Saturday, February 15, 2020

Film Evaluation Essay Example | Topics and Well Written Essays - 750 words

Film Evaluation - Essay Example e tortured and abducted women, and quest of certain individuals, who benevolently wish to put an end to such heinous practice so that the world can be a better place to live. Casting of the film does not include giant names from the Hollywood film industry, however, collaborative and sincere acting efforts by Kevin Kline, Cesar Ramos, Paulina Gaità ¡n, and Alicja Bachleda-Curus have attempted to provide a realist impression of the horror of the situation that looms heavy over women even in the modern context of human civilization. This film speaks of a world, where women are subjects of sensual pleasure and financial benefit; where a mother does not hesitate to sell her innocent daughter to satisfy her monetary requirements; where believers of God are indulged in the business of human trafficking; where moral corruption is a regular and normal practice. The name of the film, Trade immediately gives a symbolic impression that every aspect of human life has become commoditized and the essential virtues, such as tenderness, emotion, humanity, and valuing relationship have been defeated in comparison to such commoditization. Despite the fact that in the end of the film, the protagonists have received the chance to get back to their dear ones, but the situation of crisis retains and it has also been made clear through the film that unless immediate actions are taken and human beings do not fight against the present situation, the process of denying human entity will continue and they will increasingly remain as the subjects of trade. Story: Story of the film revolves around lives and experiences of Adriana and Jorge, who are brother and sister in their relation. Residing in the Mexico City, while Jorge has become quite a ruffian due to his close association with wrong friends, on the other, he is very much caring towards his sister and loves her truly. However, in the very beginning of the film, it has been shown that the business of human trafficking for sexual slavery

Sunday, February 2, 2020

Efficacy of corticosteroids in the treatment of Severe Sepsis and Literature review

Efficacy of corticosteroids in the treatment of Severe Sepsis and septic shock In critical care - Literature review Example Treatment involves aggressive fluid resuscitation, antibiotics, surgical excision of infected or necrotic tissues and drainage of pus, supportive care, and sometimes intensive control of blood glucose and administration of corticosteroid and activated protein c. Adjunctive corticosteroid therapy is commonly prescribed to patients with septic shock, despite the fact that few trials show survival value. A reduction in time to shock reversal has been observed. The present study aimed to review the literature available for the efficacy of corticosteroids in the treatment of severe sepsis and septic shock. Data was gathered from articles published in peer reviewed journals. Despite the lack of consensus in the efficacy of corticosteroids in the published literature, corticosteroids were found to be safe and effective as first line treatment for septic shock, though there efficacy in severe sepsis treatment is not documented. {Key Words: Septic shock, severe sepsis, corticosteroids, hydroc ortisone, critical care, adrenal insufficiency, organ dysfunction} EFFICACY OF CORTICOSTEROIDS IN TREATMENT OF SEVERE SEPSIS AND SEPTIC SHOCK INTRODUCTION Septic shock is one of the most critical complications associated with surgical cases and still one of the major causes of mortality in the intensive care units (ICUs). Shock, in general refers to a scarcity of oxygen supply leading to hypotension and hypoperfusion followed by cellular dysfunction; sepsis refers to a systemic inflammatory response to infection (Wang et al. 2009). Thus, severe sepsis can be defined as sepsis complicated by organ dysfunction, tissue or organ hypofusion; or hypotension (Balk, 2000). The organ dysfunctions associated with severe sepsis include renal, respiratory, cardiovascular, hematologic, hepatic and gastrointestinal dysfunction. Septic shock is systemic inflammatory response to infection occurring with acute respiratory failure, persistent arterial hypotension and perfusion abnormalities, in sever e case leading to organ dysfunction (Bridges, 2005). Progressively increasing incidences of mortality and morbidity are reported for sepsis, severe sepsis and septic shock, respectively (Zanotti-Cavazzoni & Hollenberg, 2009). An epidemiological study of cases of severe sepsis in England, Wales and Northern Ireland for the period spanning 1996 to 2004 reported hospital mortality of 48.3% in the year 1996, which has marginally decreased to 44.7% in 2004. Moreover the total number of deaths due to severe sepsis has risen from 9,000 to 14,000 during this period due to rise in incidences of severe sepsis (Harrison et al., 2006). Another study to evaluate worldwide incidences of mortality as consequence of severe sepsis reported a marginal fall in number of deaths due to the condition, the mortality still remaining as high as 30-50% (Laterre et al., 2004). Cardiovascular and hemodynamic instability are closely associated with increase in