Necrotizing Fasciitis (flesh eating bacteria) :: essays research papers

Necrotizing Fasciitis (flesh eating bacteria ) from an essay by Katrina Tram Duong, edited by S.N. Carson M.D. Necrotizing fasciitis, known commonly known as "flesh eating bacteria [infection]", occurs in a wide range of people 1. It occurs in the elderly, middle aged and younger patients. It occurs in athletes and debilitated individuals. It can occur in drug abusers with self inflicted wounds and healthy individuals with incidental injuries. It may occur in those with metabolic disorders such as diabetes and those with suppressed immune systems. It may occur in those with no underlying disorders and no known particular injury. It occurs under ordinary circumstances such as a seemingly harmless cut or scrape and in wounds resulting from major trauma such as an auto accident. There is no single way of contracting necrotizing fasciitis. One patient reported that he caught it while he was at the beach and may have scraped his skin. There are some cases that have been reported after bug or dog bites. We have also seen confirmed drug users who got the infection but declared they didn’t know how the bacteria could have entered their body. There have been numerous cases where injection of illicit drugs can produce infections that present with signs of a simple cutaneous abscess and yet unpredictably evolve into an extensive necrotizing soft tissue infection 1. Fig1. This is a picture of a leg with full blown necrotizing fasciitis, just prior to surgery. Note the discoloration. The skin feels crepitant and the area is extremely tender. A larger picture with detail is available by clicking this thumbnail print. Necrotizing fasciitis is a deep infection of the subcutaneous tissues that results in progressive destruction of fat and fascia. The progression is usually rapid and, as an example, this author has seen it spread throughout one leg in a little over one hour. Of course, this has an instant effect on the blood supply to these areas. Alternative names for necrotizing fasciitis are fasciitis-necrotizing; infection-necrotizing subcutaneous; subcutaneous infection-bacterial5. Untreated and unconstrained, it can destroy massive amounts of tissue and result in amputation and even death in a short period of time. Fig. 2. Another leg as above presurgical for necrotizing fasciitis. When first seen two hours prior, the discoloration was only present at the ankle. A larger picture with detail is available by clicking this thumbnail print. Necrotizing fasciitis is caused most commonly by Streptococcus pyogenes, group A streptococcus, which is the same bacteria that causes common strep throat 8.

Do You Believe That The Diagnosis And Resulting Profile Prepared By Management Analysis

Do you believe that the diagnosis and resulting profile prepared by Management Analysis Corporation was a necessary step in the process of finding potentially successful general managers? ExplainThe profile prepared by Management Analysis Corporation is the first step in the process of finding a potentially successful of general managers, but it is not the only step. Actually, after MAC has understood very clearly the needs of Dancey Electronics, they could picture the perfect leader. Once this was done, they could see what skills must be innate and what skills can be learned to become a leader.Then, MAC could propose one more interview to the candidates. For example, the candidates are faced to a concrete leadership problem, and they need to solve it very quickly. MAC should analyze reactions of the candidates and pick the best one. This means picking the person who has the best ability to change and to adapt to a new situation. So, I do not know yet if Joe Morris could be the good candidate for leading Dancey Electronics.Moreover, I think that the analysis done by MAC is a good way to find a potentially successful group of general managers because it accually describes the ideal qualities of being an effective general manager and at the same time gives us ideas about the relationship and task orientation of each candidate along with analysis of some important environmental factors that might have some effect on their leadership style, such as the company’s expectation and the subordinated expectation for the behavior of general managers.However, I think Management Analysis Corporation should analyze the behavior of the followers more. This way, MAC will know what leadership style would be the best for the group.What alternatives are available to modify Joe Morris’s potential effectiveness in the new general manager position?Joe Morris has a high task orientation it means he can apply an initiating structure focused on goals and results. But it i s not enough to lead a team. Joe Morris has to be more relationship oriented. We know that Joe Morris has low skills in relationship orientation. But a leader needs to communicate with his team to have an influence on the behavior of the individuals. If Joe Morris does not change, he could only be a manager, but not a leader. As we learnt in class, â€Å"leaders do the right things, managers do things right†.According to the Fielder theory, Joe Morris can make changes to be more relationship-oriented. He can spend more informal time (lunch, leisure activities) with his subordinates. He can also request particular people for work in his group. He can be a volunteer to direct difficult or troublesome subordinates. He can suggest or affects transfers of particular subordinates into his unit. Finally, Joe Morris can raise morale by obtaining positive outcomes (special bonuses, time off, attractive jobs) for subordinates.Moreover, Joe Morris should follow a training session to dis cuss and analyze his leadership situation. This way, he can understand his performance and improve it. If Joe Morris increases his position of power, he could be a better leader because he would repair his lack in relationship orientation.Why will it be difficult for Joe Morris to modify his style of leadership?Joe Morris knows how to organize and define the relationships in the group and he establishes well-defined patterns and channels of communication, and spells out ways of getting the job done. So it is a good start. But it would be difficult for him to modify his style of leadership because it is very hard to change him. Moreover, he does not have an overall insight of the company. He needs to fit in the group to eventually change. Considering that Joe Morris is far away from a good relationship orientation, it might be very difficult for him to understand what changes he has to do to modify his style of leadership.It also may be hard for Joe Morris to change his style of lead ership due to the argument against the path-goal theory whereby subordinates play a rule  in the leadership style of the manager. In that, Joe Morris has a low score in relationship orientation which means that his relationship with the employees may not be as effective and efficient. As a result, although Morris my want to change his leadership style type, employees may not be as willing to change given his low relationship orientation which therefore makes it hard for him to change his leadership style.But on the other hand, according to the Leader-Member Exchange Approach, there is no consistent leader behavior across subordinates and Joe Morris can behave in different ways with his future followers than he used to. So he may not have to change his style of leadership and still be appreciated by his followers. Therefore he will become a good leader.

Role Of And Nature Of Public Health Research - 1251 Words

UMUHOZA Marie Chantal, MMPH 00077 – UNIT 1 – INDIVIDUAL ASSIGNMENT The Role and Nature of Public Health Research Selecting a Research Topic REASEARCH TOPIC TITTLE: Elimination of the Mother To Child Transmission of HIV (eMTCT) program: An evaluation of practices by health care workers in selected Primary health care centers, Zambia. IMPORTANCE OF THE CHOSEN HEALTH ISSUE: In Zambia, 13% of adults age 15-49 are infected with HIV. 15% of them are women and 11 percent are men (dhsprogram.com, 2015). 16.4% of pregnant women attending antenatal clinics are HIV positive and 35% of all HIV exposed babies are born HIV positive (Unicef.org, 2015). This also in line with the National AIDS Council statistics where they said that 80,000 infant born†¦show more content†¦The PMTCT service scale up contributed in reduction of HIV transmission from 24% in 2009 to 12% in 2012 and 9% in 2009 (Avert.org, no date), however, indicators such us pregnant women who received effective ART to reduce the HIV transmission to their babies as well as the number of HIV exposed infant being tested within their first 2 months reduced considerably (Avert.org, no date). In addition to providing ART drugs, Zambia was also able to eradicate some of the issues such as lack of male partners’ involvement, stigma and discrimination and significantly reduced the number of pregnant mother delivering at home. GAPS IN KNOWLEDGE ON THE TOPIC It is still to be evaluated if there is any possible association between the low achievement of eMTCT and the HCW in Zambia. Furthermore, an evaluation of a possible association of the poor attitude of HCW and the lack of knowledge in PMTCT practices is to be identified. In Nigeria, it was reported that there â€Å"there was a wide gap exists between the knowledge of and attitude towards PMTCT of HIV/AIDS† (Aishat and Olubunmi, 2016). The research suggest that Quality and access of PMTCT services is likely to be affected if countries do not make effort in continuous training of HCW. PURPOSE OF THE RESEARCH PROJECT: Despite the fact that the Implementation of the above mentioned guidelines contributed in reducing the number of HIV infected children, the country has not yet reached its goal of eliminating HIVShow MoreRelatedThe Scope Of Public Health1076 Words   |  5 Pagesturn to the role of public health. We rely on public health officials to assess the health status of whatever population they are responsible for, to create and fulfill suitable plans of action that improve living conditions for those people. 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