...died; Dr David Smith postulated that aspiration of oral bacteria was the mechanism of infection. He observed that the bacteria found in the walls of the lung abscesses at autopsy resembled the bacteria noted in the gingival crevice. A typical lung abscess could be reproduced in animal models via an intratracheal inoculum containing, not 1, but 4 microbes, thought to be Fusobacterium nucleatum, Peptostreptococcus species, a fastidious gram-negative anaerobe, and, possibly, Prevotella melaninogenicus. Lung abscess was a devastating disease in the preantibiotic era, when one third of the patients died, another one third recovered, and the remainder developed debilitating illnesses such as recurrent abscesses, chronic empyema, bronchiectasis, or other consequences of chronic pyogenic infections. In the early postantibiotic period, sulfonamides did not improve the outcome of patients with lung abscess until the penicillins and tetracyclines were available. Although resectional surgery was often considered a treatment option in the past, the role of surgery has greatly diminished over time because most patients with uncomplicated lung abscess eventually respond to prolonged antibiotic therapy. Lung abscesses can be classified based on the duration and the likely etiology. Acute abscesses are less than 4-6 weeks old, whereas...
Words: 2818 - Pages: 12
...Hopkins University, QED, Urban Institute and Association of Reproductive Health Professionals (ARHP). For further information contact: Constella Futures 1 D-11, Parkwood Estates Rao Tula RamMarg New Delhi 1100 022 Health Insurance Needs, Awareness and Assessment in the Bahraich District, Uttar Pradesh JANUARY 2008 The authors' views expreseed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government Contents List of Tables List of Figures List of Abbreviations Executive Summary Chapter 1: Background and Methodology .......................................................... 1.1 Introduction... 1.2 Objectives of the Study ................................. 1.3 Study Design and Methodology ....................................................................... 1.3.1 Sampling and Sample 1.3.2 Study techniques ................................................................................. 1.3.3 Development of the Brief Field Guide/Manual for Data Collection ................... 1.3.4 Pre-testing ..................................................... 1.4 Research Team Composition ......................................................................... 1.5 Training of Field Teams.. 1.5.1 Training for household listing...
Words: 14439 - Pages: 58
...Preventing Heart Failure Readmissions Henry D. Santos Purdue University Calumet I. Introduction High morbidity, mortality, and healthcare spending have been connected with heart failure management. As per Gheorghiade et al., every year, there are almost a million cases of hospitalization for heart failure, responsible for 6.5 million hospital days, and estimated expenditures of $37.2 billion here in the United States alone (2013). The incident of heart failure readmissions has increased over the last decades, distinctly related to the aging population and surpassed recovery after a myocardial infarction. Based on the Centers for Medicare and Medicaid Services (CMS) 2005 data, heart failure is the most frequent diagnosis among Medicare beneficiaries and the third highest reimbursement for hospitals (AHRQ, 2013). In 2009, CMS started the public reporting of readmission rates after being discharge for heart failure, and, the year after, the Patient Protection and Affordable Act inaugurated financial penalties for healthcare establishments with most rates of readmission within the 30 days after discharge. The elevated concern relating the want to decrease readmissions has been the biggest focused of national researchers and hospitals with the efforts of identifying and predicting which patients with heart failure are likely to be readmitted. Formulated designs and preventive strategies have been established, in order to avoid unnecessary readmissions. Heart failures risk...
Words: 1361 - Pages: 6
...spectacularly. This literature usually differs in its design work, methodology superiority, and the amount of population involved in studies, interventions, tests and differing conditions. Since even the most cited sources are open to refute or challenges, there is a need to create a summary that reduces uncertainty. Most review sources and articles take on a form of narrative, whereby the content professionals write regarding a specified field. Reviews have a lot of benefits including a wide range of summary of relevant data tempered by years of handy knowledge. In many circumstances, readers and researchers opt for information about specific information on topics and require a high standard of assertion that available information is comprehensive and objective. At such a point, a reader turns to a quantitative synopsis of literature. A systematic review (Sterne, Egger, 2001 p. 89) takes account of processes that make out all studies specified for a particular question, which may be collected from research and other sources. A systematic review also evaluates methods used in the studies, summarizes the findings, as well as cites weaknesses for knowledge. In a systematic review, all verdicts used to accumulate data are explicit, which allows a researcher to determine for themselves the standards of the appraisal process and the capability of bias. In this case, systematic reviews have tendencies to be...
Words: 2858 - Pages: 12
...control by giving patients the skills and expertise necessary. Disease management programs seek to change the approach to patient care with regards to difficult conditions by incorporating evidence based medicine techniques and outcomes that can contribute to the wellness of patients by using combinations of education, provider practice guidelines, consultations, appropriate drug utilization, supplementary drugs and services. Focus on these areas can keep patients illnesses from reaching emergent care levels as well as reducing the outlay associated with high–cost diseases. Disease Management History Chronic conditions make up more than 40 million Medicare eligible people, 23% having five or more chronic conditions and encompassing 68% of its spending (Kongstvedt, 2007). Primarily these chronic conditions are comprised of heart disease, diabetes, glaucoma, asthma, chronic obstructive pulmonary disease, and cancer (Kongstvedt, 2007). In the early 1990s on the hinds of a problematic reward system which gave financial incentives to...
Words: 2745 - Pages: 11
...crystalline silica dust, and is marked by inflammation and scarring in the form of nodular lesions in the upper lobes of the lungs. It is a type of pneumoconiosis Statement of the problem 1. What is the couse of Pneumoconiosis? 2. How can it be prevented? 3. What are the symptoms? 4. How can affect in our body? 5. What are the treatment? Statement of the Hypothesis HO1: .A pneumoconiosis cause by inhalation of every fine silicate or quartz dust which is found in volcanic ash. HO2: Pneumonoultramicroscopicsilicovolcanoconiosis is fairly easy to prevent. Most countries do not have any volcanoes or any other places where silica dust exposure is likely. In case you live in one of the countries that does, here are few ways how to prevent this disease: Do not go in or near an active or non-dormant volcano. Do not expose yourself to silica dust for long periods of time. If or long periods of time, cease breathing. If you are in or near you do happen to be exposed to silica dust for a long period an active or non-dormant volcano, cease breathing. Avoid a place or places that contain volcanoes. Do not inhale volcanic smoke or ash, for it contains silica dust, which causes pneumonoultramicroscopicsilicovolcanoconiosis HO3: The symptoms of pneumonoultramicroscopicsilicovolcanoconiosis...
Words: 3268 - Pages: 14
...Turmeric: The Ayurvedic Spice of Life ©2003 Prashanti de Jager Great Healers, in one form or another they are sought out by all of us. Somewhere inside we all seek balanced happy lives and so we seek that which will grant us health and joy. This article is about Turmeric, one of the planet’s great healers. This healer is not obscured in some esoterica and not distanced by a cosmic price tag. As usual with great healers, it is very close to you and readily accessible, in fact, it is probably in your house right now, though it may be hard to believe that such a common item is one of the world’s best all around herbs. The core of its worldwide ubiquity is found while walking through the bazaars of India where you are bound to find a masala wallah, a spice seller, with mounds of Turmeric that he is selling by the kilo. It is a great sight in the midst of mountains of clove buds, black pepper fruits, coriander seeds, cinnamon bark, cardamom pods and all these marvelous colorful spices that the world has loved since Silk Road days. Ayurveda is as full of commonsense as it is humming of the mystical and so, especially since it is an oral tradition, it is with the common people of India, like the spice sellers and the village mothers, that many traditions of herbal knowledge are learned and passed from elder to child for countless generations. In this way the ability of Turmeric is proven and its legacy grows. I have learned so much about ‘common’ herbs from ‘common’ people that I could...
Words: 5834 - Pages: 24
...INTRODUCTION Review of Related Literature Pneumonitis Pneumonitis is a general term that refers to inflammation of lung tissue. It occurs when some irritating substance – solid particles, liquids, gases, radiation or bacteria – cause the tiny air sacs to become inflamed. This can hamper the exchange of oxygen and carbon dioxide in the air sacs. Pneumonia is one type of pneumonitis caused by an infection. There are several types of pneumonitis. They include: • Aspiration pneumonitis- occurs when you inhale (aspirate) foreign matter into your lungs. Stomach contents, such as ingested food or liquid, are a frequent cause of aspiration pneuomonitis. Accidental inhalation of small particles, such as tiny pieces of peanuts or vegetables, while swallowing is common in young children. • Chemical pneumonitis- is a type of aspiration pneumonitis that develops when you inhale chemicals that are toxic to your lungs. Industrial and household chemicals, such as chlorine gas, ammonia, solvents and pesticides can all cause chemical pneumonitis. • Hypersensitivity pneumonitis- is nicknamed “farmer’s lung,” “mushroom picker’s disease” and other colorful names with good reason. Dust from animal dander, molds and plants, all potential allergens, can provoke an inflammatory reaction in your lungs. Symptoms usually develop within six hours of exposure to the allergen. Some people are more susceptible to developing hypersensitivity pneumonitis than are others, although it’s...
Words: 10402 - Pages: 42
...the student relies less on memory and more on logical pathophysiology. The text has been updated to include current information on rapidly developing topics, such as HIV and AIDS (vaccine efforts and all the new anti-HIV medications), Ebola virus, Hantavirus, E. coli outbreaks, Mad Cow Disease, and brand-new antimicrobial antibiotics. The mnemonics and cartoons in this book do not intend disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts at the end of each chapter. These can be used for "cram sessions" after the concepts have been studied in the text. 3) Concentrate more on clinical and infectious disease issues that are both interesting and vital to the actual practice of medicine. MARK GLADWIN, MD BILL TRATTLER, MD D CONTENTS Preface v PART 1 1 2 3 BACTERIAL TAXONOMY CELL STRUCTURES, VIRULENCE FACTORS, and TOXINS...
Words: 117402 - Pages: 470
...PICKING COTTON, COLLECTING PAINS (Socio-economic Condition of Cotton Picking Women in South Punjab) Researcher: Amjad Nazeer Oxfam GB, Islamabad (Pakistan) (October 24, 2012) 0 CONTENTS Executive Summary………………………………………………………….……….……...…2 The Euphoria of Agri-economy: ……………………………………………...….…………..7 Higher Yield - Between Myth and Reality: ..........................................................................................8 The Poison Business: ………………………………….……………………………………….9 Dealing in Pesticides: ….…………………………………………………………………......10 Socio-Economic Condition of Cotton Pickers: …………………………………………....11 Cotton Picking and Extended Agri-tasks: …………………………………….……..…….18 Bargaining Vulnerabilities: ………………………………………………………………….19 Clever Calculations to Rob off Picker’s Labour: ……………………..…….…………..…20 Picking Cotton in Poisonous Fields:…………………………………..…………..…..……23 Growers and Dealers attitude towards Pickers: …………………………..………..……..27 Labour Laws and Cotton Pickers: ……………………………………………………..……29 Concluding Thoughts and Recommendations: …………………..…….….………..…….29 End Notes and references: ………………………………………..……………….…………34 Bibliography: …………………………………………………….……………….………..…36 1 Executive Summary Approximately, seven million women are engaged in cotton picking across Pakistan. More or less, one third of them come from South Punjab. The incidence of poverty in rural South Punjab is estimated to be the highest after Baluchistan and parts of Sindh, with women’s condition...
Words: 12978 - Pages: 52
...4/24/2015 4/24/2015 Lefebvre, Joseph Bentley University Lefebvre, Joseph Bentley University Over the Counter, Over Prescribed Prescription Drug Abuse Over the Counter, Over Prescribed Prescription Drug Abuse When describing a drug addict, the stereotypical description is usually someone who has no job, steals to get their fix, and is living their life in poverty because of their crippling addiction. The drug of choice for these “junkies” is typically black tar heroin. However in recent years this has not been the case. The age of prescription drugs is beginning and people are dying from prescription drug overdoses at an alarming rate. According to the National Institute of Drug Abuse (NIDA), as seen in Figure 1 found in the Appendix, in 2010 there were 8.76 million prescription drug abusers (Drug Facts: Prescription and Over-the-Counter Medications). Prescription drug abuse has become an epidemic in America and it is not isolated to the stereotypical addict, as doctors and emergency response teams are seeing more and more overdoses and individuals seeking medical attention who are in the upper middle class and lead a fairly “normal” life besides their addiction. The NIDA found that there are around 5.1 million people in the US suffer from substance abuse disorders related to prescription pain relievers (Figure 1, Appendix). Although pain killer abuse gets a lot of the prescription drug abuse headlines, there are other medications that are being abused namely stimulants...
Words: 4393 - Pages: 18
...Congestive Heart Failure Introduction Everyone loses pumping ability in their heart as they age. The serious case of heart failure develops when other health conditions cause the heart to work harder or become damaged due to increased stress. Heart failure is usually a chronic disease. It gradually tends to become worse. By the time someone is diagnosed with it, the heart has most likely begun to lose pumping capacity for quits some time. Nearly five million Americans are living with heart failure and 550,000 new cases are diagnosed each year. This paper will discuss what heart failure is, and what nursing interventions may be of help to patients who suffer from this disease. My grandmother was recently diagnosed with congestive heart failure. By interviewing her and performing a brief assessment, I hope to recognize a few nursing diagnoses and some interventions that may make her disease more bearable. Heart failure can involve the right side of the heart, the left side, or both. Heart failure usually affects the left side first. Each side of the heart is made up of two chambers the atrium and the ventricle. If either of these chambers loses their ability to keep up with the amount of blood flow then heart failure occurs. Custom writing service can write essays on Congestive Heart Failure Left - sided failure involves the left (lower) ventricle. The left ventricle pumps oxygenated blood to the rest of the body. This chamber is the largest and is...
Words: 1742 - Pages: 7
...Makati Medical Center - College of Nursing SY 2011 – 2012 A Case Study Presentation on the Care of a Mother with Preeclampsia Superimposed on Chronic Hypertension In Partial Fulfillment of the Course Requirement of NCM102 – Related Learning Experience Submitted To: Submitted By: Leader: Knight, Catherine P. Members: Iglesias, Pauleen Itliong, Juliane B. Javier, Reniccia Janel Joaquin, Gian Denise M. Kwek, Michael Angelo L. La Sangre, Anne Gabrielle B. Lacerna, Iruel Victor III Leynes, Sofia Antonniette M. Lindawan, Ma. Kristine S. BSN II – B Group 2 December 17, 2011 Table of Contents Chapter I - Introduction A. Description of the Case………................................................................. 4 B. Purpose and Objectives........................................................................... 5 C. Significance and Justification....................
Words: 13388 - Pages: 54
...284 I The Johns Hopkins and the International Federation of Red Cross and Red Crescent Societies Control of communicable diseases 7 This measles 'jab' will help prevent this child from the consequences of measles such as pneumonia, malnutrition, blindness and brain disease. Photo:Marko Kokic,Canadian Red Cross Control of communicable diseases in emergencies Description This chapter gives an overview of common and emerging communicable disease threats among displaced populations because of natural and human-made disasters. General and disease-specific strategies for monitoring, preventing and controlling disease outbreaks are discussed. Learning objectives To review communicable diseases of public health importance; To discuss the basic principles for communicable disease control in emergency and post-conflict situations; To plan a communicable disease control programme for emergency settings; To discuss simple but effective ways of preventing outbreaks of communicable diseases; To describe how to manage specific disease outbreaks in emergency settings; To review re-emerging and other diseases that may affect displaced populations; To discuss how to monitor and evaluate communicable disease control programmes. Key competencies Identify communicable diseases of public health importance; Discuss the basic principles for communicable disease control in emergency and post-conflict situations; Discuss how to design and evaluate disease control...
Words: 19028 - Pages: 77
...Impact of the economic recession on the pharmaceutical sector February 2010 I.M. Buysse (UU) Supervised by: R.O. Laing (WHO) A.K. Mantel (UU) WHO COLLABORATING CENTRE FOR PHARMACOEPIDEMIOLOGY & PHARMACEUTICAL POLICY ANALYSIS Impact of the economic recession on the pharmaceutical sector Table of contents Executive summary ................................................................................................................................. 3 Introduction ............................................................................................................................................ 6 Background ............................................................................................................................................. 8 History of recessions ............................................................................................................................................................. 8 Asian Crisis 1997-2000 .......................................................................................................................................................... 9 Economic crisis 2008-2009.................................................................................................................................................. 12 WHO involvement in assessing the impact of the recession .............................................................................................. 14 Hypotheses ...................
Words: 25253 - Pages: 102
