My First Day At The United States Army - 1211 Words

â€Å"Get off the God Damn bus privates!† Those words were the first sounds I heard as I stepped off that old white bus that day. Today was my first day to becoming a soldier in the United States Army. The date was July 12, 2013. I was only an 18 year old teenager who wanted nothing more in life than to follow in the footsteps of my great grandfather. My great grandfather had raised me and inspired me for this journey I was about to take part in. This was the day I would start basic training. I was feeling more anxious than ever. Don’t even get me started on how nervous I was. I had never been away from home more than a few days, and here I was about to embark on a two month long journey I knew close to nothing about. I can still remember to†¦show more content†¦We were all lined up and waiting patiently as big white buses came to a screeching stop in front of us. We were then instructed to grab our things and begin filing onto the bus one by one. The bus ride wasn’t too long, but it was long enough for some doubt and regret to creep into my consciousness. I looked around at everyone’s faces and they seemed to be thinking the same thing I was, and they all had frowns on their faces. I then noticed these men in the distance wearing a weird brown rounded hat. They all were broad shouldered, middle aged men and they were all standing in a line appearing eager. These men were known as drill sergeants. They were supposed to be the ‘meanest of the mean’. These drill sergeants were the men whose task was to shape teenagers into soldiers. The bus came to a sudden stop in front of the drill sergeants, and all of the sudden it felt as if a shot of electricity jolted down my spine. I knew that this was the last stop the bus would be making today and I was going to be forced to get off of the bus. As the bus stopped there was commotion at the front of the bus. We saw what seemed to be the largest out of the group of drill s ergeants getting onto the bus. â€Å"Get off the God Damn bus privates† yelled the large drill sergeant. You could tell he seemed angry by the tone in his voice. He must have been every bit of 6’8†, and 280 pounds. We all hustled of the

The Issue Of Teen Pregnancy - 1082 Words

I suppose no one ever really expects things to happen to them until they actually happen. At least, that’s how I viewed things until I got pregnant with my first and only child at fifteen years old. It’s almost exactly the way they portray it in Hollywood movies and television shows and books. Although, unlike those books and shows, I never lost any friends from this experience. I will say that people are much more understanding nowadays. Still, no one is ever really ready to be a mom, especially at fifteen. Statistics say that seven out of ten girls that get pregnant while still in high school will drop out. Seventy percent of girls will drop out of school. In 2013, 273,105 babies were born to girls aged 15-19. That’s a terrifying number, but teen pregnancy rates are lower than ever before. Being part of the thirty percent that made it through high school, I will say one thing: the reason I made it through all four years (that’s right, there was never a moment of my high school career in which I was never a parent) was because I never saw myself doing anything else. The opportunity for school was always there. I was and still am one of the lucky few that have the opportunity for education, unlike many other countries where girls are condemned from schooling. I always knew I was going to college, and sure enough, I am the first person in my immediate family to attend a four-year university. My mother got pregnant at seventeen years old and had to drop out of high school.Show MoreRelatedThe Issue Of Teen Pregnancy1722 Words   |  7 Pagesestablishing her equality and worth in the eyes of her male counterpart. But although she may have broken many barriers and achieved great accomplishments, there are still some deep rooted issues which continue to affect her in a most insidious manner. One of the issues that women face in the United States is teen pregnancy which is still an enormous problem that needs to be addressed. The rates ar e still higher than they were only a decade ago. Becoming a parent permanently and profoundly alters a teenagerRead MoreThe Issue of Teen Pregnancy1458 Words   |  6 PagesTeen pregnancy The issue of teen pregnancy is a fact that can no longer be overlooked in terms of its magnitude in the society today. Despite the widespread sex education and peer counseling and guidance, there still is a wide prevalence of teen pregnancy, a challenge that does not only affect the teenagers but the society at large. Effects of teen pregnancy The aspect of teen pregnancy is one of the most challenging situations to be in as a young person as it could interrupt flow of schoolRead MoreThe Issue Of Teen Pregnancy Essay1436 Words   |  6 Pagesled to fewer teen births. It is thought to be that when teens tune into the show, they learn to practice safer sex. â€Å"16 and Pregnant† was named one of the best ways to campaign about the issue of teen pregnancy. The show was a way to attack the issue of teen pregnancy head on. Comparing to all fully developed countries, the U.S, has the highest rates of teen pregnancy. This was seen as a major problem to many that was aware of the problem. Even though the number of teen pregnancies was high, thereRead MoreThe Issue Of Teen Pregnancy1391 Words   |  6 Pagesyear. At least sixty percent of pregnancies result in births, thirty percent are abortions, and fifteen percent are miscarriages. About twenty-five percent of teen moms have another child within twenty four months of t heir first kid. Teen pregnancy is a problem in many parts of the world. But the United States has the highest teen pregnancy rate among any other country. Only about fifty percent of teen moms actually graduate high school, and less than two percent of teen moms earn a college degree byRead MoreThe Issue Of Teen Pregnancy1739 Words   |  7 Pagesbaby. In developed countries like the United States of America, Great Britain, Canada, France and Sweden all deal with teenage pregnancies. The only difference between these countries is the percentage of teen pregnancy each country has. Each country has similar methods of birth control, and the only difference is the rate between all five developed countries. Teen pregnancy is a major concern in today’s society; there are many limiting reasons that do not allow people to access contraceptives, andRead MoreTeen Pregnancy : A Social Issue1371 Words   |  6 PagesTeen pregnancy is a very controversial social issue and the vast major ity of Americans consider the outrageous rate of teen pregnancies a severe issue, certainly a problematic occurrence that is believed to be a moral decline in our country. Teenagers are physiologically capable of reproducing but not emotionally or financially prepared to be parents at such a tender age. Through various research studies a plethora of determinants has pin pointed teens unprecedented pregnancies. One cause of thisRead MoreTeen Pregnancy Is A Serious Issue982 Words   |  4 PagesThe social issue I will be addressing throughout my paper is teen pregnancy. The term teen pregnancy is referring to teens between the ages of 13-19 who become pregnant (Akella Jordan, 2015). Despite the fact that teen pregnancy rates have dropped within the past twenty years, United States continues to have the highest rates of teen pregnancy in comparison to all other developed nations ( Akella Jordan, 2015). Teen pregnancy is a serious issue for a multiplicity of reasons. A teenager w ho hasRead MoreControlling the Issue of Teen Pregnancy635 Words   |  3 PagesTeen pregnancy is a problem that is plaguing the U.S., as well as other countries. This social problem affects teens of every ethnic and economic background. Before we discuss what some organizations are doing to help, let’s look at some of statistics surrounding teen pregnancy. Even though this is a serious problem, the good news is that teen birth rates in the United States have dropped almost continuously since the early 1990s — including a six percent drop from 2011 to 2012 — further decreasingRead MoreThe Social Issue Regarding Teen Pregnancy756 Words   |  4 PagesPurpose: The social issue regarding teen pregnancy is still very prevalent in the United States. Teen pregnancy is a huge issue because it is known to have a negative effect on the mother and most importantly the child. An initial study was conducted on two teenage mothers prior to having their child. The researcher wanted to further investigate the same population for a better understanding of teenage motherhood. The purpose of case study was to examine the perceptions of two adolescent mothersRead MoreTeen Pregnancy Is Becoming More Of An Issue992 Words   |  4 PagesTeen pregnancy is becoming more of an issue in young Americans nowadays as we are the generation starting this we must attempt to slow down the process. Pregnancy is the period from conception to birth. After the egg is fertilized by a sperm and then implanted in the lining of the uterus later developing into a placenta and embryo to become a fetus and grow (the free dictionary). The miracle of life; teens seem to be experiencing this way to early on in life; Statistics show that in 2013 a total

The Prevalence Of Barretts Esophagus Health And Social Care Essay Free Essays

Gastro esophageal reflux disease is the chief known etiologic factor for Barrette Esophagus, and BE is the precursor lesion of esophageal glandular cancer. The prevalence of BE is reported largely from gastroenterology centres and few informations are reported from outpatients with indigestion. Lots of patients with GERD have grades of indigestion. We will write a custom essay sample on The Prevalence Of Barretts Esophagus Health And Social Care Essay or any similar topic only for you Order Now This survey chiefly aims to find the prevalence of BE in dyspeptic patients. Material and methods: outpatients holding indigestion refer to endoscopy unit for endoscopy. Meanwhile the endoscopist takes biopsy of distal gorge. Barrett ‘s esophagus diagnosing will be find based on the endoscopic unnatural visual aspect of the distal gorge and besides based on Intestinal Metaplasia ( IM ) pathologic position. Consequences: the prevalence of BE was 5.4 % ( based on endoscopy ) and 3.7 % ( base on pathology ) . 69 % of patients with confirmed BE were gt ; 50 old ages and 31 % were lt ; 50 old ages. 81 % of patients with confirmed BE reported GERD symptoms as their dominant indigestion symptom, but consequence is merely 20.4 % in patients without BE ( p value lt ; 0.001 ) . Decision: BE has a comparatively high prevalence in dyspeptic patients. The prevalence of GERD symptoms in BE emphasizes the demand for making endoscopy for dyspeptic patient. Cardinal words: Barrett Esophagus, Endoscopy, Heartburn, Pathology Introduction Prevalence of gastro esophageal reflux disease ( GERD ) is raising along with the prevalence of Barrett ‘s gorge ( BE ) and esophageal glandular cancer ( 1 ) . GERD is the chief known etiologic factor for BE, and BE is the precursor lesion of esophageal glandular cancer ( 2 ) . Adenocarcinoma of gorge is normally a locally turning tumour and it invades next variety meats and cause deadly complications ( 3 ) . BE is defined as altering the liner of distal gorge that can be recognized with endoscopy and is documented by presence of gablet cells and other standards for IM in biopsies taken during the endoscopy ( 4 ) . Hiatus hernia, fleshiness and presence of helicobacter pylori in gastro enteric piece of land are some of the hazard factors for BE ( 5, 6 ) . These factors are believed to increase BE by increasing acerb reflux. Many gastroenterologists make the diagnosing of BE by endoscopy and corroborate it with presence of IM in biopsies taken from the gorge ( 2 ) . The standard for endoscopy is the Presence of chronic GERD after ingestion of proton gaudery inhibitor or acerb suppressers for at least 4 hebdomads ( 7 ) . Association of BE with glandular cancer is the chief factor that thrust physicians to endoscopically measure GERD patients ( 8-11 ) . BE is found in 2 % of big population and 3-5 % of GERD patients ( 2 ) . The overall prevalence of BE in patients with chronic GERD is 3-12 % ( 8, 10, 11 ) .The prevalence of BE is reported largely from gastroenterology centres and few informations are reported from outpatients with indigestion. If we consider the coexistence of GERD with indigestion in many patients, the demand to measure dyspeptic patients for BE will be highlighted ( 10 ) . This present study is aimed specifically to show the prevalence of BE in dyspeptic outpatients and to research possible hazard factors for its presence. It besides determines the efficaciousness of GI endoscopy to name BE in the selected population. Material and methods: This is a prospective survey on Outpatients of GI clinic who were over 18 old ages old and had a primary ailment of at least 3 months of indigestion ( intermittent or uninterrupted ) and have been conducted during 2007-2011, after the approve of Kashan University of medical Sciences Ethic commission. We defined dyspepsia as composite of uncomfortableness or hurting in epigastric part ( with or without acerb regurgitation ) , inordinate belch or belching, abdominal bloating, early repletion or feeling of unnatural or slow digestion or pyrosis ( 10 ) . Patients who had a documented history of upper GI surgery, a clinical probe of indigestion by endoscopy or radiology ( in the old 6 months ) or on more than two occasions in the past 10 old ages, and used proton pump inhibitors within 30 yearss or H2-receptor adversaries within 14 yearss of registration excluded from the survey. Out of the outpatients enroll ; those who consented orally to an endoscopy enter our survey, and refer to endoscopy unit of shahid beheshti infirmary, a cardinal infirmary in Kashan. Of the enrolled outpatients, informations on age, sex, nationality, weight and tallness, presence and laterality of GERD symptoms and continuance of dyspeptic symptoms will be record in separate signifier. The presence of BE will measure in two ways: endoscopically, and histologically. Barrett ‘s esophagus diagnosing will be made based on the endoscopic unnatural visual aspect of the distal gorge. If there was a intuition of Barrett ‘s epithelial tissue in the distal of the gorge, the endoscopist find the instance as Barrett ‘s gorge and we mark the instance as BE instance by endoscopy. The presence of â€Å" gastric-appearing mucous membrane † or â€Å" columnar-lined † gorge is the standards for the endoscopist study of BE. The lengths of the unnatural epithelial tissue were non recorded. Biopsies from all instances were taken merely proximal to the gastro-esophageal junction, harmonizing to standard pattern for histological verification meanwhile the process. The determination of the figure of biopsies to be taken was made upon the estimate of Barrett ‘s epithelial tissue length by the endoscopist. If groundss of IM were seen in the biopsies by the diagnostician, BE could be confirmed, and we mark the instance as BE instance by pathology. These informations will be added to the patient ‘s signifier. Data enter SPSS package and analyze with descriptive statistics, qis square trial and t-test. Consequences Of the 1156 outpatients enrolled, 12 patients did n’t consent to hold endoscopy. Out of these 12 patients 9 were afghanian who had n’t return to hold endoscopy for unknown grounds. 3 of Persian patients did n’t accept to endoscopy and establish endoscopy unneeded, although the physician explained the necessity. A sum of 1144 dyspeptic patients underwent endoscopy, 1100 ( 96.2 % ) of them were Persian and 44 ( 3.8 % ) were afghanian. The average age of the instances was 45.2 old ages old. BE was endoscopically diagnosed in 62 instances ( 5.4 % ) , and pathologically diagnosed in 42 ( 3.7 % ) of them. All these 42 instances were diagnosed with endoscopy as BE, but 20 instances ( 32.2 % ) that were endoscopically marked BE, were non confirmed as BE by pathology. Thus the sensitiveness of endoscopy for diagnosing of BE is 100 % but its specificity is 67.8 % . The average age of patients with confirmed BE was 53.2 old ages. 42.6 % of patients without BE were male and 57.4 % were female whereas 64.3 % of patients with BE were male and 35.7 were female ( p value=0.005 ) table1. Hiatus hernia was diagnosed in 10.2 % of all patients ( 117 out of 1144 ) . 9.1 % of patients without IM had Hiatus hernia, while 40.5 % of the patients with IM had Hiatus hernia ( p value lt ; 00.1 ) ( table 2 ) . 54.8 % of the patients with BE had reflux esophagitis but merely 4.4 % of the patients without BE had reflux esophagitis ( p value=0.003 ) . The average continuance of dyspeptic symptoms in the 42 BE patients was 10.29 old ages ; 6 patients ( 14.3 % ) reported symptoms lt ; 5 old ages in continuance and 1 ( 2.4 % ) reported symptoms lt ; 1 twelvemonth in continuance. Comparision of patients with and without BE revealed that patients with BE have longer period of indigestion ( P value lt ; 0.01 ) ( table 2 ) . Among 1144 patients 314 ( 27.4 % ) had acid regurgitation or pyrosis and 259 had these symptoms as their dominant symptom. Out of These 259, 34 ( 13.1 % ) had BE. 34 out of the 42 patients ( 81 % ) with confirmed BE reported either pyrosis or acerb regurgitation as their most bothersome ( dominant ) indigestion symptom, compared with 225 ( 20.4 % ) of the 1102 patients without BE ( p value lt ; 0.001 ) ( table 2 ) . The average BMI among all 1140 patients was 28.8 and there were no important difference between patients with confirmed BE and patients without BE ( p value=0.995 ) . Discussion: The recognized method for naming BE is detecting IM in biopsies taken from the gorge. There is a argument whether presence of stomachic metaplasia ( without IM ) should sort a patient as holding BE or non. In this survey, presence of IM in pathology is the cardinal point to sort a patient to hold BE. In 1144 uninvestigated indigestion outpatients that undergone endoscopy, the prevalence of BE was 5.4 % if based on the endoscopic intuition of stomachic metaplasia in the distal gorge and 3.7 % when the diagnosing was histologically confirmed by the presence of IM. In one Single centre survey on 1248 Persian GERD patients, the prevalence of endoscopicaly suspected and pathologically confirmed BE was 8.3 % and 2.4 % severally ( 12 ) . But we investigated dyspeptic patients non GERD. The prevalence of BE among the patients that have acid regurgitation and pyrosis ( GERD symptoms ) as their dominant symptom is 13.1 % in our survey and is comparatively higher than old Persian probes ( 12, 13 ) . And is besides higher than 3-12 % in other surveies ( 8, 10, 11 ) . But our consequences are less than 24.1 % reported in a survey conducted in Japan ( 14 ) . As other surveies suggested ( 15 ) HH and esophagitis were more common in patients with BE and BE was more prevailing in males and older ages. In our survey people proposing pyrosis or acerb regurgitation tend to hold BE more than other surveies. In a survey by Breslin et Al. that reported on the findings of endoscopy in 3634 Canadian patients, the prevalence of BE suspected on endoscopy varied from 0.3 % to 2 % . And merely a minority ( 0.3 % ) was histologically confirmed ( 16 ) . This may be reflect the prevalence of BE in our country. In our survey 67 % of the endoscopically diagnosed BE were confirmed by histology. This rate is 11 % in another survey ( 17 ) Reflecting the function of endoscopist experience in naming BE. It has been shown that both longer continuance and badness of pyrosis are risk factors for the development of glandular cancer of the distal gorge. Patients with BE in the current survey reported dyspepsia symptoms of longer continuance and merely 14.3 % had symptoms for lt ; 5 old ages. The fact that BE is a complication of longstanding GERD has been one of the chief grounds behind the recommendation for a ‘once in a life-time ‘ endoscopy in patients with GERD symptoms ( 10 ) . Decisions: In drumhead, the overall prevalence of histologically confirmed BE was 3.7 % in outpatients with indigestion. Patients with dominant symptoms of pyrosis, the prevalence of BE was 13.5 % . These informations should be used in the treatment about the demand for a one time in a life-time endoscopy in patients with dyspeptic symptoms. Our informations suggest that if endoscopy is recommended and should take topographic point at an older age ( such as age gt ; 50 old ages ) and in patients with symptoms of gt ; 5 old ages continuance as it will increase the output of diagnosing of BE. 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