Thursday, September 3, 2020

How to Make Yogurt With Chemistry

Instructions to Make Yogurt With Chemistry Yogurt is made by aging milk. Its high in protein, calcium, and probiotics (great microscopic organisms). Heres how to make yogurt and a glance at the science of yogurt. Science Yogurt structures when microscopic organisms mature the sugar lactose (C12H22O11) into lactic corrosive (C3H6O3). The lactic corrosive makes the milk progressively acidic (bring down the pH), making the proteins in milk coagulate. The primary protein in dairy milk is casein. The causticity gives yogurt its tart flavor, while the coagulated proteins bring about a thickened, rich surface. There is no basic synthetic condition for yogurt creation since various responses happen. A few kinds of microscopic organisms can age lactose. Yogurt societies may contain Lactobacillus delbrueckii subsp. bulgaricus, different Lactobacillus strains, Streptococcus thermophilus, and bifidobacteria. Formula You can make yogurt from a milk. Albeit most yogurt is produced using cow-like milk (e.g., dairy animals, sheep, goat), the aging procedure takes a shot at different kinds of milk, as long as they contain a sugar for the microorganisms to age and protein that can be coagulated. Yogurt can be produced using soy milk, coconut milk, and almond milk. The first occasion when you make yogurt, you need a starter culture as a wellspring of the microbes. You can utilize common locally acquired yogurt with dynamic culture or you can utilize freeze-dried yogurt starter. In the event that you utilize a business yogurt starter, follow the bundling bearings, since enacting the way of life shifts relying upon the item. When you make your first group of yogurt, you can utilize a few tablespoons of it to begin future clumps. While it might appear as though you would need to add increasingly dynamic culture to a formula, including an excessive amount of microbes delivers an acrid yogurt as opposed to a wonderfully tart yogurt. Ingredientsâ 1 quart milk (any kind)1/4 to 1/2 cup non-fat dry milk (optional)2 tablespoons plain yogurt with live societies (or you can utilize freeze-dried microorganisms) Formula Set the starter yogurt out at room temperature while you set up the milk. This warms the yogurt with the goal that it wont cool your formula an excess of when you add it later.Heat the milk to 185Â °F (85Â °C). The reason for this progression is to re-purify the yogurt, keeping any undesirable microscopic organisms from developing, and to denature the proteins with the goal that they will have the option to combine and thicken the yogurt. The most straightforward approach to do this is to utilize a twofold heater or set your compartment of milk inside a skillet of water. Warmth the water to approach bubbling. Dont stress the ​​milk cannot bubble utilizing this procedure. On the off chance that you need to warm the milk straightforwardly, mix it continually and watch the temperature to ignite sure it doesnt bubble or. On the off chance that you don't have a thermometer, the milk will begin to foam at 185Â °F (85Â °C).Once the milk arrives at the temperature or begins to foam, expel it from warm and permit the milk to cool 110Â °F (43Â °C). One approach to do this is to put the compartment of milk in a virus water shower. Else, you can leave the milk on the counter and permit it to cool. In any case, mix the milk at times so the temperature is uniform. Dont continue to the following stage until the temperature of the milk is beneath 120Â °F(49Â °C), yet dont let the milk cool underneath 90Â °F (32Â °C). 110Â °F (43Â °C) is the ideal temperature. Now, you can include nonfat dry milk. This is a discretionary advance that enables the yogurt to thicken all the more promptly, in addition to it adds wholesome substance to the yogurt. Its simply a matter of inclination, regardless of whether you include the dry milk or not.Stir in the starter yogurt.Put the yogurt into spotless, sterile holders. Holders can be sanitized by bubbling them. The explanation behind sanitizing the holders is to keep undesirable shape or microbes from developing in your yogurt. Spread every holder with cling wrap or a lid.Keep the yogurt as near 100Â °F (38Â °C) as could be expected under the circumstances and undisturbed, to bacterial development. A few broilers have a proof setting that you can utilize. Different thoughts remember setting the yogurt for a warming mat (being certain to check the temperature) or putting the compartments in a warm water shower. Youll have a custard-like yogurt after around 7 hours. It wont take after locally acquired yog urt since that has thickeners and extra fixings. Your yogurt ought to have a yellowish or greenish fluid on top, a velvety custard surface, and may have a mushy smell. The slender yellowish fluid is whey. You can pour it off or blend it in, whichever you like. Its totally palatable, however you may include organic product, flavorings, or herbs, as indicated by your taste. On the off chance that you leave the yogurt at this temperature longer than 7 hours, it will thicken and get tangier. At the point when the yogurt is the thickness and flavor you need, refrigerate it. Natively constructed yogurt will save for 1 fourteen days. You can utilize yogurt from this group as a starter for the following clump. On the off chance that you are going to utilize yogurt as a starter, utilize unflavored yogurt, inside 5-7 days.

Saturday, August 22, 2020

Major Schools of Thought in Psychology Essay Example for Free

Significant Schools of Thought in Psychology Essay At the point when brain research was first settled as a science separate from science and theory, the discussion over how to portray and clarify the human psyche and conduct started. The principal way of thinking, structuralism, was supported by the organizer of the main brain science lab, Wilhelm Wundt. Very quickly, different speculations started to develop and strive for strength in brain science. Coming up next are a portion of the significant ways of thinking that have impacted our insight and comprehension of brain science: Structuralism versus Functionalism: 1) Structuralism was the primary school of brain research, and concentrated on separating mental procedures into the most essential parts. Significant structuralist masterminds incorporate Wilhelm Wundt and Edward Titchner. 2) Functionalism framed as a response to the speculations of the structuralist way of thinking and was intensely affected by crafted by William James. This school concentrated on the elements of human practices and not their structure. Significant functionalist masterminds included John Dewey and Harvey Carr. Developmental brain science is established on the view that the capacity of every single mental wonder in human advancement is a fundamental viewpoint to their comprehension. Gestalt Psychology: 3) Gestalt brain research depends on the possibility that we experience things as brought together wholes. This way to deal with brain research started in Germany and Austria during the late nineteenth century in light of the atomic methodology of structuralism. Or maybe that separating contemplations and conduct to their littlest component, the gestalt clinicians accepted that you should take a gander at the entire of experience. As per the gestalt masterminds, the entire is more prominent than the total of its parts. Max Wertheimer is frequently credited as the organizer of this development. Therapy: Sigmund Freud was the found of 4) Psychodynamic approach. This way of thinking stresses the impact of the oblivious psyche on conduct. Freud accepted that the human brain was made out of three components: the id, the self image, and the superego. Other major psychodynamic scholars incorporate Anna Freud, Carl Jung, and Erik Erikson. Behaviorism: 5) Behaviorism turned into the predominant way of thinking during the 1950s. In view of crafted by masterminds, for example, John Watson, Ivan Pavlov, and B. F. Skinner, behaviorism holds that all conduct can be clarified by natural causes, instead of by inner powers. Behaviorism is centered around detectable conduct. Hypotheses of picking up including old style molding and operant molding were the focal point of a lot of research. Humanistic Psychology: 6) Humanistic brain science created as a reaction to analysis and behaviorism. Humanistic brain research rather centered around singular through and through freedom, self-improvement, and self-realization. Significant humanist masterminds included Abraham Maslow and Carl Rogers. Subjective Psychology: 7) Cognitive brain science is the part of brain science that reviews mental procedures including how individuals think, see, issue explain, recollect, and learn. As a major aspect of the bigger field of psychological science, this part of brain research is identified with different orders including neuroscience, theory, and phonetics. One of the most persuasive speculations from this way of thinking was the phases of intellectual advancement hypothesis proposed by Jean Piaget. Later work in this field was spearheaded by names like Albert Ellis and Aaron Beck.

Friday, August 21, 2020

Commentary on Robert Frost’s ‘Out Out’

‘Out Out' is a sonnet that recounts to the account of a little fellow cutting his hand off while hacking wood and afterward passes on, and how people around him adapt until the very end. This sonnet shows numerous strategies which are very normal in Frost's sonnets, for example, symbolism, uncertainty and it additionally has a widespread subject to it. This sonnet can be seen to have a few topics, one of which might be the lives of those living in country territories and how they need to move on when they have lost somebody close, in light of the fact that there is nothing else they can do. Another topic to the sonnet could be that of youngster work in provincial regions, and despite the fact that the sonnet is set in Vermont, this is an all inclusive topic, as kid work is known to exist everywhere throughout the world. The main line of the sonnet, ‘The buzz saw growled and shook in the yard' does numerous things for the sonnet. For a beginning, the line sounds very threatening to us and quickly we believe that the saw will later turn into an issue or an issue. The line additionally exemplifies the saw, which further causes us to accept that the saw will later assume a significant job in the sonnet. Ice likewise embodies the saw by utilizing words like growled and shook which causes the saw to appear mammoth like. The word buzz is onomatopoeic which again embodies the saw. The following line, ‘And made residue and dropped oven length sticks of wood' portrays the saw's motivation in the sonnet; it makes us progressively acquainted with the saw. The following scarcely any lines put things in place of the sonnet, ‘Five mountain ranges one behind the other, Under the dusk far into Vermont'. Some state this is a reference to the holy book, in Psalms*. The picture that this line makes is alleviating and diverges from the principal line, which can be seen as being undermining. The expression ‘Under the nightfall' is questionable; it very well may be deciphered as a relieving picture for a few yet for other people, it might take after a consummation of something beyond day. For the most part, the initial five lines put things in place of the sonnet. They disclose to us increasingly about where the sonnet is set and what sort of life the kid carries on with a provincial life. The seventh line proceeds to state ‘And the saw growled and shook, growled and shook', which is a redundancy of the main line. The reiteration here is utilized to show that quite a while is passing by while the saw is being utilized and that maybe the activity is repetitive. This line likewise takes us back to the truth that the sonnet is attempting to show us. The 2 lines not long before line seven gives us an alleviating and tranquil picture yet among this excellence there is this saw, a saw that Frost depicts as perilous. ‘Call it daily, I wish they may have said' has a tone of disappointment and compassion, demonstrating that the persona recognizes what will befall the kid, and this leaves us to figure what will occur and we are left to fear the most noticeably awful. ‘To please the kid by giving him the half hour that a kid tallies so much when spared from work.' This line shows more lament and it is now that we understand that the sonnet includes a little youngster and this disheartens and stresses the peruser considerably more. The line likewise quietly recommends that in the event that it was ‘called a day' at that point maybe the episode with the saw would not have occurred. In line 14, the kid's sister comes to him to disclose to him that it is the ideal opportunity for supper. Now we are somewhat diminished, as the word ‘supper' which is utilized in the line, identifies with ordinariness and we as a whole vibe safe in the home life and consistency of our own home and thusly, we believe that maybe what we had anticipated to happen would not work out. Ice, again represents the saw in lines 15 and 16, ‘At the word, the saw, as though to demonstrate saws comprehended what dinner meant†¦' Again, Frost makes us dread the most exceedingly terrible, and in the following line our feelings of trepidation work out as expected, ‘Leaped out at the kid's hand, or appeared to jump He more likely than not given the hand'. In the last expression of this line, Frost has utilized incongruity; when somebody gives their hand it ordinarily implies they are welcoming somebody or settling on a concession to something. Ice words it in such a manner as though he is recommending that the kid invited the saw. He at that point proceeds to state in line 18 ‘However it was neither rejected the gathering. This again infers the kid did nothing to prevent the saw from harming him. ‘The kid's first objection was a regretful snicker'. In this line we are indicated that the kid didn't cry from the start yet chuckled at his imprudent mix -up, snickered as though to prevent himself from crying, or maybe in light of the fact that the way that he had harmed himself hadn't indented in yet. At the point when he indicated his family what had happened he ‘swung toward them holding up the hand, half in offer however half as though to shield the life from spilling'. In this line, the words ‘half' and ‘spilling' make extremely bloody pictures in our psyches. ‘Half' shows the picture of a large portion of a hand, and ‘spilling' shows the picture of red blood hurrying out from his cut hand. ‘Then the kid saw all-‘. In this line Frost has utilized the word saw as a homonym; it could imply that he ‘saw' his life streak before him or it could mean ‘that he had sawed off the entirety of his hand'. The respite after the word ‘all' makes tension and accentuation and one again we are left to think about the results and of what will to the happen the kid. In line 25 we are told the kid's reaction ‘Don't let him cut my hand off-the specialist, when he comes. Try not to let him sister!' This makes the entire sonnet in any event, upsetting on the grounds that all through the sonnet we are recounted to the story from a pariah yet here in this line, we are out of nowhere given the kid's view on the mishap. The sonnet arrives at a disappointment in line 32: ‘They tuned in at his heart. Little-less-nothing! †and that finished it.' As perusers, it is practically difficult to accept that the kid passed on from the occurrence, and the way that the word ‘death' isn't referenced makes us need to accept that the kid isn't dead however has endure. In any case, some would state that the let-down was directly toward the finish of the sonnet: ‘And they, since they were not the one dead, went to their issues'. Here, we would anticipate that the family should lament and not have the option to carry in transit they utilized, in light of the fact that that is the manner by which we would anticipate that individuals should respond in this day and age. The response that the kid's family has indicated is that of apathy and in this day and age, regardless of whether we don't understand it, instances of aloofness are normal. All through the sonnet, we can see a significant number of Frost's basic procedures that he utilizes in numerous sonnets. For instance, in line 6 he utilizes equivocalness with the word ‘sunset' which was referenced prior on in this analysis. A large number of Frost's sonnets are in a conversational tone, for example, ‘Mending Wall', ‘Home Burial' and ‘After Apple-Picking'. To make the sonnet increasingly conversational in ‘Out Out', Frost has utilized words, for example, ‘so', to cause it to appear to be a live discussion. It could likewise have been utilized a hole filler in the sonnet. In general, I believe that ‘Out Out' is a sonnet to speak to the bitterness and sadness that families need to experience when they lose somebody close and how they need to continue with their lives in light of the fact that there is nothing else they can do. It is the unforgiving truth of losing somebody near you, somebody you love.

Friday, June 12, 2020

Jill’s Gems There is Value in the (Brain)storm

   As we seek to teach stylistic techniques to our students, it is easy to search for ways to streamline the process. One of these temptations is the worksheet. Filled with practice sentences and blank lines for adding embellishments, the worksheet lures us into a sense of accomplishment by giving us the feeling of completion. Jill Pike, Accomplished IEW Instructor and author, addressed this issue recently in our forums when a member asked about utilizing worksheets with her students. What follows is her advice: Beware of worksheets. Although they appear to be concentrated doses of English, when adding a dress-up is divorced from real life, aka writing, the skill practiced there does not always translate. It is far better to continue to brainstorm dress-ups in the context of real writing until your student masters them. Thus, you are getting that concentrated work right in a real-life paragraph. Together look for several places in the paragraph where the dress-up would work. Since you should be following the â€Å"EZ + 1† method, there should only be one dress-up that needs the extra brainstorming. If you are looking for a way for your student to learn this on his own without your help, good luck. Good writing comes from modeling. Spend time with your students, even if it is only five to ten minutes, brainstorming ideas for the new dress-up. The modeling will eventually permit them to become independent. If it’s taking too long to brainstorm multiple dress-ups, then you need to cut back on the checklist. Modeling is still the best way to help your students over the hump of struggling with dress-ups. If you tackle only one challenging element at a time, you will find that it won’t take up a lot of your time, and your student will be able to gain independence more quickly than if you expect him to manage several challenging elements. Do you have a question about writing, grammar, literature, or teaching other students? We have a forum for that! Join today, and ask away. There are many members on it who are very happy to share their experiences of teaching IEW to students of all ages and in a wide variety of educational environments.

Sunday, May 17, 2020

The Finance Options Beyond The Traditional Model And Our...

Introduction At Group Capital our mission is to broaden the finance options beyond the traditional model and our business development plan focuses on building the infrastructure, systems, processes, and economies of scale to achieve success. Group Capital, a Securities and Exchange Commission (SEC) and Financial Industry Regulatory Authority (FINRA) registered equity crowdfunding broker-dealer, will focus on service development, management information systems, and information technology requirements. By instituting lean service tactic, we can streamline our service model and create a best-in-class consumer experience. Group Capital’s business enhancement can be better understood by comprehending their conceivable expenses, developing the†¦show more content†¦Business excellence involves developing a vision and framework that enables Group Capital to exploit the methods, tools, and processes leadership consider suitable to effect substantial improvements in their business (Hayler , Nichols, 2006). The quality function deployment (QFD) is the scheme that applies to Group Capital and will accomplish the desired outcome. After considering our business model, QFD is a structured approach that defines customer needs or requirements and formulates a specific plan or product to meet those needs (Stevenson, 2012). Group Capital’s goal is to develop equity crowdfunding into a conventional pattern of business funding of entrepreneur and an investment option for investors. However, the first step commences with understanding the struggles and desires of entrepreneurs and investors. A comprehensive entrepreneurial and investor ecosystem is an ultimate resource for both parties and will aid in enhancing client relationships and the customer’s online experience. In navigating the challenges and opportunities in financial services, Deloitte (2015) scrutinized the role of social media and networking. Technology is a vital component and can enhance the customer experience embracing the Kaizen and Jidoka principles. For example, a First Data Corporation study (2015) established the financial ser vices industry should provide real-time information and services; communicate through email,

Wednesday, May 6, 2020

What Is Social Work - 997 Words

What is social work? Social work is a profession that is centred around people - from babies through to older people. The BASW Code of Ethics defines social work using the international definition of social work. Social workers work with individuals and families to help improve outcomes in their lives. This may be helping to protect vulnerable people from harm or abuse or supporting people to live independently. Social workers support people, act as advocates and direct people to the services they may require. Social workers often work in multi-disciplinary teams alongside health and education professionals. Employment Social workers work in a variety of organisations. Many work for local authorities in departments that provide services for children or adults. Some work in NHS Trusts and many others work in the voluntary and private sector. A new development is the creation of social enterprises, whereby social workers set up their own company, or work with others to contract for work. Registered as a social worker To be a practicing social worker, social workers must be registered. To be registered you must have a social work degree (either an undergraduate degree in social work, or a masters in social work). Once you have completed your degree you will be eligible to apply to be registered as a social worker with one of the four UK regulators. The regulators exist in order to protect the public by ensuring that only qualified and competent practitioners are allowedShow MoreRelatedWhat Is Social Work?853 Words   |  4 PagesWHAT IS SOCIAL WORK? As a little kid when people would ask me what I wanted to be when I grow up, I honestly didn’t know but somehow the words â€Å"doctor† or â€Å"lawyer† would come out of my mouth. 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Easy A.† Little did I know the great impact this course would have on me. Human Sexuality has increased my general knowledge about the sex act itself, it has forced me to acknowledge different viewsRead MoreWhat Is Health? : Is It A State Of Complete Physical, Mental And Social Work? Essay1870 Words   |  8 PagesWhat is Health? How do you define health? Is it a state of complete physical, mental and social well-being? Is it merely the absence of disease or infirmity? Or is health a resource for everyday life, rather than the objective of living; a positive concept, emphasising social and personal resources as well as physical capabilities? 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Physical Assessment of Cholecystitis and Affects - Free Samples

Question: Discuss about the Physical Assessment of Cholecystitis. Answer: Cholecystitis is a disease that affects the urinary system. The condition occurs as a result of inflammation of the bladder. The inflammation of the gall bladder is as a result of blockage of the cystic duct through which the bile is usually released from the gallbladder (Huffman Schenker, 2010). The piling up of bile in that tube is what leads to inflammation of the gall bladder. The major sign of the disease is severe right upper quadrant pain that lasts for more than 48 hours. In 90% of the cases, Cholecystitis results from the presence and buildup of gallstones in the gallbladder (Huffman Schenker, 2010). Other causes of Cholecystitis include severe illness, alcohol abuse and tumors of the gallbladder on rare occasions (Everhart Ruhl, 2009). The piling up of the gallstones in the bladder lead to irritation and pressure in the gallbladder. Gallstones commonly occur in women as compared to men. Additional estrogen from pregnancy, birth control pills and hormonal replacement therapy are what makes women twice as likely to suffer from Cholecystitis as compared to men. The Cholecystitis occurs more frequently in older adults due to the increased excretion of cholesterol into the bile. Individuals who are above 40 years are at high risk of suffering from gallstones (Sebbane et al., 2011). The gallstones are common in Pima Indians, Hispanic populations, and Scandinavian descent. This is due to genetic predisposition. The gallbladder can become inflamed due to different factors. In some cases, the gallbladder becomes sensitive to particular foods such as whole milk produce, red meat, and adipose or fried foods. To accurately diagnose Mr. Kasim, the daughter is asked what kinds of food her father took before suffering from Cholecystitis. Neoplasm of the gallbladder can also lead to Cholecystitis. The growth pushes against the gallbladder or blocks the cystic duct, leading to accumulation of the gallstones in the gallbladder. Critical injury on the gallbladder can also result to Cholecystitis. Acute injury of the gallbladder can be caused by car accidents or abdominal trauma (Ahmad Keeffe, 2003). The weight of Mr.Kasim can also be taken into consideration as the Cholecystitis is associated with obesity. It is caused by excessive caloric intake and not fat or cholesterol, which is usually the cause of Cholecystitis (Ahmad Keeffe, 2003). Individuals who lose weight at a rapid rate are at high risk of suffering from the gallstones accumulating in the gallbladder. When people use the reserved cholesterol and fat at a faster rate than normal, cholesterol increment is witnessed in the bile of the gallbladder. The primary symptom of Cholecystitis is the abdominal pain on the upper right side of the body as presented by Mr. Kasim. This is mostly standard after taking a fatty meal. Physical examination by a doctor will reveal tenderness in the right upper quarter accompanied by guarding or rebound (Everhart Ruhl, 2009). Jaundice, fever and palpable gallbladder can also be detected through physical examination. This explains why Mr. Kasim presented increases in temperature of 38.8, high blood pressure of 100/45 and HR of 126. Sick people also complain about experiencing deferred aches between the shoulders or at the right shoulder pain, as in the case with Mr. Kasim. He presented shoulder tip pain scoring 7/10. Some also experience yellowing of the skin, better known as the Jaundice. Some patients become dehydrated as a result of Cholecystitis making them frequently drink water. Cholecystitis can either be calculous (presence of gallstones) or acalculous(without gallstones). Acalculous Cholecystitis only accounts for 10% of the Cholecystitis cases (Csenar, 2015). It usually occurs in severely ill patients and is associated with high mortality and morbidity. Complications associated with Cholecystitis is the bacterial (. E. coli, Enterococcus, Klebsiella, and Enterobacter) proliferation within the obstructed gallbladder. These are gas producing bacteria that will subsequently lead to Emphysematous cholecystitis. Acute Cholelithiasis also called biliary colic display similar symptoms as acute Cholecystitis. However, in biliary colic, the pain subsides after a while. In acute Cholecystitis, the pain is consistent and severe without showing any signs of improvement (Lameris et al., 2007). It can be deduced that Mr. Kasim is suffering from the acute Cholecystitis as the pain has been consistent in the past two days. According to Murphy's sign, when the patient inspires, the gallbladder descends inferiorly towards the examiner's hand. If the maneuverability of the gallbladder is associated with discomfort, Mr. Kasim can be confirmed that he is suffering from acute Cholecystitis. Acute Cholecystitis and Cholelithiasis are common conditions that nurses, clinicians, and surgeons encounter on a daily basis. The Cholecystitis can either be calculus or acalculous. Calculous cases are more common and account for 90%. The susceptibility to gallbladder diseases is determined by gender, ethnicity, medical history, and diet. The condition can be quickly assessed physically by clinicians and appropriate measure taken to treat it. References Ahmad, A., Keeffe, B. (2003). Gallstones and biliary tract disease. WebMD Scientific American Medicine. Csenar, M. L. (2015). Assessment of Acute Abdomen in the Emergency Department (Doctoral dissertation, University of Zagreb. School of Medicine. Chair of Internal Medicine.) Everhart, J. E., Ruhl, C. E. (2009). Burden of digestive diseases in the United States Part III: Liver, biliary tract, and pancreas. Gastroenterology, 136(4), 1134-1144. Huffman, J. L., Schenker, S. (2010). Acute acalculous cholecystitis: a review. Clinical Gastroenterology and Hepatology, 8(1), 15-22. Lamris, W., van Randen, A., Dijkgraaf, M. G., Bossuyt, P. M., Stoker, J., Boermeester, M. A. (2007). Optimization of diagnostic imaging use in patients with acute abdominal pain (OPTIMA): design and rationale. BMC emergency medicine, 7(1), 9. Orient, J. M., Sapira, J. D. (2010). Sapira's art science of bedside diagnosis. Lippincott Williams Wilkins. Sebbane, M., Dumont, R., Jreige, R., Eledjam, J. J. (2011). Epidemiology of acute abdominal pain in adults in the emergency department setting. In CT of the Acute Abdomen (pp. 3-13). Springer Berlin Heidelberg. Silen, W. (2006). Cope's Early Diagnosis of the Acute Abdomen (21st edn). Annals of the Royal College of Surgeons of England, 88(2), 248.