Asthma and medicine management Essay Example | Topics and Well Written Essays - 2750 words

Asthma and medicine management - Essay Example It is a type of chronic obstructive pulmonary disorder (COPD) which is a long-term pulmonary disease characterized by increased airflow resistance. Other types of COPD include chronic bronchitis and emphysema. 2) Incidence of asthma and implications of this. There are an estimated 234.9 million people affected by Asthma worldwide of which 28.8 million are in Europe and about 5.4 million are in the U.K. Incidence of new cases occurs mostly in children. In England about 64,000 hospital admissions took place for asthma in 2008/09. Globally 287000 deaths occurred in 2004 and there were 1034 deaths in England and Wales due to asthma in 2008 (Ward, Toledano, Shaddick, Davies, & Elliot, 2012). (NICE, 2013). 3) What are the common signs and symptoms of asthma? Common symptoms are wheezing, breathlessness, tightness in the chest, and cough. These symptoms can be worse at night and in early morning. They can arise after exercise, allergen exposure and cold air (Meerabeau & Wright, 2011). 4) Pa thophysiology of asthma and relation to the case scenario. ... â€Å"Mononuclear cell and eosinophill infiltration, mucus hyper-secretion, desquamation of epithelium, smooth muscle hyperplasia and airway remodeling† (Morris & Mosenifar, 2013) are also characteristics of airway inflammation. Airflow obstruction Airflow obstruction results due to changes taking place in the form of acute bronchoconstriction, airway edema, and chronic mucus plug formation, and airway remodeling. Acutebronchoconstriction occurs due to exposure to aeroallergens when immunoglobulin E-dependent mediator is released. The aeroallergen exposure which is the primary reason for the early asthmatic response causes edema in the away that occurs after 6-24 hours which is known as the late asthmatic response. Chronic mucus plug formation will take several weeks to subside as it contains exudates of serum proteins and cell debris. Airway remodeling is so called because of structural changes occurring due chronic inflammation and can affect the reversibility of airway obst ruction. Airway obstruction results in reduced airflow in and out of the respiratory system. This leads to lowered ability to expel air resulting in hyperinflation. The airway remodeling causes overdistension which helps maintain airway function and improve expiratory flow but overtime it alters pulmonary mechanics and increases breathing modulation. Bronchial hyperresponsiveness Hyperinflation which is in response to airflow obstruction is however is short-lived due to tidal volume approaching the volume of the pulmonary deadspace and the resultant is known as alveolar hypoventilation. It leads to ventilation-perfusion mismatch. The mismatch is also due to vasoconstriction as a result of alveolar hypoxia. Vasoconstriction is also an adaptive response to the above said mismatch (Morris &

Tesco Malaysia Essay Example for Free

Tesco Malaysia Essay Tesco Malaysia is the only hypermarket who provides online shopping. The reason to go online shopping is Tesco has great quality of the products, freshly picked and carefully packed. Besides that, they have wide range, variety of brands for us to choose from. They also have great prices and promotions, the same as in store. Consumer can also collect Clubcard points, just like in store. The main reason of why consumer should go online shopping is Tesco delivery your products to your door in temperature controlled van. It’s convenient for consumer who doesn’t have enough time to go shopping in store. First of all, consumer will have to register an online account with Tesco and then can start shopping by browsing the product that they want. They are lot categories of groceries including fresh good, grocery, baby, chilled frozen, drinks, healthy beauty, household, pets and home, office gifting. Currently Tesco are only offering their service to some cities and towns within Klang Valley including Ampang, Bandar Baru Bangi, Bangi, Banting, Batu Caves, Cheras, Cyberjaya, Dengkil, Gombak, Hulu Klang, Hulu Langat, Jenjarom, Kajang, Kapar, Kepong, Kinrara, Klang, Kuala Lumpur, Kuala Selangor, Kuang, Meru, Pelabuhan Klang, Petaling Jaya, Puchong, Putrajaya, Rantau Panjang, Rawang, Selayang, Semenyih, Sepang, Serdang, Serendah, Seri Kembangan, Sungai Buloh, Shah Alam, Subang, Subang Jaya, Telok Panglima Garang. Consumers are required to choose a time slot for delivery. There are 2 hour time slots and its next day delivery from 10am to 10pm. 7 days a week. The payment type is pay at the door. Payment is taken after delivery, so consumer can amend their order up until 11pm the night before. All payments are by credit or debit card. The deliveries brought to consumer in a temperature controlled van. Consumer can hand back any unwanted items to the driver. Tesco take payment only on the exact items consumer has accepted. Payments are taken at the end of the day of delivery. There is a Tesco Help Page will be the guidance for the online consumer who seeks for answer known as frequently asked question(FAQ). It’s convenient for consumer. Besides that, there is ‘comment card’ for consumer to click in. Consumer can send feedback to Tesco and rate the page. There is contact number and email address of Tesco on the bottom right of the website. In my opinion, Tesco Online Grocery is a very convenient and easy-use for modern people in city.

Effect of Health Workers on Policy Makers

Effect of Health Workers on Policy Makers POLITICS, LAWS AND BUDGETS The political system of a country plays a critical role with the affairs surrounding health. It is important to examine the relationship of how health problems affects policy making and how health professionals can participate in the legislative process. Not all health professionals know how policies, that influenced their practice, are made. Some of the decisions that affects healthcare professionals and their customers are made by the government or state or appointed politicians that have limited knowledge with health and who have various field of expertise resulting into some ineffective health policies. This results into increased pressure on health workers and agencies to participate in policy making. People working in the medical field have been long complaisant in just providing research results to the legislative body. However, health professionals must also play an active role in developing health policies. Health Workers and Policy Making The government’s treasury provides advice to the political leaders on the budget distribution for the different government sectors including health. These advice ranges from purchase and regulation of health services to health strategies and policies. In distributing the funds, it is vital to know which health policy should be prioritize for the benefit of the majority. The effectiveness of a health policy can be greatly influenced by staffing the legislative body with people possessing vast knowledge, skills and experience in the field of human health. In order to achieve an effective policy, health professionals must combined their scientific knowledge with actual work and strategies in policy making. This is a big responsibility for healthcare professionals as this means that they also have to developed more their skills and expertise in leadership role to be an effective policy maker. An article written by Roper (1992), states that the recently created Public Health Leader ship Institute offered by Center for Disease Control in US, is designed to enhance the leadership skills of health officers to have a wide understanding on the emerging public health issues. An example of a model for making health policies can be observed in China. Decentralisation of the national government gives the local government the power to make decisions on local affairs. This means that local government can make policies and adapt it to a higher level government. From the gathered information or data from local government the central government will have a basis for making a central policy.It also means that health sectors are involved in the policy making. Areas of Advocacy For Health Workers Advocacy is one of the most powerful tool for health workers to achieve their goals. By advocating, health workers influences the priorities and action of those people in the position or those who are in power. There are areas in which where health workers can be an advocate. Workplace Health personnels should act rather than wait for a crisis to erupt. Health workers serves as the first line of defense in terms of protecting the health of the population. And because of this, they should take part in making a policy that will benefit all and something that would lasts. Kingdon (1992) coined the term â€Å"policy entrepreneurs† to describe public health professionals. In the workplace, one of the most important attributes of a health leader is having an excellent interpersonal skill. As a healthcare leader, they can coordinate all communication/issues between health workers and policy makers. Having a good flow of communication in the workplace will help the leader to decide what information should be provided to the policy maker. Organized communication ensures that the organization speaks in one voice and the legislation have a central point of contact inside the workplace. Staff members within the company should have an understanding on the legislative process for them to know the implications of a proposal and it’s possible results in the future. An example of this is, chain of communication can also be observed inside a specific company. Those workers who belongs to the bottom level in the organisational chart are given the chance to be heard by voicing out their suggestions/concerns with regards to the existing policies and management. The gathered information from these workers, will be reported by the manager to the policy maker or those authorities concerns. In the workplace, health workers may be ask to decide more in an operational way. This involves decision with regards to the daily operation of the organisation. A series of good operational decision can lead an organisation in achieving their long term goal. Government Law (n.d.) defined government as the regulating, restraining, supervising or controlling body of society. They have the political power to exercised these rights upon the individual member of an organised society, for the good and welfare of the majority. The New Zealand government follows the Westminster model wherein it is composed of a constitutional monarchy, a sovereign parliament and the three vital branches of government. These three entities are Legislative, Executive and Judiciary. The most important duty of the legislative body is to make laws. They are the one responsible for assessing if bill can be turned into laws. The head of the executive branch is the President or the Prime Minister. The head of the executive approves and carry out the law passed by the legislative branch. The judiciary exercise the power to interpret and apply the law through the court system. Health workers can impact the way policies are made from the local government to the national government. The role of health workers is vital in sustaining and achieving progress in health sector. To fully understand how health workers can influence policy making, let us take a look on what happen in Tanzania: Cokelet (2009), detailed how a person became an advocate in decreasing the case of violence against women in Tanzania despite of the obstacles. The high rate of violence in this country is directly related to their culture which seems to view this practice as an acceptable issue. Kivulini of Women’s Rights Organization aimed in reducing gender-based violence by mobilising the community to change the norms and the policy in their society. Before starting her advocacy, she needed to have first an understanding about the obstacles addressing the issue of violence by consulting a study done by the World Health Organisation, London School of Hygiene and Tropical Medicine. She used the result of the study to serves as a basis of collecting more specific and realistic information. They collect information from women about how well they know the available resources or the policies by the local government to help them with their situation. They found out that local leaders lack the kno wledge, training and resources to help those abused women. By the result of the study Kivulini developed a model of training and care and now advocating this model with the Prime Minister of Tanzania and local government officials. Kivulini started the advocacy in the community/local government and their model also affects the national level. Tanzania increased the funds for the training and increasing resources to tackle the issue of violence. Professionals Organizations Health workers must be involved in policy process that will affect them in personal and professional level. This involves having knowledge on the existing laws and regulations that regulates their profession. References Cokelet, E. (2009). Advocacy to Improve Global Health: Strategies and Stories from the Field. PATH p.2 Kingdon, J.W. (1992): Agendas, alternatives and public policy. Little Brown and Company, Boston. Law,(n.d.):What is government? Retrieved from hhtp://thelawdictionary.org Roper, W.L. (1992): Strengthening the public health system. Public Health Reports 107: 609-615.

Culture Arises from Human Nature :: Mirror for Man Essays

In his book, Mirror for Man, Clyde Kluckhohn presents his views on the development of culture. Kluckhohn believes that culture develops out of a combination of human nature, human biology, and the laws of nature. There are vast differences in the habits of the different peoples of the world. An example could be the eating patterns of Americans compared with those of Europeans. Another could be the attitudes of American students compared with the attitudes of Asian students. At the same time, there are some characteristics which are present in all societies, such as peer pressure. In my opinion Clyde Kluckhohn is correct when he states that human behavior is affected by both human nature and human biology. Kluckhohn gives several examples from his life experience illustrating how two cultures can have very different behavior patterns. During a recent trip to West Germany, I encountered a similar difference. I quickly discovered that the most striking difference between the eating habits of Americans and German was the way in which the knife and fork were used. In Germany most people eat with their fork in their left hand and their knife in their right hand. In addition the fork is almost always used upside down and the knife is used as a "pusher", much like Americans use bread. When I questioned a German friend about this difference I was surprised by her response. She explained that the "German" style of eating was the only "civilized" way and that the "American" style was "sloppy" and "Barbarian". Another example of cultural differences could be the educational attitudes of Americans as opposed to those of many Asians. Many people in the United States are surprised and alarmed by the high test score and college admissions averages of Asian students in contrast to the falling averages of students of other ethnic backgrounds, including white. This discrepancy is directly related to cultural differences between American and many Asian nations. In most Asian cultures education is strongly encouraged and supported and has been for generations. On the other hand, in America education is often a low priority. Many American students look at school as a burden rather than a chance to gain knowledge. At the same time, many American parents reinforce this attitude because they were raised with a similar belief. Kluckhohn is careful to point out that there are characteristics which are present in all cultures.

The history of health care

Going back hundreds of years, we can trace the history of health care. Although it has evolved over the years, it all has a common goal; to heal those who are ill. Technology is one of the major evolutions and now plays a big role in the health care system. It helps patients to be more involved with their healthcare. They can make appointments, follow up on test results, and contact their doctors. Back then, they didn’t even have all the medicine we have now, let alone the technology. We can only imagine what is in store for the future. Health care involves so many different fields and so many different people; it is hard not to get interested in it. One thing that especially interests me is how much diseases and the treatment of them have changed. In the earlier centuries, epidemics like cholera and smallpox were sweeping across countries; now they are rarely heard of. Just over the course of about a hundred years, and most of the diseases that were killing thousands of people are now extinct. Another common killer back then could be something as simple as eating bad food. They did not have means of safeguarding food, so things like beef were not monitored. It is amazing to see how far they have come in advancing healthcare. There are many aspects of health care that intrigue me. I’ve always wanted to be a nurse; unfortunately it is very difficult to get into the program. However, if I ever go back to do that, I would want to either do labor and delivery or pediatrics. I have had the privilege of witnessing the birth of one of my nieces and it was the most amazing experience. To be a nurse and being a part of that on a daily basis would be awesome. I also have an extra soft spot for children, which is why pediatrics would also be of interest to me. Life threatening diseases do not only affect adults. I feel that being able to help children would only be helping our future. Since healthcare varies all around the world as far as quality and technology, it is safe to say that there are some positive and negatives based on the demographics. For example, those living in the United States are quite lucky as a whole; we have fairly advanced technology as far as surgery and medicine go. Our hospitals are good, and the doctors are well trained. It is less likely that wide spread epidemics will happen here because of the strict regulations on food and other important factors. Also, since we are modernized, we don’t have to really â€Å"rough it† like some do in third world countries. However, if we narrow it down a lot farther we will discover that there are negatives as well. People in more poverty stricken areas are more likely to have a not so nice hospital and probably not the best doctors. Different parts of the world will also have a different quality care just based on the resources available to them. Many people come to the US just for medical procedures that cannot be done in their country. In my opinion, age also plays a part in healthcare. It almost seems as though the older you get, the less they seem to care. I am not sure if it’s because they figure you are already on your way out and not worth the effort, but based on what I have seen with my grandparents, their quality of care is quite lower. There are many resources available to find more information on the history of health care. I believe the most common would be the internet. Since it has so many options available with just a click of the mouse, it is also the fastest. However, one should be careful about credibility on the internet. Medical journals or government sites are more likely to be accurate, rather than a blog or other online opinionated websites. Another way to do research would be the good old way, a printed resource. Although they are rarely used, medical journals or newspapers from a local library could be another way to get the information you would require about healthcare. Healthcare has changed in many ways, mostly for the good. Patients are more involved with their medical care. The use of the internet is becoming more prevalent, and does not show signs of slowing down. Medicine is evolving for the better and cures for many diseases may soon be on the horizon. With so many things happening at once we cannot forget where it all started and how it will evolve from now. The history of healthcare plays a role in all of this, if not only to remind us where it all began.

Athenian Government essays

Athenian Government essays In the beginning and even before the seventh century Athens rule was chaotic. One dictator that did not speak for the people usually oversaw what little government that existed. All this began to change over the years to come; great leaders and lawmakers began to reform society. People such as Draco and Solon tried to institute new ideas of law. Cleisthenes brought a plan of political organization after the last tyrant rule of Peisistratus. Finally Ephialtes leads us past the fifth century into the future. In the centuries before democracy most governmentally issues were overseen by the aristocratic classes. It was not really anyones choice to be ruled by these people, but oligarchy was inevitable. It was easy for those with no money to turn the power over to those that had money, because well the poor depended on the rich. Soon though this dependence became halting to the growth of the overall economy. Slowly this lead to a unification of the small villages. Synoikism of these small rural communities formed these little societies called poleis, which developed into cities such as Athens and Sparta. In 620 BC Draco the Lawmaker tried to reform old ways and bring the power away from the people and to a more organized condition. This first big shift of power away from family and to the state was a large one. He also called for an equalization of laws, so that each was enforced equally to each class of persons. This lead into the beginning of the ever-growing development of democracy. During the sixth century in Athens there were many problems within the society; the existence of slavery and the power still beginning held with the rich. In 594 BC Solon the Lawmaker came into power. He instituted what was called, shaking off of the burdens which abolished slavery. He tried to redistribute political power with reform of the government jobs and whom they were offered to. Thi ...