Tuesday, January 28, 2020

Epidemiology of the Influenza Virus

Epidemiology of the Influenza Virus Hector Lucca Instructor: Leslie Greenberg The influenza virus, colloquially referred to as the flu, is a standout amongst the most well-known infectious processes in individuals of all ages and demographics. The central focus of this paper is to investigate the methodology of disease transmission for the influenza virus. To altogether comprehend the organism there are a few features to be examined. This includes identifying the virus itself through the distinguishing signs or symptoms, mode of transmission, complications and available means of treatment. The demographics affected will likewise be inspected through current information of mortality and morbidity, pervasiveness and rate of infection. An intensive examination will be made of the social determinants of health and how those components factor into the ailment along with the epidemiologic triangle in relation to the flu infection and the chain of contamination. Lastly the roles of the community health nurse and public aid as they relate to the treatment and response to the viral impact will be reviewed. The flu arrives in various outbreaks episodes of variable range yearly. To accurately describe Influenza we must incorporate details on what causes the infection. The flu is an intense respiratory disease brought about by influenza A or B infections, most often occurring during the span of the winter months. (CDC, 2015) The infection lives in the respiratory discharges of an infected individual and is spread through droplets caused by talking, hacking or wheezing. (CDC, 2015) These respiratory droplets then land in the mucous membranes of individuals close-by or are spread through a non-tainted individual touching a surface or article of clothing with the organism on it and after that touching their own eyes, nose, or mouth. (CDC, 2015) The virus can continue to shed for 5-10 days. (Dolin, 2015) The incubation period, from the time one is infected to displaying symptoms of infection is 2 days. (WHO, 2014) Signs and symptoms of influenza are a fever or feeling hot, coughing, sore thro at, runny nose, headaches, weariness, emesis, and loose bowels. (CDC, 2015) Complications of this seasons flu virus can include bacterial pneumonia, ear contaminations, sinus diseases, and dehydration. (CDC,2015) pneumonia is the most widely recognized complication and is more regular in those with debilitated and susceptible systems. (CDC, 2015) Prevention with inoculation is an effective way to fight infection and the complications that come with it. Treatment choices for most incorporates treating the symptoms; by resting, increasing intake of liquids, taking acetaminophen, and cough remedies. (CDC, 2015) Antiviral medicines, such as Tamiflu, can diminish the seriousness and length of time of symptoms by a day and this prescription is ordered in the off chance that you have had influenza symptoms for more than 48 hours and you have complications related to contracting the flu. The demographic of interest is juveniles and the elderly. Although death tolls related to Influenza contraction is â€Å"usually disproportionately higher among elderly individuals and infants during influenza epidemics, a shift in the age distribution are seen during pandemics.† (Dolin 2015) Nurses are at risk for infection as well. The World Health organization states that â€Å"vaccination is especially important for people at higher risk of serious influenza complications, and for people who live with or care for high risk individuals. High risk individuals are pregnant females, the young 6 months to 5 years, the elderly over 65 years of age, individuals with chronic conditions, for example, diabetes, and healthcare workers. (WHO 2014) As indicated by the Healthy People 2020 the social determinants of health are: Economic Stability Education Social and Community Context Health and Health Care Neighborhood and Built Environment. These determinants of wellbeing have an effect on the infection rate of flu. There has been broad research on how social and financial circumstance assumes a significant part in the general health status of an individual, family and the community at large. As indicated by the WHO there is a relationship between habitations in devastated or overcrowded neighborhoods and increased risk of poor health status results and transferrable illnesses. (WHO, 2014). Absence of access, or restricted access, to health resources enormously affects the individual’s wellbeing. Case in point, when people dont have health insurance, they are less inclined to take an interest in preventive care and are more prone to defer therapeutic treatment. The time of year or season is one of the greatest natural elements for influenza transmission in the United States. Regular occurrence of influenza happens predominately in the winter months from October to March. Individuals have a tendency to invest more energy inside and are exposed to a higher amassing of airborne viruses. Dry climate can dry out nasal passages which results in making them more vulnerable to airborne infections. Individual observation of infection precautions assumes a large part in community health management of infections. Case in point, if a man gets this seasons flu virus immunization his or her danger of getting the flu infection is significantly reduced. An individual has some control over how to decrease danger of this seasons flu virus by honing hand washing skills, covering the mouth when coughing and getting the prescribed measure of rest and reduction of every day stressors. The epidemiological triangle model for understanding and visualizing a transmittable illness depicts the communication of the agent, host and environment giving a visual guide in controlling and keeping the transmission at bay by disturbing the equalization of this triangle. The Influenza virus (A, B and C) is the causative agent. Human beings are the primary host of the flu infection. Viruses have a genetic core, yet no real way to replicate itself. The virus attacks a host cell and assumes control over the cells capacity to reproduce. Influenza viruses are very versatile and resilient. Low temperature and low humidity support drop transmission. This clarifies the rationale for the seasonal nature of the virus. In tropical climates flu infection rates are connected with increased precipitation. Individuals invest more energy inside during harsh weather and cool climate expanding human to human interactions, in turn increasing exposure to the beads which convey the influenza infectio n. The extremely immunocompromised can be contagious for a considerable length of time. The epidemiologic triangle is utilized to break the chain of the flu disease. Immunization makes the host less susceptible against the influenza infection, observing good hygiene breaks the chain of transmission from reservoir or tainted individual to the next host. (CDC 2014). The Institute of Medicine characterizes general wellbeing as what the general public does, by and large to guarantee the conditions in which individual can be healthy. (IOM n.d.). The Public Health Nurse is the foundation of the public health system’s framework. A nurse can use the epidemiologic triangle alongside the nursing procedure to lessen the effects and quantities of flu cases in their communities. The assessment phase is utilized to gather and dissect information about the flu infection and to distinguish community needs and accessible assets. Through the gathering and interpretation of information on the flu infection in the community the nurse has the capacity take part in flu case findings and serves to monitor trends. The diagnostic phase is the used to translate data and is the premise for execution of care and interventional planning. The nurse via home visits has the capacity identify and plan for strategies to overcome hindrances to vaccination such as cost an d accessibility of service. Primary prevention would incorporate instruction on cleanliness, how the viral infection is transmitted, and inoculation. Secondary prevention incorporates distinguishing those in the community who are infected and conceivably the of caring for the individuals who are at most serious risk for getting an secondary infection by administration of antiviral medication. There are various associations which advance flu awareness and prevention, an example of such an association would be the CDC. The CDC formed a program called The Influenza Division International Program, which works collectively with other international entities like The World Health Organization and others to develop the capacity to react to pandemic and seasonal flu outbreaks. The Influenza Division Internationals plan is to decrease the risk factors of individuals contracting the flu by giving individuals and the overall population including health care professionals about transmission precautions, populaces at risk and the significance of seasonal influenza immunizations. The CDC reduces the dangers of a pandemic, restrains the spread of pandemic and seasonal influenza through week after week observation and evaluation of data. Through the utilization of the epidemiologic triangle the CDC has the capacity to: distinguish new strains of the flu, focus variables influencing indivi dual to individual transmission, the directions of infection as it spreads at the worldwide and neighborhood levels, and team up with organization on general wellbeing measures to breaking the chain of transmission. The CDC can advance the treatment of patients by perceiving variables connected with pathogenesis and clinical seriousness. An impact can be made on the general wellbeing of the population on a local or global scale. History has demonstrated the potential the influenza virus has to be incredibly destructive and its ability to evolve keeps public health organizations in close observation, advancement of new immunizations, and training on all levels from healthcare workers, communities and the citizen. By using the epidemiologic triangle to map the influenza virus in order to give a more all encompassing picture of communicable disease, both the individual health care professional and the public health organization can help stem the tide against a potent viral agent. REFERENCES Center for Disease Control. (2015, April). RetrievedJune 20, 2015, from http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/flu.pdf Dolin, R. (2015). UpToDate: Epidemiology of influenza, Retrieved June 20, 2015 from http://cursoenarm.net/UPTODATE/contents/mobipreview.htm?26/30/27119?source=see_link Public Health Institute of Medicine. Retrieved from http://www.iom.edu/Global/Topics/Public-Health.aspx Social Determinants of Health. (n.d.). Retrieved June 21, 2015, from http://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-health World Health Organization. (2014). WHO | The Determinants of Health. Retrieved from http://www.who.int/hia/evidence/doh/en/

Monday, January 20, 2020

Alkanes :: essays research papers

Alkanes The alkanes are the simplest form of organic compounds. They are made up of only Carbon atoms and Hydrogen atoms. All of the bonds are single and the number of hydrogen atoms versus carbon atoms follows this formula: CnH2n+2 Alkanes are all non-polar molecules so they aren't soluble in water. Here are some more facts. -Referred to as "Saturated" -They have -low densities -low melting points -low boiling points -Refer to "Slide 29" sheet We couldn't find any information on who discovered them. Or on the what, where, or when. However the first alkane that was discovered was probably methane. Because, of course, this is the gas that cows belch. The journal of toxology report that a 15 year old boy was stricken with hemiparesis "resulting from acute intoxication following inhalation of butane gas." Hemiparesis is when half of a person's body is paralyzed. Through reactions alkanes can be transformed into chloroform. This has been shown to accumulate in lungs of swimmers after they swim for extended periods of time. As mentioned above chloroform can be produced which can be used for anesthesia. Also dichloromethane, or paint stripper and 1,2-dichloroethane which is a dry cleaning fluid. Here is a sample reaction where a halogen replaces a hydrogen. CH4(g) + C12(g) ----> CH3Cl(g) + HCl(g) There are many uses for alkanes, for instance: Propane is used in gas grills, butane is used in cigarette lighters, through various reactions scientists can make paint stripper, anesthesia or dry cleaning fluid. The Pentanes and Hexanes are also highly flammable and make really cool explosions. Heptane, octane and nonane make up gasoline. The "Octane Scale" on gas pumps uses a system which rates n-heptane at a 0 and isooctane at 100. Currently propane gas is being studied to use it as a fuel for more

Sunday, January 12, 2020

The Play Develops Essay

Eddie, Beatrice and Catherine, living a cocooned life in Red Hook, Brooklyn. Then came Marco and Rodolpho, Beatrice’s cousins from Italy, and their insignificant world was turned upside down, and a series of events lead to Eddie’s demise. During the first act of the play, there are three important events to take into consideration when discussing Eddie and Beatrice’s relationship. Catherine is offered a job and is delighted at the opportunity to earn money and become a working woman. However, she wants to gain Beatrice’s support before telling Eddie about this chance. When she does tell Eddie he is defiant that she will not take this job. This upsets Catherine because she needs Eddie’s approval, as she sees him as a father figure. Beatrice encourages Catherine, but Eddie is pessimistic about the whole opportunity. He makes up excuses as to why she shouldn’t accept the job; such as â€Å"I don’t like that neighbourhood over there. † In reality Eddie is keen to protect her a while longer, and he doesn’t want to let her go and gain independence. In Eddie’s eyes, no one is good enough for Catherine, and he doesn’t want her to be talked about the way Longshoreman talk about other girls. Eddie never admits to protecting Catherine, and Beatrice never actually says this, but it is implied. This is one trait of their relationship- Beatrice’s respect for Eddie in the way that although many things are implied, Beatrice never comes out and says them in case she offends Eddie. This is obvious in the first act of the play, but towards the end this changes. This is also one of the first times there is an implication of an unnatural relationship between Eddie and Catherine. Eddie loves her greatly, and Catherine sees him as a father figure, but Beatrice can see a different side to Eddie’s love, and implies that he loves her in the wrong way. This is only implied all the way through the play, until right at the end. Before the cousins arrive there is an air of expectancy and anticipation. Nai ve Catherine asks what happens if someone asks about the cousins, and Eddie is quick to tell her ‘If you said you knew it, if you didn’t say it you didn’t know it. † There is a code of conduct to be obeyed, and that code is that you never talk about the immigrants or admit knowledge of them- you simply feign ignorance. No one would dare tell the Immigration Bureau for fear of being ostracized from the society. The irony of this code of conduct can be seen later on when Eddie rings the Bureau and snitches on Marco and Rodolpho. When the cousins finally arrive, there is some chemistry between Catherine and Rodolpho, and the audience can see something may develop between them. Eddie senses this, and when talking to the cousins, focuses his attention on Marco. Catherine and Beatrice appreciate Rodolpho’s good humour and enthusiasm, and this makes Eddie uncomfortable. Eddie attempts to prevent Rodolpho from forming a relationship with Catherine. Beatrice feels he should not be interfering, but only implies this. The cousin’s arrival is a turning point in Eddie’s life, as Catherine starts to gain independence and discover the fact she can love someone who is not Eddie.

Saturday, January 4, 2020

Fast Food Is A Major Issue For The United States - 1807 Words

Fast food restaurants have emerged to be a major issue for people in the United States, they have been around since the late 18th century and the fast food industry have only increased parallel to obesity rates in America. Fast food restaurants contribute to the drastic rise in obesity rate in the past 3 decades. â€Å"More than 9 million US children and adolescents are obese, and just as many are at risk of becoming obese(Davis 505). At first fast food impacted people in a positive way, for example because it was convenient and it was a sporadic option for a meal. Currently, the American society has relied more on fast food restaurants than they did years ago. Serious health problems have surfaced from the increased consumption of fast foods in children and adults. Fast food has lead obesity to become a major issue in the United States. Obesity has highly increased over the years, â€Å"Childhood obesity has more than doubled in children and quadrupled in adolescents in the past 3 0 years† (CDC). In the past three decades fast food has contributed to obesity because of its convenience, cost, ingredients, portion sizes, and advertisements. One of the main factors of fast food is convenience. Fast food’s convenient virtue has contributed in the increase of obesity. Ever since fast food restaurants have been around, many people have resorted to these restaurants for a quick meal. For those who work and do not have time to even prepare themselves a meal, these types of restaurantsShow MoreRelatedThe Precarious Relationship between the United States and Saudi Arabia1481 Words   |  6 PagesIn the 1940s the United States brought on wave of globalization that ravaged Western Europe. Fast forward to 1979, and the United States is taking advantage of the fear drummed up by the Iranian Revolution in order to secure its influence in Saudi Arabia. Saudi Arabia since then has seen a rise in chronic illness that can be directly tied back to the presence of the United States in this area. After 1979 there was a significant spike in diabetes in Saudi Arabia; it can be argued that increasedRead MoreFast Food Nation Research Paper1442 Words   |  6 PagesKnowing what is in your fast food might make you think twice the next time you devour it. As the rise of the fast food nation in America has increased to an all-time high, so has the weight and waists of Americans all around the country. Not only has the United States grown to love the acquired taste of greasy golden fries and juicy burgers, it has also grown ignorant to the way their food is prepared. In the novel, â€Å"Fast Food Nation: The Dark Side of the All-American Meal†(2002), by Eric SchlosserRead MoreAnimal Food Chains Should Be Banned995 Words   |  4 Pagesused to make a single fast food hamburger. Animal based products in the fast food industry have been replicated and manipulated for many years, hence the inexpensiveness. These products include eggs, meat, chees e, and milk. Consuming the additives can lead to detrimental affects to one’s health. Also, specific religious practices such as Islam, Christianity, Hinduism, and Buddhism follow the notion of ‘Though shall not kill’ (Veganism Religion, 2016). Therefore, large fast food chains should includeRead MoreObesity Among Children And Children Essay1456 Words   |  6 Pages Obesity among children ages 6-18 in the United States Obesity is a major issue not only in the United States, but also around the world. It is dangerous, and it can lead to many health problems. Obesity can causes short and long term health problems; children with obesity are more likely to have risk factors for cardiovascular diseases, and to develop pre-diabetes. Research shows that, â€Å"In a population-based sample of 5-17-years-old, 70 percent of obese children had at least one risk factorRead MoreMan Vs. Food : Fast Food Can Contribute To Childhood Obesity1267 Words   |  6 Pages Man vs. Food: Fast Food Can Contribute to Childhood Obesity The United States of America has always been a safe and well-constructed country. Over the past years, it has tried to progress in numerous ways. However, America is suffering daily from obesity issues that can be prevented. America is becoming uncontrollable when it comes down to the consumption of too much fast food. When fast food was introduced to Americans, it had many advantages. These advantages have suddenly converted into disadvantagesRead MoreCorporate Level Of The Mcdonalds1329 Words   |  6 Pagesgrow as a result of constantly opening new stores, the acquisition of other fast-food franchises and a few discrepancies in the McDonalds menu. (Hartley, 2014, p.75). But as I conducted further research, I have come to the understanding that the issues, which plagued McDonalds was not entirely, company wide. While McDonalds was able to thrive internationally with a few minor setbacks, their issues were with the United States market. According to Robert Harley’s analysis of the McDonalds corporationRead MoreMcdonalds Ethical Issues1125 Words   |  5 Pagesmain issue is the ethical criticism of the fast food giant, McDonald, in Europe. By referring to the case, the organizational ethical issues which are filled around McDonald consist of food health, ill-treatment of animals, exploitation of children, and destruction of rainforests. Besides, anti-globalization, anti-American, anti-McDonald’s activism, and Europe governments had also been the concerns and ethical challenges for the fast food giant. First of all, we will touch the field of food healthRead More Childhood Obesity Essay1742 Words   |  7 Pages1983. With good reason, childhood obesity is now the Number 1 health concern among parents in the United States, topping drug abuse and smoking. If current trends continue, today’s kids could be the first generation to live shorter lives than their parents (Clinton, para. 3 2011). Children may not understand the complexities of food intake or obesity but they continue to be affected by the issue. The reality is that if a parent enables their kids to make poor eating choices as children; they willRead MoreMcdonalds Ethical Issues1140 Words   |  5 Pagesmain issue is the ethical criticism of the fast food giant, McDonald, in Europe. By referring to the case, the organizational ethical issues which are filled around McDonald consist of food health, ill-treatment of animals, exploitation of children, and destruction of rainforests. Besides, anti-globalization, anti-American, anti-McDonald’s activism, and Europe governments had also been the concerns and ethical challenges for the fast food giant. First of all, we will touch the field of food healthRead MoreObesity Is Too Much On Fast Food1235 Words   |  5 PagesIn the United States, there are increasing numbers of people suffering from obesity. In Michael Pollan’s book â€Å"Omnivore’s Dilemma,† he says that three of every five Americans are overweight and one of every five is obese (76). Obesity becomes a major health problem in the United States. According to the Centers for Disease Control and Prevention, the estimate medical cost of obesity in the United States was $147 billion a year. Why Americans are obese? The answer for obesity is that Americans are