands are removed the tumor on the pituitary gland will get much, much bigger. (medline) Prognosis/ Summary If Cushings disease is left untreated, it can lead to severe complications. People can have excessive fatigue, obesity, nausea and vomiting, diabetes, hypertension and can lead to premature death. (Skull) Removal of the tumor can be a full recovery, but lifelong replacement medication to keep your hormones in balance. Two medications that have been approved by the FDA are: mifepristone and pasireotide, for the treatment of Cushings disease. (Medline Plus) Very rare the tumor can grow back, and the patients will need to go back to the doctor and see what can be done the treatment options are. REFERENCES Cuevas-Ramos, D. (n.d.). Update on medical treatment for Cushings Disease. [online] Available at: http://clindiabetesendo.biomedcentral.com/articles/10.1186/s40842-016-0033-9. Ilias I, N. (2012). National institute of diabetes and digestive and kidney diseases. [online] Available at: https://www.niddk.nih.gov/health-information/endocrine-diseases/cushings-syndrome [Accessed 5 Mar. 2017]. Krause, L. (2005). Pituitary-dependent Cushings disease. [online] Available at: http://www.healthline.com/health/cushings-disease [Accessed 28 Jan. 2016]. Labtestonline.org. (2016). Labtestonline.org. [online] Available at: http://www.labtestonline.org/conditions/cushing [Accessed 10 Mar. 2017]. Mayoclinic.org. (2016). Overview Cushing syndrome Mayo Clinic. [online] Available at: http://www.mayoclinic.org/diseases-conditions/cushing-syndrome/home/ovc-20197169 47k [Accessed 10 Mar. 2017]. Medlineplus.gov. (2016). Cushing Syndrome | Hypercortisolism | MedlinePlus. [online] Available at: https://medlineplus.gov/cushingssyndrome.html [Accessed 10 Mar. 2017]. Skullbaseinstitute.com. (n.d.). Cushings Disease: Surgery, Treatment Symptoms | Skull Base Institute. [online] Available at: http://www.skullbaseinstitute.com/pituitary-gland-tumor-surgery/cushings-disease-endoscopic-surgery.htm [Accessed 10 Mar. 2017].

Qualitative Research for Instructional Technology Essay -- Qualitative

Qualitative Research Qualitative Research Defined: The simplest way to define qualitative research is to say that it is a type of research which involves interpreting nonnumerical data. The underlying belief of qualitative research is that "meaning is situated in a particular perspective or context, and, since different people and groups have different perspectives and contexts, there are many different meanings in the world, none of which is necessarily more valid or true than another" (Gay & Airasian, 1996). A qualitative researcher, therefore, believes that the world cannot be pinned down by objective meanings, but that all variables must be taken into account when conducting research, including the past experiences and personalities of the researcher. According to Peck and Secker (1999), this idea has three important implications from a research perspective: First, it follows that the purpose of research is not to establish objective facts about the social world because objective knowledge is impossible; rather, the aim is to explore how research participants understand, or make sense of, the topics in which we are interested. Second, the theories we arrive at as researchers are also inevitably our own interpretations of research participants' understandings and not simply a reflection of them. Finally, for readers and reviewers to assess qualitative research, it is necessary to present a "thick description" of the data, illustrate this with substantial extracts, and make the processes of the analysis transparent. How Qualitative Research differs from Quantitative Research: In order to gain a clearer understanding of qualitative research, it is necessary to compare its basic purpose and focus to those ... ...tative research is a valuable form of research to use in order to interpret the everyday life situations that cannot be measured through quantitative methods. References Gay, L. R., & Airasian, Peter. (1999). Educational Research: Competencies for Analysis and Application, Sixth Edition, Upper Saddle River, NJ: Merrill. Palmerino, Mark. (1999). "Take a quality approach to qualitative research". Marketing News, 33, 35-36. Peck, Edward & Secker, Jenny. (1999). "Quality criteria for qualitative research: Does context make a difference?". Qualitative Health Research, 9, 552-558. Putney, LeAnn & Green, Judith. (1999). "Evolution of qualitative research methodology: Looking beyond defense to possibilities". Reading Research Quarterly, 34, 368-377. Tema-Lyn, Laurie. (1999). "Five ways to get more out of qualitative research". Marketing News, 33, 38.

E-Business, Opportunities And Threats

The most way of payment In the Internet Is by paying through credit card. The business website could be hacked by cyber-hacker and he could steal the credit card numbers of the customers of the business. How to solve the problem? The company should make sure that their system is protected and safe from any viruses, so the company must install anti-virus software and do regular update for it to ensure that their system is safe well. Also the company should always make a back-up for Its data and never switch off the firewall. Communication with customersSometimes, while employee of the company talks with customer through the email, the customer might have in his/her computer a virus and this virus sent itself to the computer of the company and affected it. How to solve the problem? The company should save its data by backing-up It at safe devices. Also It should Install antl-vlrus software the will scan every downloaded file before the employee open It. The company must Inform Its empl oyees about email attachments from customers or unknown emails and how danger they could be to the company computers.Promote Products Some companies promote their products through sending it to customers by email, and this way of promoting Is affect to reputation of the company as It Is annoying or It considered as not acceptable. How to solve the problem? If the company wants to promote its product through sending it to customer by email, it should do it at good way like reducing number of Images, never attach weird files or large size files, and the subject of the email should be simple and understandable.Provide Information Some companies do not have the security In their websites, so It could be hacked by yber-hacker and he might change or delete the information that will make the company at hard situation. How to solve the problem? The company should back-up its data, enhance its system to be strong & secure, and make regular scan for the system. Also the firewall must always s witched on and having updated an anti-virus software. Operational Implication trends Natlonal Ba KOT Banraln Is respond to E-Buslness ana nas develope a nls servlces because of several competitive forces.Expectations and product fulfillment Because of modern technology, NBB is providing its services through E-Business to uit and cover the expectation of their customers' such as checking the balance, transfer funds, payments and to fulfill their desire and demand. Customer expectation Because of high customers' expectation at this time, NBB developed its website to make it very quick to load that have the ability to contain and serve lots of customers. Information of the service that NBB offer are available, also NBB website has zero of annoying pop-ups and there is space to customers to leave feedback to enhance the services.Increased competition Because of the increasing of competition that BBK offers set of services at its website, NBB is always tried to recruit the finest, creati ve, and talented people that will enhance the process of NBB services and this will raise the competition. Also NBB is offering new loans plan from time to time and offer many type of debit and credit cards. New providers NBB try to not give the opportunity to other new banks for being best than NBB, NBB develops its website to make it much easier and easier and simple to use like provide answers of frequently asked questions â€Å"FAQs†.Also it is offer transfer funds, credit card and loan payment can be made through the website as well. Also NBB has one of the biggest network â€Å"ATM† services around Bahrain. Strategic implications of trends on organizations Competitive pressures Because of BBK competitive activities that allow its customers to check their inquire about their balance, transfer amounts; check online statement NBB is compete to make its services better in different aspects such as hiring qualified, who are reliable, organized to enhance the process, have problem solving skills and deep knowledge n E-Business.And offer their services with affordable prices. Relocations, takeovers, closures and mergers NBB has ATM card which let the customer with draw money from other ATM that belong to other banks in a competitive prices. Refocusing business Through NBB website, a lot of people know about NBB and its service. ADVANTI Operational implication trends Expectations and product fulfillment Because of modern technology, Advanti is providing its services through E-Business to suit and cover the expectation of their customers' and to fulfill their desire and demand.Customer expectation Because of customers expectation that they expect they will find there requires at Advantl weDslte. Advantl Improved Its weDslte to De slmple ana easy to use. I ne website domain name is simple and easy to remember. Also Advanti provide pictures, description of its products and provide detail of the prices, policy and condition. The text format ; colors is comfortable to be seen. Increased competition Because of competitor's activities like ALWASAT Computers that provide many types of delivery services , Advanti now ship its product to GCC countries.Advanti provide ervice of deliver the products â€Å"door to door† and offer discount on some products from time to time. It is also offers gift cards. New providers Because of quick and remarkable presence of AL-Wasat Computers that offers many number of brands, Advanti offers the most unique computer accessories and at affordable prices. It is also known of its faster shipping and its guarantee that the product will arrived safety. Advanti encourage its customers', its offer coupon to the customer that buys from Advanti through online. Because of the competitive pressure that A1-Wasat Computers try its best to attract ustomer base.Advanti goals is to satisfy the customer as much as possible and compete to make its services better in different aspects such as hiring qualified, who are reliable, organized to enhance the process, have problem solving skills and deep knowledge in E-Business. And offer their services with affordable prices. Relocations, takeovers, closures and mergers Advanti is co-corporate with FedEx through shipping the products to customers. Refocusing business Through Advanti website, Advanti have a big customer base a lot of people know about Advanti and its products.

Services Marketing and Customer Relationship

Spring 2010 (Jan-Jun) Master of Business Administration-MBA Semester 4 MK0006 – Services Marketing and Customer Relationship Management – 2 Credits (Book ID: xxxxxxx) Assignment Set- 1 (30 Marks) Note: Each question carries 10 Marks. Answer all the questions. Q. 1 a. What do you mean by physical evidence in services? Give examples. (5 marks) b. Write a note on service development. (5 marks) Q. 2 a. Briefly explain the terms â€Å"customer expectation† and â€Å"customer perception†. (6 marks) b. What are the different bases for segmentation? 4 marks) Q. 3 Recall the different services offered in a bank. Evaluate the different characteristics of services that you found excellent, average and poor in the particular bank. How do you think the bank can improve its services? (10 marks) Spring 2010 (Jan-Jun) Master of Business Administration-MBA Semester 4 MK0006 – Services Marketing and Customer Relationship Management – 2 Credits (Book ID: xxxxxx x) Assignment Set- 2 (30 Marks) Note: Each question carries 10 Marks. Answer all the questions. Q. 1 a. Discuss strategy formulation and implementation in services. (4 marks) b. Explain the scope of CRM. (6 marks) Q. 2 a. What do you mean by CRM? What are the emerging trends in CRM? (5 marks) b. Write a note on service quality with an illustration. (5 marks) Q. 3 Determine a service marketing mix for an established airline. Assume that the airline operates in more than 30 different countries and its customers are mostly regular ones. How can it distinguish its services from other competing airlines, so as to attract newer passengers? (10 marks)

Free Essays on Cambodia Environmental Problems

Not unlike the rest of the world Cambodia faces serious environmental problems. Their main problems include such things as population growth, air pollution, water pollution, solid waste disposal and loss of ecosystem, through urbanization and deforestation. Cambodia being a country with very little wealth has had quite a hard time dealing with these issues. First off let us look at their population growth, which is one of the more primary reasons for most of their ecological problems. The population is Cambodia is estimated to be 11.2 million with an average growth rate of 2.8 percent. It is predicted to reach 22.8 million by 2025. From our previous studies we know that population growth is one of the primary contributor to air pollution and deforestation. Cambodia’s major natural resources include fish, meat, grains and vegetables. With the overcrowding of the country it has become increasingly more difficult to obtain healthy fertile farmlands, which in turn puts a strain on the already unstable economy. Because of the overcrowding in Asia we have seen a dramatic increase of acid rain, considered to be a â€Å"newer† problem for that region. The acid rain not only hurts their crops but also contaminates their water supplies. Along with acid rain we must look at the global warming issue. Due to a major drought over the last years the crops have been anything but plentiful. Many attribute these problems to the population boom. The droughts from pervious years have brought with them record low water levels and dried out one lake and one river. Not only causing massive reductions in the fish market but also making drinking water less and less abundant. Most of the deforestation that has been taking place within the region has been done so illegally. The laws protecting these lands have yet to be enforced. There are two main reasons for the deforestation they include, increased internal demand, more houses being built to replaces t... Free Essays on Cambodia Environmental Problems Free Essays on Cambodia Environmental Problems Not unlike the rest of the world Cambodia faces serious environmental problems. Their main problems include such things as population growth, air pollution, water pollution, solid waste disposal and loss of ecosystem, through urbanization and deforestation. Cambodia being a country with very little wealth has had quite a hard time dealing with these issues. First off let us look at their population growth, which is one of the more primary reasons for most of their ecological problems. The population is Cambodia is estimated to be 11.2 million with an average growth rate of 2.8 percent. It is predicted to reach 22.8 million by 2025. From our previous studies we know that population growth is one of the primary contributor to air pollution and deforestation. Cambodia’s major natural resources include fish, meat, grains and vegetables. With the overcrowding of the country it has become increasingly more difficult to obtain healthy fertile farmlands, which in turn puts a strain on the already unstable economy. Because of the overcrowding in Asia we have seen a dramatic increase of acid rain, considered to be a â€Å"newer† problem for that region. The acid rain not only hurts their crops but also contaminates their water supplies. Along with acid rain we must look at the global warming issue. Due to a major drought over the last years the crops have been anything but plentiful. Many attribute these problems to the population boom. The droughts from pervious years have brought with them record low water levels and dried out one lake and one river. Not only causing massive reductions in the fish market but also making drinking water less and less abundant. Most of the deforestation that has been taking place within the region has been done so illegally. The laws protecting these lands have yet to be enforced. There are two main reasons for the deforestation they include, increased internal demand, more houses being built to replaces t...

Journal assignment Example | Topics and Well Written Essays - 500 words

Journal - Assignment Example From a personal experience, you are connected with other people whom you share the same profession when you join this organization. You learn and share experiences with people who understand you because you work in a similar environment. I have been a member of Nevada Nurses Association; hence, I have been able to enjoy this great opportunity. Becoming a full member of American Nurses Association is equally important and beneficial to me as a nurse. This is because I regularly receive journals every month on any emerging issue or trend in my profession. This information is very resourceful when it comes to making important decision and moves in my profession. I have also been able to network with other members in this organization. This has enabled me to form and maintain long lasting relationship with other nurses in this movement. Hence, joining this association has been of importance to my profession (McQuilkin, 2005). Every practicing nurse should be a member of a professional organization in order to enjoy the benefits as stated above. It will also help them protect and champion for their rights in the course of duty. Hence, through this association, I will ensure that all nurses are registered members in order to network and connect with each of them. Further, nurses have an obligation to be advocates politically. For example, Nevada has a good name because of its impact in championing for the rights of nurses in US. These political activities enable the association to establish powerful relationships, which can be used to prevent or change any issue that is affecting well being of nurses. As a political organization whom members are nurses, it has been able to protect the rights and welfare of nurses. I believe that nurses have an obligation to be political advocates. This is because they will be able to influence and act on issues that affect them in the line of their duty. For example, it could increase in

Reggae Music Essay Example | Topics and Well Written Essays - 1000 words

Reggae Music - Essay Example During the run-up to the elections, he arranged concerts where Eccles’ performed politically loaded numbers. The other Reggae groups that were also supportive of Manley were Dennis Brown, the Chosen Few and The Wailers. Let’s take, for example, Eccles’s â€Å"Rod of Correction†. The title of the song is a reference to the staff given to Michael Manley, as a gift, by Emperor Haile Selassie of Ethiopia. The Emperor was highly revered across the black diasporas and more so in the Caribbean. The biblical symbolism is noted in how the rod commonly came to be known as â€Å"Joshua’s Rod†, whereby making Manley the Joshua – the personification of the â€Å"good† according to the Old Testament. And just as Joshua brought down the walls of Jericho and led the Jews to the land of Canaan, Manley was projected to lead his fellow countrymen to peace and prosperity. There are other symbolic references too. The parable of the destruction of Sodom and Gomorrah and the story of the crossing of the Red Sea by the Israelites are the other references to the Old Testament. Manley is portrayed as Joshua (the Savior) and his incumbent opponent is taken as the Pharoah. Need less to say, such powerful biblical symbolism made a critical impact on the Jamaican society, which was highly religious, and made Michael Manley the Prime Minister. The people will later be disappointed with Manley and disillusioned of his promises of paradise are quite another story (Cooper 1996).