Communicable Diseases

Diseases that are spread from one person to another either directly or indirectly are referred to as communicable diseases (Krause, 2008, p. 1). These diseases are caused by germs which are in the form of either bacteria or virus. Therefore, a communicable disease is an illness that arises from transmission of an infectious agent or toxic product from an infected person, reservoir or animal to a susceptible host in either a direct or indirect way through an intermediary organism, the host (TJH, IFRC RCS, 2010, p. 285).Advertising We will write a custom essay sample on Communicable Diseases specifically for you for only $16.05 $11/page Learn More The communicable diseases involve dealing with a myriad number of pathogens while preventing or controlling their infectious nature and levels since every pathogen posses a certain level of threat to the public (Krause, 2008, p. 1). There is the need to allocate limited and available resources for research, surv eillance, vaccines and other varying activities which in return requires a necessity to give priority to some of the communicable diseases over others. It is therefore inevitable for the public health experts not to give more priority to some of these diseases over others. For instance, a case where there is an outbreak of small pox or Ebola there is a great need to circumvent these diseases because they are very contagious and their health threat levels are a bit on at high levels as opposed to such diseases as Common Flu. In case of Ebola, the infected ones have to be taken into solitary confinement because the disease posses a greater health risk both in terms of level of spreading because it is both water and air borne and upon infection, the patient may suffer death within 48 hours (WHO, 2004, p. 6). The other reason as to why the communicable diseases differ in terms of priority is as a result of natural or man-made disasters such as earthquakes or floods and civil wars respec tively. Upon such calamities, priority deems to change. For instance, in case of floods, there is a likelihood of outbreak of waterborne diseases such as cholera while incase of war, there is a likelihood of increased refugees in neighboring countries who may suffer malnutrition and are susceptible to both air and water borne infections (TJH, IFRC RCS, 2010, p. 288). Cross border immigration also gives rise to infectious diseases like SARS (WHO, 2004, p. 12). Hence, there is a need to prioritize the control and prevention levels for these diseases upon the occurrence of the calamities.Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More The Priority levels among communicable infections are normally classified in terms of the likelihood of disease outbreaks during the occurrence of natural disasters (hurricanes and drought) or man-made disasters (civil wars). Such considerations call for timely, e ffective and coordinated measures (TJH, IFRC RCS, 2010, p. 371). Some of the compelling issues that public health experts consider when it comes to outbreaks and the priority levels of communicable diseases are: the change of disease patterns ( malaria and yellow fever), change of vulnerability levels such as increased immigrations or urbanization which may give rise to outbreak of diseases like SARS, and Ebola, further increased spread of neglected diseases (Cholera, Guinea worm, leprosy), high morbidity as well as mortality from delayed epidemic detections and response (diseases like dysentery, meningitis), emergence and spread of new pathogens as well as diseases (Nipah, bird flu and SARS) and persistence of diseases that are targeted for eradication purposes like polio. Although effective prioritization may be hindered due to varying factors like lack of a definite measurable criterion for the importance of a disease in terms of health public and also due to lack of adequate da ta on the cycle and prevalence rates of some pathogens (Krause, 2008, p. 1). The level of inadequate predictions of natural disasters as well as man-made disasters can hamper the prioritization levels as well. Therefore, there is a need for public experts to be equipped in terms of preventive and control strategies of such communicable diseases so as to effectively deal with them as they arise thus arresting them on a timely manner. Reference List Krause, G. (2008). How can infectious diseases be prioritized in public health? Robert Koch Institute: Science Society. EMBO reports (2008) 9, S22 – S27. Retrieved from http://embor.embopress.org/content/9/1S/S22 The Johns Hopkins (TJH) International Federation of Red Cross (IFRC) and Red Crescent Societies (RCS). (2010). Control of Communicable Diseases: Public Health Guide for Emergencies. John Hopkins Bloomberg School of Public Health. P: 284-371. Retrieved from https://www.jhsph.edu/ World Health Organization (WHO). (2004). Cr oss-Border Control of Priority Communicable Diseases. Regional Office for South-East Asia: New Delhi. P: 1 – 18. Web.Advertising We will write a custom essay sample on Communicable Diseases specifically for you for only $16.05 $11/page Learn More This essay on Communicable Diseases was written and submitted by user Myla Holmes to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Drowning Ruth essays

Drowning Ruth essays Drowning Ruth by Christina Schwarz is a chilling, haunting debut about the ties that bind families together and thesecrets that can tear them apart. The main characters, Amanda Starkey and Ruth Neumann were brilliant in their escalating encouters. Both experiencing love, hate, life and death; holding on to each ither in their own way and determined to keep those whom they love close. THe novel portrays two sisters. Amanda and Mathilda Starkey, whose lives were drastically changed on a cold winter night of the year 1919. Amanda, (Mandy for short) the elder of the two, worked at a hospital as a nurse who coaxed soldiers back into proper shape. She considered herself to be a brilliant nurse, until one day, she had been laid off, not permanently, but because of her hallucinations and various accidents that concerned both her and those around her. She later decided to return home to the farm with her family in Nagwaukee. Mathilda, (Mattie for short), being eight years younger, instead decided to get married, help her parents on the farm, and raise a family. Both Mandy and Mattie shared a close relationship. So close that they were almost inseparable. But things began to change when Carl stepped on to the scene. Amanda became very jealous of her sister and grew hatred toward her sister's boyfirend Carl. It seems that Mandy's parents made it very clear that Mattie was their favorite child. For example, when Mattie was sent to do her chores, she instead went parading with her boyfirend while everyone worked. IF it were Mandy, she would've been severely punished. Mandy tried her best to please her parents, but instead was constantly responded to in a hostile and unpleasant manner. Soon Amanda realized that the bond that was shared between her and Mattie had been replaced. Mattie and Carl had gotten married sex months after they met. Feeling all alone, Mandy looked around and felt as if her services were no longer nee ...

Comparing the Relationship between Man & Gods(s) in Genesis & Odyssey Essay

Comparing the Relationship between Man & Gods(s) in Genesis & Odyssey - Essay Example The different translations do not make me look at the passage differently. There is certain sentence and word variations but the man ideas are all the same. The point of the passage was clearly shown in all three translations. My first impression is that Abraham is a very loyal individual to the Lord. When your willing to sacrifice your only son to the lord it’s clearly shown that you are faithful. My feelings of sorrow goes to Isaac, I can’t imagine what must have been going through his head when his father Abraham had him tied down and was about to kill him with a knife. He probably felt hopeless, confused, and scared at the same time. The only life experience I can think of that relates to his passage his the time my dog had to be put to sleep. My dog was my best Pal and for somebody to say she had to be put to sleep for her own good was in a sense a sacrifice for me that I didn’t want to go through. Checking the context before your passage and after your passage is helpful in understanding the passage. There is a relationship in an earlier passage Genesis 21. Ismael Abraham’s child was let go by the lord leading onto Abraham’s test in Genesis 22 with the sacrifice of Isaac. The NOAB refers to the literature as a story from a narrative point of view. The words and expressions of the passage in all 3 translations are clear to understand. The footnotes in the NOAB are much more in detail than the NJB. The NOAB footnotes are very vivid in looking into his future. For example verse 5 in NOAB ‘Abraham’s promise that he and Isaac will return’ may suggest a faith that God will work out and alternate sacrifice’. The author’s concerns are to inform the reader to the extent that we have to follow the lord, willing to give up something of great value to glorify him. Important words that the author used was the word tested. It shows this was a test exclusively

Measuring development is an arbitrary process since all summary Term Paper

Measuring development is an arbitrary process since all summary statistics in this area are trying to evaluate economic inputs rather than economic outputs - Term Paper Example as of economic development include; health rates in a country, people life expectancy rates, unemployment and rates of poverty that are characteristic of a particular country. In actual practice, economic growth is narrow in its scope as compared to economic development. Economic growth solely takes into account the total increase in a country’s real level of national output that is often because of a boost in the quality of resources applied, for instance, education, an increase in the number of resources and the quality improvements that have been done in technology. In another words, to measure economic growth, economists make use of the GDP statistics, which shows the contributions of each country’s sector towards the overall national output. On the other hand, economic development can be said to be a normative concept, which only exists in the citizen’s sense of morality, i.e, the knowledge of something good and bad. In a general sense, economic development of a country can be explained though an increase in peoples standards of living and general way of life. Economic development ensures that people make proper decisions about their wealth creation and improves their way of life. This is done only when people realize the value of involvement in different economic activities. The best approach in the measurement of economic development is the use of human development index that gives due consideration to a country’s levels of literacy, people’s expectancy rates and how they affect overall productivity in a country. Economic development is an important concept since it often leads to creation and establishment of important institutions that determine the quality of human life like education and health care. In addition, it also contributes to establishment of important employment and environment policies. Economic development in a country means the increase in per capita income out of a single individual. When computing the levels of economic

Planning and Implementation Essay Example | Topics and Well Written Essays - 2000 words

Planning and Implementation - Essay Example Having the right marketing mix enables our organization to achieve its business objectives. Fit watch business objectives include creating brand awareness, acquiring market and maintaining it. Product is the central point on which fit watch marketing department focus on. It is concerned with what the product means to the customer. Marketing group therefore plays a key role in determining such aspects as: the appearance of the product in line with the requirements of the market; the function of the product on the question whether it addresses the needs of customers as identified through market research. The product offered is a watch. The company has discovered a need to increase the satisfaction level of the watch to the customers as well the advancement of technology. The watch has all the essentials that a customer looks for while considering making a purchase. It has all the performance characteristics of an existing watch. In addition to this, it has additional features such as flashlight, Wi-Fi hotspot and better health tracking strategy. The characteristics will help the watch to take the obligation of a torch will take part in internet access through Wi-Fi hotspot and as well will act as a friendly device to health of an individual. Pricing is one of the most important decisions made by any business organization. Of all the aspects of the marketing mix, price is the one which creates sales revenue while all the others are costs. The price of an item is clearly an important determinant of the value of sales made. In theory, price is really determined by the discovery of what customers perceive is the value of the item on sale. Researching consumers opinions about pricing is important as it indicates how they value what they are looking for as well as what they want to pay. Economists use the term market clearing price to identify a price at which sellers are prepared to sell because they feel they are getting a fair price, and buyers are

Techniques for Extraction of Impacted Lower Third Molars

Techniques for Extraction of Impacted Lower Third Molars Abstract Objectives: Many series of side effects will be produced with the extraction of impacted lower third molar which including pain, swelling, inflammation, and trismus. Flap design is important to allow good visibility, reach to the impacted tooth, and for healing of the surgically created defect. This study aims at the evaluation and comparison of standard flap design with comma type of flap design used in the surgical extraction of impacted mandibular third molar and to objectively evaluate the merits and demerits of individual flap design. Study Design: In this study 200 patient with bilateral mandibular third molars impaction of age group of 18-30yrs were selected for the study, To reflect the mucoperiosteal flap On one side standard incision and on other side comma incision were used and , after which the steps are common in the removal of impacted third molars. Immediately on the post –operative days 1, 3 and 7 the post– operative parameters (pain, swelling and mouth opening were recorded. And periodontal status were recorded pre operatively, 1st month and 2nd month respectively. Results Conclusion: The pain and swelling scores were found to be significantly lower in the surgical area with comma incisions which was recorded on days 1, 3 and 7 as compared to the the area where standard incisions were made. In mouth opening There was a sufficiently great difference seen between the two incisions on 1 post-operative day, but though there was clinical difference between the two incisions on day 3 and 7 there was no statistical significance. The results of the study shows no lingual nerve paresthesia or any other morbidity, hence the new incision design should probably be made the conventional method, considering the less degree of post operative complications encountered. although it may require some practice initially. Key words: Standard Incision, Comma Incision, Mandibular Impaction, disimpaction,Visual Analog Scale Clinical Implications:-third molar impactions are common and usually associated with postoperative complications like pain, swelling, trismus and pocket formation. Incision and flap design is important in healing wound and minimizing post-operative complications. Comma incision design has shown less post-operative complication in compare to standard incision Introduction: Impaction is defined as cessation of the eruption of a tooth caused by a clinically or radio graphically detectable physical barrier in the eruption path or by ectopic position of the tooth. at least one impacted third molar will be present in 33% of the population which requires surgical removal of impacted third molar hence disimpaction is the one of the most frequently performed procedure.1 Lower third molars constitute a major bulk of teeth that are impacted in the oral cavity2. Many series of side effects will produced with the extraction of impacted lower third molar which including pain, swelling, inflammation, and trismus 3. Flap design is important to allow good visibility, reach to the impacted tooth, and for healing of the surgically created defect. Many different incisions have been used to raise the flap, like Wards Incision, modified ward’s incision, envelope, ‘S’ shaped incision [Bould Henry] etc4. Ward’s and modified ward’s incision are more commonly used and it was observed that Wards and modified Wards incision provide excellent visual and mechanical access and can be closed by means of a suture inserted between the buccal and lingual soft tissues alone5 , However when a releasing incision is made a small buccal artery is sometimes encountered and this may be mildly bothersome during the early portion of surgery, and also the suture is usually placed on a bone defect and not on healthy bone this may cause additionally pain, delayed healing are also seen.6 Nageshwar has tried a new type of incision- comma shaped incision and has compared it with the modified wards technique (Figure 1). However the number of cases in his study were very less [n=15], hence this study was undertaken to compare this new comma shaped incision with wards incision using more objective and subjective parameters with a larger sample size. Material and Methods: 200 patients between the age group of 18-30yrs, having completely impacted bilateral mandibular third molars or partially erupted third molar, with good oral hygiene, without any symptoms of pain or swelling were included for the study. Patient on any medication, pregnancy, severe Pericoronitis, soft tissue impaction, medically compromised, Missing mandibular second molars was the exclusion criteria for the study and were excluded from the study. The instruments used to compare two flap designs were Williams probe to measure pocket depth. Visual analog scale of 0 to 10 was used to estimate pain by subjectively asking the patient to rate the nocioceptive experience7. Swelling was assessed by measuring by the distance between the: Tragus notch and a reproducible soft tissue pogonion a long the skin surface. Tragus notch to angle of mouth Tragus notch to ala base Tragus notch to outer surface on lateral wall of eye Angle of mandible to outer surface of lateral wall of eye The percentage difference between the postoperative and preoperative measurements was calculated. Mouth opening was evaluated by measuring the maximum inter incisal distance. After obtaining ethical clearance from the hospital ethical committee, written consent was obtained from all the patients who satisfied the inclusion criteria. Preoperative radiographs were taken to assess the position, depth and angulation of the third molars and to exclude any local pathosis such as a cyst, tumor etc. pain, swelling, mouth opening and pocket depth were recorded Preoperatively . One side of impacted mandibular molar is surgically removed under local anesthesia Using standard flap (figure 2). pain, swelling and mouth opening were measured Postoperative on day 1, 3 and 7 respectively. The extraction on the opposite side was done with the alternate flap design-Comma incision (figure 3). The follow up and postoperative complications of patients on day 1, 3 and 7 were recorded for the parameters studied. After flap reflection standard procedural steps were followed. Flap was sutured with 30 Braided silk sutures. Post operative instructions were given and patients with a standard antibiotic regimen of Cap. Amoxicillin 500mg TDS* 5days Tab. Ibuprofen 400mg TDS* 5 days Tab. Metronidazole 400mg TDS* 5 days Bilateral The pocket depth is recorded after month. Data management and Analysis The post-operative complications for each subject for both incisions were recorded and all data was entered in Microsoft Excel. Data was analyzed using computer software, Statistical Package for Social Sciences (SPSS) version 10. Data are expressed in its frequency and percentage as well as mean and standard deviation. To elucidate the associations and comparisons between different parameters, Chi square (à ¯Ã‚ Ã‚ £2) test was used as nonparametric test. Student’s t test was used to compare mean values between two groups. For all statistical evaluations, a two-tailed probability of value, Results: Out of 200 extractions done using ward’s incision 107 were non erupted and 93 were partially erupted, Out of 200 extractions done using comma incision 111 were non erupted and 89 were partially erupted, {table 1} In extractions done with standard incision 26.67%of subjects had severe pain on day 1 where as only 13.33% of subjects had severe pain on the exaction side done by comma incision. There is a high statistically significant difference between the two type of incision on day 1 in comparing the pain. (Chi -Square=15.627, P=0.0062) similarly the pain was severe for 6.67% of the patients extracted with ward’s incision and there was no pain on other side where comma incision was used on the 7th post operative day (Chi -Square=28.799, P=0.000) {Table 2} In extractions done with standard incision 46.47%of subjects had severe swelling on day 1 whereas only 33.33% of subjects had severe swelling on the exaction side done by comma incision. But the difference seen was statistically significant difference between the two type of incision on day 1 in comparing the swelling, (Chi -Square=2.4762, P=0.2889). the swelling was sever for 20% of the patient extracted with ward’s incision and there were no patient with sever swelling on comma incision side, (Chi -Square=8.6872, P=0.0365). on 7th day there were no patient with severe swelling in both the groups but 40%of the patients experienced moderate pain in ward’s incision group where as only 13.33% had moderate swelling in comma croup. There is a statistically significant difference between the two groups on day 7 (Chi -Square=18.879, P=0.0158).{Table 3} The mouth opening on day 1 in ward’s incision side is between 29-25mm where 33.33% where as only 13.33% of the patients in comma group. There was highly statistical significant difference between the inter incisal measurements to check for mouth opening on day 1 (Chi -Square=24.658, P=0.000). but though there was clinical difference between the two incisions on day 3 and 7 there was no statistical significance.{Table 4 } There is significant statistical difference between wards and comma incision in relation to pocket depth recorded after first month and the second month in first month is (t=2.684, P=0.025), and in second month is (t=4.937, P=0.000). and even when ward’s and comma incision are compared separately over time there was statistical significance between the pocket depth in first and the second month was seen, I’e (wards incision t=5.176, P=0.000) and (comma incision t=6.812, P=0.000) in second month. {Table 5} Discussion: Third molar surgery has been associated with a variety of complications, flap design is one important factor influencing the severity of these complications . The incisions used in surgical treatments of impacted 3rd molars can be grouped in to envelop and triangular varients.all incisions irrespective of there variations, were extended from the distal aspect of second molar towards ramus. These standerd incisions have been modified by many surgeons.the incision modified by Groves and Moore started distal to the distobuccal line angle of the second molar to conserve the periodonsium8. Berwick designed a lingually based flap using an incision line that was tongue shaped and did not lie over the bony defect.9. Comma shaped incision was designed by Nageshwar to limit the post operative pain and swelling. Post operative pain of moderate to severe intensity is usually noticed after third molar surgery, the pain usually begins as the effect of local anesthesia fades off. The peak intensity of pain is noticed after about 6 hours. The pain then disappears slowly within a few days if it heals normally.10 In our study, pain was assessed by using a Visual Analogue Scale (VAS) as it takes little time to describe to the patient and it is easily understood by the patient. The results showed less pain scores on comma incision side as compared to ward’s incision side which is similar to that of the study of Nageshwar. (This may be because small mucoperiosteal flap was elevated during comma incision, the drainage in comma incision is good and this is single flap hence it will give a tight closure on occlusal surface distal to second molar.) This result is not in correlation with the results of Gool et al as they have seen that severity in pain is not related to the type of incision.11 trauma and infection are the main cause for postoperative swelling. The truma to the tissues associated with oral surgical procedures is the usual cause of early postoperative swelling. It is most marked after 19-24 hrs and then diminishes after about seven days.12 Swelling in cases with comma incision was comparatively lees than cases with standard incision was done. This study results compliments the study by Nageshwar.1 but the method of measuring swelling was not satisfactory in that study because the swelling is three dimensional hence it is measured by marking on 6 different points on the face as described earlier. Salata L.A et al and Szmyd et al reported that restricted mouth opening peaks on the day of surgery. This study is in agreement to this statement too13. The comma incision encountered less number of subjects with limited mouth opening when compared with the standard incision side which is in agreement with the study of Nageshwar’s result The inter relation between trismus and pain have been reported in many studies. It might therefore be expected that mouth opening after the removal of impacted mandibular third molars is painful and consequently reduced to its full extent. The hypothesis has been confirmed by an electromyographic study which proved that restricted mouth opening is a voluntary action to avoid pain.14 There was a statistical difference in the postoperative probing depth between the two types of incision after the first and second months. These results are contradictory with many studies, by Rosa et al, Quee et al and Schofield et al which show no differences in pocket depth related to flap designs15. But A.A. Krausz, E.E.Machtei,M.Peled suggest that increased second molar pocket may be related to osteotomy16. However others believe that the flap design and the patients age might have an effect on second molar periodontal status. When removal of impacted molars was done during developmental stage of the tooth faster regrowth of the alveolar bone crest . However as all our subjects were in the age group of 18 -30 we feel that age was not a major factor and the difference in pocket depth is related to the type of flap. Conclusion: The results of the study shows that none of the patients in the study developed lingual nerve paresthesia or any other morbidity, hence the new incision design should probably be made the conventional method, considering the less degree of post-operative complications encountered. although it may require some practice initially. Further research with newer flap designs like the comma design, which will minimize the post operative complications, should be considered in the extraction of impacted third molar surgery.

Biography of Kate Chopin :: essays research papers

Biography   Ã‚  Ã‚  Ã‚  Ã‚  Kate Chopin was one of the most influential nineteenth century American fiction writers. She was born in St. Louis, Missouri on either one of three dates: February 8, 1851, February 8, 1850, or July 12, 1850, depending on the source. She once said that she was born in 1851, but her baptismal certificate states February 8, 1850 as her birthday (Inge, 2). There is also an indiscretion regarding the spelling of her name. Her full name is Katherine O’Flaherty Chopin, but one source spells her first name with a ‘C’ (Katherine, 1). Her father, Thomas O’Flaherty, was an Irish immigrant who became a successful merchant in St. Louis. Her mother, Eliza Faris O’Flaherty, came from a wealthy aristocratic Creole family (Inge, 2). Kate Chopin was a student at the Academy of the Sacred Heart in St. Louis. Here she learned the Catholic teachings and great intellectual discipline. She graduated from this French school in 1868 (Inge, 2). On June 9t h in 1870, she married Oscar Chopin. Together the couple had six children: Jean (1871), Oscar (1873), George (1874), Frederick (1876), Felix (1878), and Lelia (1879) (Inge, 3). During the 12 years that she was married, Chopin spent 9 years in New Orleans and the following three years in Cloutierville in Natchitoches Parish (Inge, 3). She was an extremely unconventional woman for her era. Not only did she write about a forbidden subject, female sexuality, but she smoked cigarettes and would go on long walks through the streets of New Orleans by herself, both of which were not common practices during the nineteenth century (Inge, 3). Kate Chopin enjoyed the variety of cultures that surrounded her in Louisiana; she was involved in the lives of the wealthy Creoles and the poor sharecroppers. Tragedy struck her in December of 1882, when her husband became ill from swamp fever and passed away (Inge, 3). Shortly after his death, Chopin became involved with a man by the name of Albert Sampite, a married man (Anderson, 1). A lot of inspiration is thought to have come from this relationship because so many of the characters in her stories are married individuals who become sexually involved with a single partner resulting in a relationship that ethically could never survive. She left Cloutierville in 1884, partly because of her relationship with Sampite, and moved back to St. Louis to be close to her mother (Inge, 3).