Wednesday, May 20, 2020

What Is CORDS (Connecting Organizations for Regional Disease Surveillance)

Borders between countries are purely human invention and abstraction – they exist for us because we believe in them. But for infectious diseases there are no borders – they travel freely from nation to nation, no matter how hard we try to prevent it. A disease that appears in one country cannot be considered only that particular country’s problem – it is a problem of the entire world, as current situation with Ebola virus clearly shows. Infectious diseases cannot be ignored – their impact is not limited to disrupting economic and social stability. The entire humankind can be wiped out if a sufficiently lethal and contagious new infection emerges and is not kept in check during the initial stage of its spread. That was precisely the reason for the creation of CORDS (Connecting Organizations for Regional Disease Surveillance). It was founded in 2009 and intended as a platform for a world-wide international disease surveillance network. Right now regional disease networks are pretty much autonomous and communication between them leaves much to be desired, which leads to slower response to new threats, than necessary. CORDS is aimed to improve this situation, bringing regional networks together, uniting them into one universal network that would swiftly and effectively react to any potential pandemics and biological weapon threats. With the help of CORDS and under the aegis of World Health Organization regional networks are supposed to share information, experience and expertise to develop and prepare new, more effective and universal response patterns to the potential outbreaks of new and old diseases. The best tools and practices are to be shared among the healthcare specialists across the world, and their combined experience is to be used in preparation of case studies, education courses, innovative approaches to disease treatment and general technological data. As a result, each new outbreak is to be met in a cohesive way, by unifying the efforts of the entire human race. However, CORDS is well aware of the fact that certain Third World regions, stricken with poverty, ignorance and civil strife are much more susceptible to infectious diseases. What’s more, they are not simply in greater danger, in their current state they represent a threat to the entire world, because a new lethal disease may emerge in one of such regions and remain unnoticed for a considerable amount of time. And after it is noticed it may turn out to be too late to effectively counteract it. That is why one of the major efforts initiated by CORDS is establishment of regional partnerships in Southern Africa, Middle East and South-Eastern Asia, to provide them with the resources necessary for early detection of new pathogens. All this taken into account, CORDS was and is a strictly non-governmental organization, with its funding coming from the Rockefeller Foundation, the Bill Melinda Gates Foundation and the Skoll Global Threats Fund. It follows its own vision of how global health should be achieved, promoting the concept of One Health – i.e., holistic approach to fighting the disease, based on the assumption that human, animal and environmental health are all interconnected, and thus it’s necessary to work on these three spheres simultaneously. This approach seems to be more and more logical, as recent years clearly show that animal health is just as serious global health issue as our own. New epidemics most often seem to be spreading via animals, both domesticated and wild, and without understanding the principles that rule their emergence we cannot hope to battle those that pose threat to humans. Hopefully, CORDS can play a vital role in it.

Monday, May 18, 2020

Analysis Of Marina Abramovic s Photograph, Light Side And...

Marina Abramovic’s photograph â€Å"Light Side/Dark Side† is a black and white portrait of a young lady looking straight into your eyes. If you look at this photograph, it’s not her piercing look that perplexes you; it’s the hand hiding her left eye that prevents you from discovering the mystery behind that face. As the partial face leaves the viewer curious to see the rest, the shades of black and white add to the gloominess evident on her face. But you realize that you are not the only one whose view is obstructed, hers is too. It’s evident that the hand is not hers. The hand can be viewed as a symbol of distortion. Like in the photograph, distortion can obstruct the view of the world and leave you disturbed when you are unable to see the complete picture. But whose hand is ‘distorting’ your view and the lady’s? In his essay â€Å"Decolonising the Mind,† Ngugi Wa Thiong’o sheds light onto the cause and effect of distortion in his childhood. Ngugi recounts his experience of being born in Kenya, a country under colonial rule by the British, and how the imposition of a foreign language, English, broke the harmony between the language of his formal education and that of his Limuru peasant community. The colonial power can be viewed as the hand from Abramovic’s photograph that is distorting the relation Ngugi shares with his language and culture. Before the British imposed English, that is before the distortion, Ngugi fondly remembers the peaceful days when the Limuru community used

Wednesday, May 6, 2020

Essay on Patient Education and Medical Ethics - 1455 Words

It is understandable a family member of someone who needs a feeding tube would be scared and apprehensive of this procedure. There are fears associated with placing a feeding tube including malnutrition causing the patient to starve; however, it is the healthcare provider’s responsibility to thoroughly explain the procedure and its benefits to the family. A large aspect of the nursing profession is being an advocate for the patient and explaining to the family that certain procedures are important for the benefit of their health. There are ethics that must be adhered to during patient and family teaching that will give the patient and their family the information they need in a respectful and professional manner. These ethics include†¦show more content†¦There are many different stages that are associated with Parkinsons disease starting with the initial symptoms usually starting mild. Second there is also a lot of ongoing treatment for Parkinsons patients includin g drug therapy, physical therapy, and the management of increasing symptoms (National, 2011). The inability to swallow is a later symptom of Parkinsons disease, and her doctor should have talked to her about the possibility of having to insert a feeding tube. If the doctor spoke with Deana, he should have told her at this point in her disease most patients require a feeding tube and he needs to treat Deana equal to all other Parkinson’s disease patients (Compassion, 2009). Most doctors have a standard of care for Parkinsons patients so each patient is treated equally and fairly throughout their disease process. Deana should have also been explained the disease process and the possible affects of the disease including her independence (WebMD, 2011). This can be a troubling loss for many people who are not prepared for such an upset for their own self-reliance. The patient has a right to be free of harm and by placing them on a feeding tube this prevents the possibility of aspiration leading to pneumonia. Aspiration pneumonia occurs when a patient vomits or coughs, especially during oral feedings, and immediacy inhales the material into their lungs (medlineplus, 2011). Pneumonia if left untreated can lead to worseShow MoreRelated Codes of Ethics in Health Care Essay995 Words   |  4 Pagesprovide a procedure if a code violation occurs. Medical ethics began as a professional code for physicians and has now expanded and includes a variety of health care professions and health care organizations. The growth of medical knowledge and technology have grown so have the concerns that ethical standards and issues facing our society today may be compromised or not appropriately addressed (Littleton et al., 2010). 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A subpoena and subpoenaRead MoreThe Ethics And Values Of Healthcare912 Words   |  4 PagesEthics according to the Webster dictionary, â€Å"rules of behavior based on ideas about what is morally good and bad; ethics; an area of study that deals with ideas about what is good and bad behavior; a branch of philosophy dealing with what is morally right or wrong; a belief that something is very important.† (Merriam-Webster, 2015) My own definition of ethic is practicing kindness, respect, and fairness. Taking credit for the work you have done regardless good or bad. I believe children shouldRead MoreProfessional And Personal Application Statement1580 Words   |  7 PagesIntroduction Transitioning into the role of an advanced practice nurse requires more than simply gaining more education or demonstrating leadership abilities beyond that of a traditional registered nurse. Instead, the role of an advanced practice nurse requires an understanding and appreciation of the ethical challenges and issues that will be faced, as well as communicating the importance of ethics to other nursing professionals (Jormsri et al., 2005). In order to be prepared to handle the task of addressingRead MoreLegal/Ethical Boundaries Essay865 Words   |  4 PagesLegal/Ethical Boundaries of a Medical Assistant AAMA Medical Assistant Code of Ethics The Code of Ethics is a set of principles of moral and ethical conduct as they relate to the medical profession. There are five sections of the Code of Ethics. â€Å"Render services with full respect for the dignity of humanity.† A medical assistant will perform job duties with respect to the patient, life and rights as a human being. 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Shortly after this, she lost consciousness and quit breathing for two periods of fifteen minutes each The young woman’s doctors declared her brain dead due to the irreversible trauma thatRead MorePatient Safety Is Vital For The Practice Of Medicine979 Words   |  4 PagesPatient safety is vital in the practice of medicine. In medical laboratory science, we may not have a direct contact with the patient, but every duty we perform can affect the outcome of the patient’s health. Patient safety involves being able to collect samples and follow the protocols for the test result. Accuracy in medicine may be a very high standard, but it is worth it when it comes to a patient’s life. A medical practitioner should always have the expectation not to incur more harm on theRead MoreEthics Committees Are Formed To Help Hospital And Medical1699 Words   |  7 PagesEthics Committees are formed to help hospital and medical personnel resolve ethical issues that arise in their facility. The committee members are a mix of hospital personnel, including physicians, nurses, administration, social work, chaplains and others. These professionals work together to assure quality patient care in their facility. To achieve their goal the members must work together with open communication, mutual respect, and shared decision making. I will discuss three points related to

The Triumphant Reconstruction Essay Example For Students

The Triumphant Reconstruction Essay Of the many trials and tribulations that occurred during reconstruction we are faced with determining whether it was a success or a failure. Many good things and bad things happened as a result of reconstruction. . Although some setbacks and tragedies did happen as with any project of this size would. The entire effort overall was successful. Although it did not accomplished what it was set in place to do. The act changed the course of history for the better. As this project started there was much conflict as what to do with the south. The Presidents ideas and Congresses ideas of how to solve the problems in the south differed greatly. President Johnson was vetoing everything that congress wanted to pass. His reasoning for this was that he thought congress was being too harsh on the south. In turn congress thought the President was not being harsh enough. Congress told the southern states that they must ratify the fourteenth amendment to gain admittance back into the union. So reluctantly the south eventually gained admittance but not without finding loopholes first. Some states as they ratified the amendment made laws and clauses that still prevented blacks from voting such as black codes and grandfather clauses. These laws and codes were totally legal. The way they worked is that literacy tests were given at the polls before you could vote. Or the grandfather clause that stated if your grandfather could vote so could you. All of these problems proved to be a detrimental setback in the processes of reconstruction. Despite all of these loopholes many good things came from reconstruction. It led the way for the civil rights movement. It also promoted equal rights and the right for everyone to be free. Free labor was a result of these acts. Without reconstruction where would the south be today? Most likely poor, unequal rights, and most likely bad economic problems. As a direct result of reconstruction industrialization emerged in the south. Less raw materials were sent north and they were used in the south. Former slaves and poor whites started working in factories earning wages instead of working on plantations. Blacks started to be voted into office. If reconstruction never happened this situation would never have come about. Reconstruction not only changed things in the south they also changed things in the north. Feminists movements started coming about in the north. They started asking why freed slaves could vote but women still could not. Many new questions arose and reconstruction was the cause. Although the reconstruction acts failed in many ways they were reconciled by the fact that it opened doors to many new ideas. It tested the laws, practices, and even our very beliefs in the United States of America. It broke into the time when industrialism really exploded onto the scene. Civil rights emerged to help make this country equal and just. Feminism emerged as well to help in this equal rights fight. As with every fight this one was not easy but was overcome and became one of the most important turning points in American history. .

Examine Clinical Evidence in Commonly †Free Samples to Students

Question: Discuss about the Examine Clinical Evidence in Commonly. Answer: Introduction The paper deals with the PICO question generated in response to the case study of Peggy, a 65 year old lady suffering from degenerative osteoarthritis in her Knees. In response to the PICO question the paper performs database search to retrieve relevant articles. The findings from the two best research results will be summarised in the paper. The clinical question is designed to compare the effectiveness of taking fish oil degenerative osteoarthritis in older women (Peggy) to those not taking or relying on alternate remedy such as medication. The question is designed with the aim to obtain clinical evidence on improvement of arthritis on taking fish oil. Based on the real evidence obtained the patient can be advocated or recommended to take fish oil. The rationale for the study is the million of Australians consuming fish oil as remedy for arthritis (Pittaway et al., 2015). Two databases have been used to search for the evidence based on the question. It includes PubMed and Cochrane Management. PubMed is the reliable database for more than 27 million articles. This free search engine allows to access other databases management such as MEDLINE to conduct research on nursing, dental, medical, health care and selected life science journals. The other advantages include automatic term mapping that marked the search more comprehensive when compared to other versions. It gives quick access to new articles published and allows for efficient information retrieval by the end users (Patten, 2017). The other database CINAHL is the definitive research tool. It is the most comprehensive database for the nursing, medical and allied health care. For nurses around the globe it is the most respected research tool (Besner, 2015). Key words terms/phrases Alternative words P Osteoarthritis women, osteoarthritis older adults, Osteoarthritis patients OR knee osteoarthritis, osteoarthritis pain OR knee pain women I Fish oil osteoarthritis, fish oil pain relief, osteoarthritis fish oil Osteoarthritis patients OR fish oil, Fish oil OR osteoarthritis C High dose fish oil, low dose fish oil, Dietary fatty acids, omega 3 fish oil, efficacy fish oil Low dose fish oil OR Dietary fish oil Fish oil OR marine oil O Fish oil knee treatment, Fish oil arthritis pain relief, Efficacy fish oil Omega-3 fatty acid osteoarthritis relief OR fish oil arthritis relief Efficacy fish oil Or Pain relief For CINAHL Action Search mode Results Limiters/Expanders S1 SmartText searching- Efficacy of fish oil in osteoarthritis treatment 217 Expander: Apply related words S2 SmartText searching- Fish oil in arthritis treatment 167 Expander: Apply related words S3 Find all my search terms- Osteoarthritis patients OR Fish oil 140 Publication type- The journal of clinical nutrition S4 Find any of my search term - fish oil in arthritis pain 55 Full text, 2013-2017, Peer reviewed article Publication type- The journal of clinical nutrition S5 Boolean/Phrase- Osteoarthritis patients AND fish oil, 46 Full text, 2013-2017, Peer reviewed article Publication type- The journal of nutrition, health aging S6 Boolean Phrase- Fish oil AND osteoarthritis treatment 5 Full text, 2013-2017, Peer reviewed article (Source: Richardson-Tench et al., 2016) Relevant results Two of the research articles were most relevant to the PICO question and appeared to address the question. Hill et al. (2016) conducted a randomised, double bind trial to determine if the high dose fish oil is effective in treating osteoarthritis. The researcher enrolled 202 patients with both regular knee pain and those with osteoarthritis. The researchers compared the efficacy of the high dose fish oil consumption with the low dose. All the participants recruited were above 40 years with the knee pain score above 20 mm on a 0100?mm scale. During the run in period the patients who can tolerate the fish oil were allocated to two treatment arms that is high dose and low dose. The process involved the computer generated random allocation. Both the groups showed improvement. When compared with the high dose group, the low dose group had greater improvement in the pain and function scores when administered for 2 years. Further there was no difference in the loss of cartilage volume, BML core, and quality of life. At the differences of one year there was no significant difference between both the groups. The benefit of using fish oil is noted prominently in the participants however, there is no remarkable improvement found with the increase in dosage. Overall better efficacy of fish oil in reducing pain was found in two years of time. Senftleber et al. (2016), conducted systematic review and met analysis of the randomised trials to determining the effectiveness of taking fish oil. Six databases were searched and 30 trials were found to meet the inclusion criteria. There was a substantial heterogeneity present. Overall the pooled standard mean differences revealed a favourable effect. The meta analysis results showed a significant effect of fish oil on the rheumatoid arthritis patients but not on the osteoarthritis (5 trials; SMD, -0.17, 95% CI, -0.57 to 0.24). It can be concluded that the results showed a moderate quality evidence of the use of fish oil to alleviate pain in patients with arthritis. Conclusion Since strong evidence from quantitative paper and moderate level evidence from the qualitative paper is found Mrs Peggy can be advocated to take fish oil in addition to normal treatment. In conclusion there is a need of intense research to determine the effectiveness of fish oil in osteoarthritis. References Besner, G. E. (2015). This goal of this review was to examine the clinical evidence in support of commonly utilized measures intended to reduce complications following elective colorectal surgery. Literature searches were performed to identify relevant studies from Medline, PubMed, and Cochrane databases management. The American Pediatric Surgery Association Outcomes and Clinical Trials Committee selected eight questions to address...Journal of Pediatric Surgery,50(1), 192-200. Besner, G. E. (2015). This goal of this review was to examine the clinical evidence in support of commonly utilized measures intended to reduce complications following elective colorectal surgery. Literature searches were performed to identify relevant studies from Medline, PubMed, and Cochrane databases. The American Pediatric Surgery Association Outcomes and Clinical Trials Committee selected eight questions to address...Journal of Pediatric Surgery,50(1), 192-200. Hill, C. L., March, L. M., Aitken, D., Lester, S. E., Battersby, R., Hynes, K., ... Jones, G. (2016). Fish oil in knee osteoarthritis: a randomised clinical trial of low dose versus high dose.Annals of the rheumatic diseases,75(1), 23-29. Patten, M. L. (2017).Understanding research methods: An overview of the essentials. Taylor Francis. Pittaway, J. K., Chuang, L. T., Ahuja, K. D. K., Beckett, J. M., Glew, R. H., Ball, M. J. (2015). Omega-3 dietary Fatty Acid status of healthy older adults in Tasmania, Australia: an observational study.The journal of nutrition, health aging,19(5), 505-510. Richardon-Tench, M., Brown, S. (2014). Meeting the needs of cognitively impaired older adults in day surgery: a review of literature.Day Surgery Australia,13(2), 18. Senftleber, N. K., Nielsen, S. M., Andersen, J. R., Bliddal, H., Tarp, S., Lauritzen, L., ... Christense, R. (2016). PT09. 4: Fish Oil Supplements for Arthritis Pain: A Systematic Review and Meta-Analysis of Randomized Trials.Clinical Nutrition,35, S40.