Monday, May 18, 2020

Internet Addiction Disorder - Short Essay - 707 Words

Internet Addiction Disorder Computer and the Internet become useful tools in every day life. People are able to work on-line, chat, play games, or do their businesses. Although Internet brings many advantages it also carry a variety of dangers, including the possibility of addiction. Internet Addiction Disorder (IAD) is a new kind of addiction, which manifests itself in an excessive computer use that usually collides with person’s daily life. The fundamental problem of IAD is not a computer. Person is not addicted to the machine but to the emotional states that arise as a result of his/her own activities accomplished by the computer and through the computer. For instance, an on-line games player may become addicted to the strong†¦show more content†¦Dr. Kimberly Young, who is one of the first people working on research on IAD, writes that Internet addiction can be defined, as an impulse control disorder, yet does not cause intoxication. She created the Internet Addiction Diagnostic Questionnaire (IADQ) to diagnose this disorder. Internet addiction has a significant impact on the deterioration in the following areas of human functioning: social, professional and psychological. Dr. Young specify the criteria of which five have to be met before someone is consider an addict. Questions diagnosing these criteria are: †¢ Do you feel preoccupied with the Internet (think about previous or subsequent stays in the network)? †¢ Do you feel the need to use the Internet for longer periods of time? †¢ Have you had many unsuccessful attempts to control the time limit or stop Internet use? †¢ Did you feel restless, moody, irritated, depressed when you tried to reduce their time on the Internet or stop using it? †¢ Do you stay online longer than originally planned? †¢ Do you risk losing important relationships, work, career or study because of the internet? †¢ Have you tricked a family therapists, relatives or to hide the growing problem of Internet? †¢ Are you using the Internet as a way of escaping from problems or a way of aggravated mood (feelings of helplessness, guilt, anxiety, depression)? (www.netaddiction.com. Web. 8 Feb 2011) To prevent the Internet addiction, youngShow MoreRelatedThe Internet And Its Effect On Our Lives1371 Words   |  6 PagesAnalysis My first image shows that in today’s generation the internet is becoming a huge factor in their day to day lives. The internet allows this generation to communicate with each other through text messages, or social media like Facebook, and twitter. The internet provides us with all of the answers to our day to day questions; it also provides us with endless amounts of entertainment such as games, music, and movies, etc. The internet also makes living our day to day lives easier by providingRead MoreIllegal Drug Users As Criminals1131 Words   |  5 Pageswith about 15-35% of individuals developing an addiction (Lenoir Noble, 2016, p. 1096). The term â€Å"addiction† typically refers to psychoactive substance abuse such as tobacco, alcohol, cocaine or opioids and is characterized by impaired control, functional impairment, risky use, tolerance and withdrawal (Chamberlain et al., 2016, p. 841). Several repetitive behaviours share these core aspects of addictions, such as gambling disorder, Internet addiction (Chamberlain et al., 2016, p. 841), exerciseRead MoreThe Negative Effects Of Internet Dependency1235 Words   |  5 Pages An Argumentative Essay on the Negative Effects of Internet Dependency How much mental capacity does an individual have? Cognitive physiologists have found that the length of a memory depends on how it is encoded. Encoding is the process in which information is computed and stored in the long term and working memory. Long term memory has an extremely large capacity and is able to hold information for months or even years, while working memory is very closely related to what we refer to as attention;Read MoreTechnology and Attention Spans Essay1720 Words   |  7 Pagesobtain knowledge through the internet, such as searching Wikipedia, and it helps us entertain ourselves with games, movies, and music. But the computer can also have side effects to our behavior, and even to our appearance as Richard Restak, professor of neurology suggests in his article â€Å"Attention Deficit: The brain syndrome of Our Era.†. Some individuals get so entangled in this technology that their eating and sleeping habits change as do their behaviors. The Internet actu ally detracts from theRead MoreMental Health : Improving Overall And Reduce Health Inequalities1872 Words   |  8 Pageshealth promotion priorities. Q2) Identify a health issue of interest that relates to one of these priorities: Depression is also a serious illness, with an enormous effect on worsening health (Online 2014) Essay: Mental health should improve overall and reduce health inequalities. This essay demonstrates that Mental health is a major problem in society, it is growing day by day and if it is not approached immediately, it can lead to permanent disability and death in Australia and worldwide. ‘A mentalRead MoreInternet Facebook Use Abuse4365 Words   |  18 PagesInternet Use and Abuse 1. Statement of the Problem Technology has advanced greatly in the last 20 years. The greatest advancement was the way we communicate. The Internet and Cell-phones have changed the way information is shared, the way we communicate and the way many of us spend our days. I find this all very interesting. I am now 23 and I have witnessed the world change from, house phones and letters, to the Internet and cell-phones. I remember when my family got caller ID for our homeRead MoreThe Impact Of Social Media On Our Psychological Wellbeing1837 Words   |  8 Pagespsychological wellbeing, however, is problematic and there are many contradicting perspectives (Dodge, Daly, Hayton, Sanders, 2012). For this essay, what will be taken as key features of psychological wellbeing are â€Å"self-acceptance, positive relationships with other people, autonomy, environmental mastery, purpose in life, and personal growth† (Ryff, 1995, p.99). This essay will describe and evaluate the extent to which social media is bad for our psychological wellbeing. Firstly, by considering the use ofRead MoreConsumption Of Marijuana And Its Symptoms1646 Words   |  7 PagesDepression is currently the number one mental disorder in the world, as well as one of the leading causes of years lived with disability (Hales Lauzon, pp.58, 2012). It does not only alter the way you think but it also alters the way you feel, your social behavior and your physical wellness (Hales Lauzon, 2012). According to Hales and Lauzon (pp. 58 – 59, 2012), the onset age for depression is during adolescence. In Canada, 8% adults will experience depression and 15% – 40% of college studentsRead MoreHow The Digital Age Has Transformed Society1883 Words   |  8 PagesThroughout this essay I will be discussing how the digital age has transformed society in many ways. The digital age also known as the information age, is the evolution of technology in daily life and social organizations have led to the fact that the moderniz ation of information and communication processes has become the driving force of social evolution.† This is a time period in which we live in now where Internet and email are available; this is an example of the digital age. The InformationRead MoreTeens Go Gaga over Vampires3809 Words   |  16 Pageshave on them. Study shows that this obsession has a great impact on both the teenager as an individual and to the people who surround her. The researcher studied and investigated the topic by finding different articles, essays, data and surveys from different sources in the Internet, as well as reading some vampire novels herself. The survey conducted by the researcher was among teenagers aged 14 to 16 who are Filipinos. All the research done about what cause this obsession came to one particular conclusion

Wednesday, May 6, 2020

The Eternal Sunshine Of The Spotless Mind - 1080 Words

Introduction The Eternal Sunshine of the Spotless mind is an Oscar winning alternative U.S. film released March 19th 2004(IMDb 2015). It was produced by Focus Features and follows the dysfunctional love story of Joel and Clementine. The film itself despite being strongly influenced by Hollywood pays homage to other film movements such as surrealism and Soviet montage. The film in itself was a struggle to be categorised, thought it has been described as a romance, black comedy and many others that will later be explored. The director aimed to make this film timeless and still stands to be as effective today as it was when it was released. Production Eternal Sunshine of the Spotless Mind is the brainchild of director Michel Gondry and scriptwriter Charlie Kaufman. Steve Golin on of the crew on the film was quoted saying ‘the two complement each other. Michel is truly gifted at visualisation. But he also has a lot of soul. Charlie is probably the most imaginative writer that I’ve had the opportunity to work with. He creates characters and situations that are relatable but very unusual – and he also has very visual ideas.’ (Dugdale H 2006). The film itself has utilises rawer filming aspects than a classic Hollywood film. Instead of C.G.I the film uses camera techniques to make the characters smaller or larger in scale (Dugdale H 2006). The film itself was categorised under many genres including romance, drama, science fiction, black comedy, surrealism and realism. TheShow MoreRelatedEternal Sunshine Of The Spotless Mind1774 Words   |  8 PagesEternal Sunshine of the Spotless Mind Eternal Sunshine of the Spotless Mind provides a good example of the possibility of presenting philosophical concepts in a fictional feature film. Eternal sunshine of the spotless mind is science fiction based romantic and comedy film written by Charlie Kaufman and is directed by Michel Gondry. The film is based on romance and mainly the scientific aspect to explore and flourish the nature of the human memory. The film was presented to the viewers in March 2004Read MoreEternal Sunshine Of The Spotless Mind2281 Words   |  10 Pagesscene could be†. - Michel Gondry As this quote from French film director Michel Gondry suggests, the ability of a director to create a film that hides the camera and the construction of a film remains difficult. In his 2004 film, Eternal Sunshine of The Spotless Mind, Gondry utilizes the full potential of the film medium, to express his own unique visual style. He has a number of films that he has directed such as Human Nature, which was also written by scriptwriter Charlie Kaufman. Both GondryRead MoreEternal Sunshine Of The Spotless Mind961 Words   |  4 PagesEternal Acceptance of the Present After seeing the play â€Å"The Valley† written by Joan MacLeaod, I begun to realize that there is a definite denial and avoidance theme taking place within all the relationships, but mostly a lack of acceptance for what is really taking place in each of their lives. I recognized a similar theme in the drama â€Å"Eternal Sunshine of the spotless mind†, screenplay by Charlie Kauffman, specifically, the unacceptance of themselves and each other. In â€Å"The Valley†, theRead MoreEternal Sunshine Of The Spotless Mind838 Words   |  4 PagesEternal Sunshine of the Spotless Mind is a 2004 movie starring Jim Carrie and Kate Winslet. In this movie, you discover that the leading characters were in a two-year relationship. The opening scene is Jim Carrie waking up in bed and then spontaneously deciding to visit Montauk, where he meets quirky Clementine. They are drawn to each other even though their meeting is awkward. At this point they are unaware that they have previously dated but through an advanced technology they had each other erasedRead MoreEternal Sunshine Of The Spotless Mind1549 Words   |  7 PagesEternal Sunshine of the Spotless Mind is a movie that uses two people in a romantic relationship to show the six relationship stages that occur in real life. The lovebirds used in this movie are Joel Barish and Clementine Kruczynski. Joel is an introverted person while Clementine is the extroverted. She makes the first move of approaching Joel and after a while they end up interested in each other. Even though the movie goes back and forth chronologically, the two lovebirds will have their momentRead MoreEternal Sunshine of the Spotless Mind Essay1167 Words   |  5 Pagesdrama Eternal Sunshine of a Spotless Mind. After working together on the film Human Nature, director Michael Gondry and screenwriter Charlie Kaufman discussed the possibility whether or not they would have their memory erased of a bad relationship should the opportunity present itself (dvdtalk) . Out of that discussion a movie idea was formulated, pitched to a studio, and a film was created showing the potential impact of doing so. Through Kaufman’s brilliant and strange storytelling, Eternal SunshineRead MoreEternal Sunshine Of The Spotless Mind Analysis1723 Words   |  7 Pagesdifferent answers. 1. Briefly describe the film including the main plot and two main characters that you will be using. Additionally, please identify the type of interpersonal relationship they have (e.g., romantic, friends, family, etc.) Eternal Sunshine of the Spotless Mind is a romantic comedy starring Jim Carrey and Kate Winslet. The film details the rise and fall of protagonists Joel and Clementine’s relationship, primarily through a flashback sequence as Joel’s memories of Clementine are erased earlyRead MoreEternal Sunshine Of The Spotless Mind By Michel Gondry Essay875 Words   |  4 Pageshuman? In the movie Eternal Sunshine of the Spotless Mind, Joel Barish (Jim Carrey) and Clementine Kruczynski (Kate Winslet) do exactly this. Directed by Michel Gondry, this American romantic comedy wonderfully expresses the idea that a person’s memories are fundamental in human growth. Through cinematography, lighting, and character development, Gondry successfully directs one of the best twenty-first-century films. The cinematography of Eternal Sunshine of the Spotless Mind effectively developsRead MoreSynopsis Of Eternal Sunshine Of The Spotless Mind 2033 Words   |  9 Pagesspeech acts are performed in this fragment and what’s the intention behind them. This fragment was taken from the film Eternal Sunshine of the Spotless Mind. It tells the story of Joel Barish and Clementine Kruczynski, two completely different persons who have been former lovers in the past two years but can’t recall it because both of them have had that memory erased from their minds. The film opens up with Joel, a very emotional and timid man who whilst being on the train station about to get a trainRead MoreThe Ethics of Eternal Sunshine of the Spotless Mind706 Words   |  3 Pagessuffer from p ost-traumatic stress disorder (PTSD). The fear and horror can have lasting psychological and physiological effects with complications such as depression, substance abuse and even suicide (Wood,2007). Wood, A. (2007). The ethics of eternal sunshine. The Advocate: University of San Diego School of Law 24(1). Current Treatment for PTSD Cognitive behavior therapy helps individuals manage their symptoms by recognizing triggers and learning to replace negative thoughts and behaviors with

A Case Study on Chest Pain-Free-Sample for Students-Myassignment

Question: Discuss about the Case Study of Chest Pain. Answer: Introduction The report is a basic representation of the case who is suffering from severe chest pain and she is brought in the emergency department of the city Hospital. The report discusses the various diagnostic criteria, differential diagnosis and the treatment processes of the patient. It also observes the history and the present condition of the patient. History of the Patient Presenting the complaint of the patient Julie is a 50-year-old man who is a New Zealand origin was admitted in the hospital yesterday at 5 ma in the morning with the complaint of acute and crushing chest pain. She has reported that he woke up at 4 am in the morning with a substernal form of pressure and the patient felt that somebody was standing on his chest. She has also experienced a huge amount of breathing problem while he was taken to the hospital. On the way to the hospital, he was given 0.4 mg of nitroglycerin to get some sort of relief. She also began to sweat heavily in the ambulance. He has also vomited once in the ambulance. She also reported that the rate of chest pain is about 6 out of 1-0 in the scale of pain. The pain has not radiated since the last few minutes. On his arrival in the Emergency department of the hospital, he has complained that he is still under the problem of hid pressure in the chest and now his pain has mediated to his hands and jaws. There were no signs of pain in the back and the abdome n from his complains. She was immediately given oxygen in the emergency department for improving his loss in breath. Therefore, after a while he was in the emergency ward he was experiencing nausea. History of the presenting problem Julie has complained that he has been having chest pain from past two weeks. She observed that she was suffering this pain whenever he was at rest sitting or sleeping, while exercising and also while taking his meals. Julie is a patient of Hypertension from the last five years and she also under medication for the same. She has complained that he has recurrent form of chest pain is like a pressure in the left side of the heart. She also reported that the rate of chest pain is about 6 out of 1-0 in the scale of pain. The pain has not radiated since the last few minutes. Family History Julie did not have any childhood disease and never have been gone through any surgery rather than when her son was born. She is the only daughter of her parents. Her father died at the age of 60 years due to severe cardiac arrest. Social and professional history Julie is a renowned architect in New Zealand and she lives with her husband and her son. She is married to her husband since 30 years. Three early diagnostic considerations In case of woman, the clinicians often misjudge the chest pain and tend to evaluations the pain of the chest to be a normal pain overlooking the symptoms of the angina pain. However, there are huge level of differences that do exist in the frequency and the quality of the symptoms that are been seen in male patients to the female patients (Wang et al., 2014). In a research it was also found that out of 3100 patients who were undergoing the test of stress exercise, 28% were woman and 55% were male who were currently suffering from acute form of angina; pain. Women are always more likely to have the symptoms of unexplainable form of nausea, shortness of breath, fatigue, back pain and sleep disturbances compared to the men.In the patients who do actually are not presently having the symptoms of acute coronary heart disease, myocardial infarction has been found to have occurred twice as likely in men as in women. In case of the acute coronary syndromes (ACS), the initial form of presentation of the chest pain is more often to be common in the men than the women (Zhang et al., 2017). However, the women with the acute form of MI are always known to be the older and more susceptible form of the complications, and hence making of the diagnosis for them is a key. The presence of the hypertension or diabetes always tends to increases the probability of the diagnosis of acute form of heart diseases. It is important that we recognize that the men and the women comes across the same form of diseases and they also respond to the acute myocardial infarctions within the given context of the societal influences (Mozaffarian et al., 2014). They tends to lay their public believes to the following that are the most common form of symptoms of heart attack, which includes chest pain, irregular heartbeat, shortness of breath, and an inability to move. However, there are clinicians who certainly use the classical symptoms of the diaphoresis, nausea and vomiting, weakness, and syncope for the assessment of the patients (Zhang et al., 2017). It is very interesting to observe that the psychosocial factors that are very much important in case of women than that of the men. Women always tend to misjudge their own risks of heart diseases. Several Studies have observed that the women have been experiencing such symptom of the MI more often that are attended to their various forms of the social form of responsibilities as the mother or the homemaker, whereas the men have their sole focus is on the need for the care of their symptoms. The co morbidity is an essential form of knowing all about the diagnostic criteria of cardio vascular disease. Firstly due to constant pain in the chest can be hint of severe form of regarding the heart. It has been generally seen in patients that due to advanced age they are having angina pain. Second reason can be diabetes. The third sign can be the pain in the jaws, neck and lower abdomen (Mozaffarian et al., 2014). Fourth sign can be the shortening of the breath and the last sign can be the no cturnal angina or due to angina due to severe mental stress. Physical examination The physical examination of the patient with acute chest pain is the best way to know their health conditions. The abnormalities that are revealed in the examination of the acute cardiac pain includes the abnormalities in the rate of the pulse and the heart sounds, the hypo or the hypertension, and that can be the signs of heart failure (Mozaffarian et al., 2014). The crepitation reveals that by auscultation in one or both the bases suggests signs of pneumonia or the case of failure in the heart. There has been reduced sound in the breath on one of the side that can be caused by the pneumothora or are produced focally due to the collapsed lobe. Any form of tenderness on the palpation over the areas of the chest can cause pain that are usually indicates the cause of the musculoskeletal problems that generally includes costochondritis (Crippa et al., 2014). However, there are many patients who are been diagnosed with MI and also have gone acute chest wall pain on the presentation. Any origin of gastrointestinal problems can create chest pain that are associated with the normal form of the cardiac and the respiratory examination, that are unless they are existing but they are in a stable co morbidity (Crippa et al., 2014). An abnormal abdominal are more likely to make the examination of the etiology of gastrointestinal problems. Basic observations are also to be done that generally includes the temperature, BP rate of the pulse and the rate of the heart (Crippa et al., 2014). However, in case of Julie she was feeling nausea when she was taken to the emergency department. Her Blood Pressure is quite high that was 140/120, her heart rate was irregular, her oxygen saturation rate was about 80% and she had the complaint of acute chest pain. The ECG that is performed in most of the patients are not done unless there is a non-cardiac diagnosis that can be made with super confidence. The ECG of the patient should be done as soon as possible after presentation from the doctor (Crippa et al., 2014). The CXR can be confirmed when the respiratory disorders such as pneumothorax or pneumonia does exist. The cardiac ischaemia is generally characterised by the normal form of the CXR, but there are CXR that can provide the clues that are serious for the cardiac pathology, that has the widened form of mediastinum in the aortic dissectionor a very large globular heart in the cardiac tamponade. There are blood tests that are also done on the basis of the present of the patients. An FBC should be ordered to screen for anaemia and evidence of infection. A renal profile is useful as a baseline test. There are some of the further investigations that are needed to be done to confirm the suspected diagnosis. Coronary angiography is required urgently in patients with a STEMI and in patients with an NSTEMI who have high-risk features such as ongoing chest pain and dynamic ECG changes. Differential Diagnosis The various causes of the cardiac arrest includes the arrhythmias, structural form of the heart disease, and the myocardial dysfunction . The non-cardiac form of causes that includes the processes that have increased the preload, increased the different forms of the after load and therefore reduce the rate of the oxygen-carrying capacity of the blood (Newcomb et al., 2013). For instance, in case of the renal failures it can result in the heart failure due to the several fluid retention and anemia. The lymphatic form of the obstruction and the venous obstruction syndromes can be a major cause states that forms of edema, and obesity-hypoventilation syndrome (OHS) that can eventually lead to the right-sided failure of the heart with right side ventricular hypertrophy. The diastolic form of the heart failure may be the most common form of the heart failure among the population of Australia. There are alterations in the ventricular and the arterial coupling that can appear to have the key importance in the impairment of the responses of the hemodynamic response to the exercise, but there are diagnosis of the diastolic heart failure that cannot be neglected even in the existence of the normal form of the diastolic function at its rest (Newcomb et al., 2013). The failure of the heart should be differentiated from the pulmonary edema that are associated with the injury that are found in the alveolar-capillary membrane of the heart and that are caused by the diverse form of the etiologies (Newcomb et al., 2013). The increased form of the capillary permeability is the observed form of the trauma, shock infections in the respiratory tracts, hemorrhagic, sepsis, administration of the several drugs, and the ingestion of the toxins (eg, heroin, cocaine, toxic gases). Several features may also differentiate between the carcinogenic from noncardiogenic pulmonary edema. For the patients with heart failure, the history for the acute form of cardiac arrest and the progressive form of the heart failure symptoms are always present. The physical form of examination may yield clues to acute heart failure. In the elderly patients, confusion and fatigue can eventually be one of the first sort of symptoms for the failure of the heart, which is obviously related to the decrease in the cardiac output. Diagnostic tests Various diagnostic tests are to be conducted to be sure that what kind of disease the patient is suffering through. Angiogram Coronary angiogram The coronary angiogram is generally done when the patient is having major or minor heart attack. It is done to know the current position of the heart. It is also known as cardiac catheterization. The coronary angiograms helps rthe doctors to understand the best treatment that can be given to the patient. Sometimes coronary angioplastisity is the best way to treat the heart blockage. The cardiologist will discuss this option with you before the procedure and it is your choice whether to proceed Blood tests In case of the heart diseases, there are various forms of the substances that are seen in the blood of the patients body. However, the blood tests can also measure the level of the toxic substances and can also tell that how much damage has been occurred in the heart. The most common test that are done for checking the level of heart attack is through the test of the level of troponin in the body. Blood test are also needed for the observation of the other particles like fat, minerals and cholesterol. Blood pressure monitoring The monitoring of the blood pressure are also one of the common factor that can cause severe disease in the patient. In this case Julie is suffering from hypertension and is under medication for the same. Therefore, it is very important to monitor the level of the blood pressure of the patient in a frequent interval. Chest X-ray The chest X ray are also helpful as they can guide the patients to know that there are any signs of the heart attack or not. Echocardiogram (heart ultrasound) It is a common form of heart ultrasound that gives the picture of the functioning of the heart. It uses the probe towards the chest and sometimes it comes down to the esophagus. This test helps the doctor to check whether the problem lies in the heart valves and chambers or the problem is with the heart-pumping rate. Magnetic resonance imaging (MRI) An MRI is actually the very strong magnets that are created by the radio waves to get a detailed image of the heart on the computer. It can take the pictures that are still or moving from the heart of the patient. Sometimes it has the special dye that is used for making the parts of the heart and the coronary arteries easier to see. Stress tests The stress test helps the doctor to know how the heart works and how the patients should remain active physically. This is done generally done by testing the stamina of the patient through the treadmill running. Tilt tests The Doctors usually use the tilt tests to observe whether there are different body positions that will eventually trigger the abnormal beat of the heart. They are very much useful for the investigating of the hearts of the people who can faint without any explanation. Diagnostic reason and formulation The heart muscles are the most important muscles of the body. The coronary artery disease is the disease that are generally referred to the disease that are build up of the cholesterol in the layers of the artery that causes the blood flow in the body that may produce the arteries that may cause the blood flow to slower down and stop. The heart disease is the result of the plaque that are build up for the arteries of the population that blocks the flow of the blood that tends to heighten the risk of the heart attacks and the stroke. These heart diseases can cause the blockage and clotting in the heart that results in causing the attacks in the heart. There are arteries in the body of the individuals that are smooth and elastic. They become narrow and it also become starved for the level of the oxygen that can be vital in the nutrients that are needed for the pumping of the blood in a proper way. The plaques eventually release its chemicals that have promoted the process of the healing but it makes the inner side of the walls of the vessels of the blood very sticky. Then there are other substances, that include the inflammatory cells, calcium and the lipoproteins that can travel in the bloodstream of the patient and can start with the sticking of the inside of the vessel walls. Eventually, a there is a narrowed form of the coronary artery that may develop in the new vessels of the blood that can go around the various blockage to get the blood that is flowing in the heart. However, when there is a increased form of exertion of the body or stress, the new form of the arteries may be unable to supply the enough amount of the oxygen-rich blood to the muscles of the heart. In some of the cases, the clot in the blood may eventually block the supply of the blood to the muscles of the heart that may cause the heart attack. However, if the vessels of the blood that are connected to th e brain are blocked, usually forms clots in the blood that can result in a ischemic stroke. However, in case of Julie, she was suffering from 30% heart blockage so the doctor have prescribed to get a angioplasting done as soon as possible. Conclusion From the above report we can hence conclude that Julie is suffering from cardio vascular disease and she needs to go through angiogram to reduce the rate of her heart blockage References Crippa, A., Discacciati, A., Larsson, S. C., Wolk, A., Orsini, N. (2014). Coffee consumption and mortality from all causes, cardiovascular disease, and cancer: a dose-response meta-analysis.American journal of epidemiology,180(8), 763-775. Estruch, R., Ros, E., Salas-Salvad, J., Covas, M. I., Corella, D., Ars, F., ... Lamuela-Raventos, R. M. 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