Comparing two creation stories: Creation stories from the ancient Middle East: Walter Reinhold Warttig Mattfeld y de la Torre writes that one of his articles:
Aetna considers the Stretta System Curon Medical, Sunnyvale, CA experimental and investigational for the management of members with gastro-esophageal reflux disease GERD and all other indications because there is insufficient published scientific evidence to support the effectiveness of these interventions, especially with respect to long-term outcomes.
Aetna considers the use of the Angelchik anti-reflux prosthesis experimental and investigational for the management of GERD and all other indications because it has not been shown to be as safe and effective as other options for the treatment of GERD or other indications.
Aetna considers the use of Enteryx experimental and investigational for the management of GERD and all other indications Comparing authors it has not been established as an effective option for the treatment of GERD or other indications.
Aetna considers electrical stimulation of the lower esophageal sphincter e. Background Gastroesophageal reflux disease GERDalso known as reflux esophagitis, is probably the most prevalent clinical condition that arises from the gastrointestinal GI tract.
Reflux occurs when the gradient between the LES pressure and the intra-gastric pressure is compromised as a result of a transient or sustained reduction in the former, or an elevation in the latter. However, some patients have normal LES pressures, but their sphincters relax inappropriately, thus resulting in refluxes.
The objectives are to eliminate symptoms, heal esophagitis, prevent recurrence of symptoms or progression of disease. The initial treatment of GERD is geared toward reducing esophageal refluxes. Antacids, H2-receptor antagonists, as well as dietary and lifestyle modifications have been used for such purposes.
For patients who fail initial treatment, proton pump inhibitors e. When these standard medical therapies fail, surgery may be considered. These procedures are designed to raise the pressure within the LES by wrapping a portion or all of the cardia stomach around the esophagus.
The most commonly used surgical procedure, Nissen fundoplication open or laparoscopicis the mobilization of the lower end of the esophagus and plication of the fundus of the stomach around it. In general, patients are discharged from the hospital on the second post-operative day and can return to work in 7 to 10 days.
Other surgical options include Belsey partial fundoplication as well as Collis gastroplasty combined with Belsey partial fundoplication. However, anti-reflux surgery can be associated with complications. However, there is insufficient scientific data to support the effectiveness of these devices.
Well-designed studies are needed to show that these procedures reduce or eliminate the use of anti-GERD medications. Comparative studies with standard drug therapy and traditional surgical procedures may shed some light on the role these devices play in the treatment of GERD.
Some of the issues that have to be addressed are: Randomized trials have compared medical versus surgical management, laparoscopic versus open surgery and partial versus total fundoplications.How to Write a Compare and Contrast Essay.
In this Article: Article Summary Formulating Your Argument Organizing Your Essay Putting It All Together Sample Body Paragraphs Sample Essay Outline Community Q&A The purpose of a compare and contrast essay is to analyze the differences and/or the similarities of two distinct subjects.
Comparing Authors Compare/Contrast the mestiza, borderlands, and cultural issues found in two writers’ work. Please respond in a five-paragraph APA essay format with quotes, proper in-text citations, and references.
We are appreciative of the constructive and helpful comments made to our Article1 by Jose Antonio Izazola-Licea and colleagues and commend UNAIDS on its recently released estimates of domestic and external financing of HIV/AIDS.2 We agree with the authors' assertion that the world remains far from realising global goals for HIV/AIDS investments.
Comparing and Contrasting What this handout is about This handout will help you first to determine whether a particular assignment is asking for comparison/contrast and then to generate a list of similarities and differences, decide which similarities and differences to focus on, and organize your paper so that it will be clear and effective.
In this chapter, the authors discuss the importance of involving students in the development of stories in such a way as to attract their attention and emotions.
It is clearly beneficial to devise tasks, environments, and strategies that will foster involvement in all kinds of reading tasks. Compare/Contrast the mestiza, borderlands, and cultural issues found in two writers' work. Please respond in a five-paragraph APA essay format with quotes, proper in-text citations, and references.