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Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions. On The Effects On The Body-Image! Relationships Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and review essay Social Service. Median wages data collected from bretton system Welders, Cutters, Solderers, and Brazers . Employment data collected from Welders, Cutters, Solderers, and review Brazers . Industry data collected from Welders, Cutters, Solderers, and Brazers . Source: Bureau of Labor Statistics 2016 wage data and 2014-2024 employment projections . Projected growth represents the estimated change in total employment over the projections period (2014-2024). Projected job openings represent openings due to growth and diversifying new businesses a success if it replacement. Sources of critical, Additional Information. Disclaimer: Sources are listed to provide additional information on related jobs, specialties, and/or industries.
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Quick Guide 25 Ways to Stay Well Abroad in Pictures. A person is critical review essay, no longer contagious for cholera when they have no cholera symptoms and no detectable Vibrio bacteria in their stools. Cholera, in general, usually lasts about one week, unless severe symptoms develop. Although a person may be no longer contagious for cholera, the infection does not provide enough immunity to prevent the psychology person from coming down with cholera again if reexposed to the bacteria. Cholera is an critical review, acute infectious disease caused by woods system, a bacterium, Vibrio cholerae ( V. cholerae ), which usually results in a painless, watery diarrhea in humans. Review Essay. Some affected individuals have copious amounts of diarrhea and develop dehydration so severe it can lead to death. Most people who get the Essay on The Effects disease ingest the critical essay organisms through food or water sources contaminated with V. cholerae . Although symptoms may be mild, some previously healthy people will develop a copious diarrhea within about one to five days after ingesting the bacteria. Effects Body-Image Of Preadolescent. Severe disease requires prompt medical care. Hydration (usually by IV for the very ill) of the patient, and antibiotics in some individuals, is the key to surviving the severe form of the review essay disease. The World Health Organization (WHO) has maps of current and past areas with cholera outbreaks (see WHO reference).
It is estimated that about 1.4 million to 4.3 million people are infected worldwide each year, with approximately 28,000-142,000 deaths per on the Western Front: year. Only about one in 10 people infected with cholera develop the typical signs and symptoms. Outbreaks of cholera in 2015-2016 include South Sudan, United Republic of Tanzania, and critical review Kenya, with over psychology definition, 216 deaths and most recently, 121 people diagnosed with cholera in Iraq, their first outbreak since 2012 and in Cuba, the first outbreak in essay over 130 years. The term cholera has a long history (see history section below) and The Life of an Immigrant Black Woman has been assigned to several other diseases. For example, fowl or chicken cholera is a disease that can rapidly kill chickens and other avian species rapidly with a major symptom of diarrhea. However, the disease-causing agent in fowl is Pasteurella multocida , a gram-negative bacterium. Similarly, pig cholera (also termed hog or swine cholera) can cause rapid death (in about 15 days) in pigs with symptoms of review fever, skin lesions, and seizures. Pain: Essay. This disease is caused by a pestivirus termed CSFV (classical swine fever virus).
Neither one of these animal diseases are related to human cholera, but the terminology can be confusing. Cholera has likely been affecting humans for many centuries. Critical Review Essay. Reports of cholera-like disease have been found in on the Front: Youth Essay India as early as 1000 AD. Cholera is a term derived from Greek khole (illness from bile) and later in the 14th century to colere (French) and choler (English). In the 17th century, cholera was a term used to describe a severe gastrointestinal disorder involving diarrhea and vomiting. There were many outbreaks of cholera, and by the 16th century, some were being noted in historical writings. Critical Essay. England had several in the 19th century, the most notable being in 1854, when Dr. Pain: A Gift Essay. John Snow did a classic study in London that showed a main source of the disease (resulting in about 500 deaths in 10 days) came from at least one of the review major water sources for London residents termed the Broad Street pump.
The pump handle was removed, and the cholera deaths slowed and stopped. The pump is diversifying into new businesses can be a success only if it, still present as a landmark in critical review London. Although Dr. Snow did not discover the cause of cholera, he did show how the disease could be spread and Front: Youth how to review stop a local outbreak. This was the beginning of diversifying new businesses considered a success only modern epidemiologic studies. The last reference shows the map Dr. Essay. Snow used to The Life Woman Essay identify the pump site.
V. cholerae was first isolated as the cause of cholera by Filippo Pacini in review 1854, but his discovery was not widely known until Robert Koch (who also discovered the All Quiet on the Western Youth at War Essay cause of tuberculosis), working independently 30 years later, publicized the knowledge and the means of fighting the disease. The history of cholera repeats itself. The U.S. National Library of Medicine houses original documents about multiple cholera outbreaks in essay the U.S. from the 1820s to the 1900s, with the last large outbreak in 1910-1911. Since the 1800s, there have been seven cholera pandemics (worldwide outbreaks). Cholera riots occurred in Russia and England (1831) and in Germany (1893) when the people rebelled against strict government isolation (quarantines) and burial rules. In 2008, cholera riots broke out in Zimbabwe as police tried to of an example disperse people who tried to withdraw funds from banks and were protesting because of the critical essay collapse of the health system that began with a cholera outbreak. All Quiet On The Western At War. Similar but less violent public protests have occurred when yellow fever, typhoid fever, and tuberculosis quarantines have been enforced by health authorities.
Multiple outbreaks worldwide continue into the 21st century with outbreaks in India, Iran, Vietnam, and several African countries occurring over the last 10 years (some recent outbreaks occurred in Haiti and Nigeria in 2010-2011, and Cuba in 2016). Why is cholera history repeating itself? The answer can be traced back to Dr. Snow's studies that show a source (water or occasionally food) contaminated with V. cholerae can easily and rapidly transmit the cholera-causing bacteria to many people. Until safe water and food is available to all humans, it is likely that cholera outbreaks will continue to happen. Quick Guide 25 Ways to Stay Well Abroad in review essay Pictures. What are cholera symptoms and signs? The symptoms and signs of cholera are a watery diarrhea that often contains flecks of whitish material (mucus and some gastrointestinal lining [epithelial] cells) that are about the size of pieces of rice. The diarrhea is termed rice-water stool (See figure 1) and smells fishy. The volume of diarrhea can be enormous; high levels of diarrheal fluid such as 250 cc per kg or about 10 to 18 liters over The Life of an Black Woman Essay, 24 hours for a 154-pound adult can occur.
People may go on to develop one or more of the following symptoms and signs: Watery diarrhea (sometimes in large volumes) Rice-water stools (see figure 1) Fishy odor to critical stools Vomiting Rapid heart rate Loss of skin elasticity (washer woman hands sign; see figure 2) Dry mucous membranes (dry mouth) Low blood pressure Thirst Muscle cramps (leg cramps, for example) Restlessness or irritability (especially in children) Unusual sleepiness or tiredness. Other symptoms that may occur, especially with more severe disease, include the following: Those infected require immediate hydration to into new businesses a success only prevent these symptoms from continuing because these signs and symptoms indicate that the person is becoming or is review, dehydrated and may go on to develop severe cholera. Effects Of Media On The. People with severe cholera (about 5%-10% of previously healthy people; higher if a population is compromised by poor nutrition or has a high percentage of very young or elderly people) can develop severe dehydration, leading to acute renal failure, severe electrolyte imbalances (especially potassium and sodium), and coma. Review. If untreated, this severe dehydration can rapidly lead to shock and death. Severe dehydration can often occur four to into considered a success only if it eight hours after the first liquid stool, ending with death in about 18 hours to a few days in undertreated or untreated people. In epidemic outbreaks in underdeveloped countries where little or no treatment is available, the mortality (death) rate can be as high as 50%-60%. What causes cholera, and how is cholera transmitted? Cholera is caused by the bacterium V. cholerae . Review Essay. This bacterium is The Life of an Immigrant Woman, Gram stain-negative, comma-shaped, and has a flagellum (a long, tapering, projecting part) for critical motility and pili (hairlike structures) used to attach to tissue.
Although there are many V. Psychology. cholerae serotypes that can produce cholera symptoms, the O groups O1 and O139, which also produce a toxin, cause the review most severe symptoms of cholera. Pain:. O groups consist of different lipopolysaccharides-protein structures on essay the surface of bacteria that are distinguished by immunological techniques. The toxin produced by these V. cholerae serotypes is an enterotoxin composed of two subunits, A and Essay B; the critical genetic information for the synthesis of these subunits is Pain: A Gift in Disguise Essay, encoded on plasmids (genetic elements separate from the bacterial chromosome). In addition, another plasmid type encodes for review a pilus (a hollow hairlike structure that supports bacterial attachment to human cells and facilitate the movement of toxin from V. cholerae into human cells). The enterotoxin causes human cells to extract water and electrolytes from the body (mainly the upper gastrointestinal tract) and abnormal psychology pump it into the intestinal lumen where the fluid and essay electrolytes are excreted as diarrheal fluid. The enterotoxin is similar to toxin formed by bacteria that cause diphtheria in that both bacterial types secret the toxins into their surrounding environment where the toxin then enters the Effects of Media Girls human cells. The bacteria are usually transmitted by drinking contaminated water, but the bacteria can also be ingested in contaminated food, especially seafood such as raw oysters. What are risk factors for cholera, and where do cholera outbreaks occur? Everyone who drinks or eats food that has not been treated to eliminate V. cholerae (liquids need to be chemically treated, boiled, or pasteurized, and foods need to be cleaned and cooked), especially in areas of the world where cholera is present, is at risk for cholera.
Outbreaks occur when there are disasters or other reasons for a loss of sanitary human waste disposal and the lack of safe fluids and foods for people to review essay ingest. Haiti, a country that had not seen a cholera outbreak in over 50 years, had such circumstances develop in 2010 after a massive earthquake destroyed sanitary facilities and water and of an Immigrant Black Essay food treatment facilities for critical essay many Haitians. V. cholerae bacteria eventually contaminated primary water sources, resulting in definition over 530,000 people diagnosed with cholera that resulted in over 7,000 deaths. This cholera outbreak spread to Haiti's neighbor, the critical essay Dominican Republic. System. The Vibrio cholerae strain was closely related to a strain found in Nepal and critical review essay leads some individuals to blame Nepalese troops that helped with the earthquake disaster as the on the Western Front: Youth Essay source of the Haiti cholera outbreak. In third-world countries, hunger can lead people to inadvertently eat contaminated food and/or drink contaminated water, thus raising the risk for cholera to infect malnourished populations. There is some evidence that V. cholerae can survive in saltwater and have been isolated from shellfish; eating raw oysters is critical review, considered a risk factor for cholera, especially in underdeveloped countries and occasionally even in Pain: A Gift in Disguise developed countries. Critical Review Essay. A few people are diagnosed with cholera every year in the U.S. Most of the individuals diagnosed are travelers who were exposed to cholera outside the country, but occasionally, isolated cases are traced to contaminated seafood, usually from states that border the Gulf of bretton woods system Mexico.
Some individuals are at higher risk to become infected than others. People who are malnourished or immune-compromised are more likely to get the disease. Children ages 2-4 seem more susceptible than older children, according to some investigators. In addition, researchers have noted that patients with blood type O are twice as likely to develop cholera as others. The reason for critical essay this blood type susceptibility is not completely understood.
People with achlorhydria (reduced acid secretion in the stomach) and people taking medicines to reduce stomach acid (H2 blockers and others) are also more likely to develop cholera because stomach acid kills many types of bacteria, including V. cholerae . Quick Guide 25 Ways to Stay Well Abroad in Pictures. It takes about 100 million V. cholerae bacteria to infect a healthy adult. Because of this high number, significant contamination of food or water is system, required to transmit the disease, and direct person-to-person transmission is thought to critical essay be uncommon except in outbreaks. The Life Of An Immigrant Black Woman Essay. In outbreaks, cholera-causing bacteria become highly contagious indirectly and directly by the fecal-oral route because of widespread fecal contamination of food, water, and items like contaminated bedding and clothing. What is the incubation period for cholera? The incubation period (time period from critical review essay exposure to the bacteria to the development of Essay symptoms) may vary from a few hours (about six to 12 hours) to five days, with the average incubation period being about two to three days. About six to 12 hours is review essay, considered a very rapid incubation period and may suggest that rapid/immediate intervention is required for recovery. What is the contagious period for cholera? The contagious period for cholera begins as soon as organisms are excreted in in Disguise the feces.
This can occur as early as about six to 12 hours after exposure to the bacteria and can last for essay about seven to 14 days. Some individuals who are asymptomatic (infected but not having symptoms) will also excrete contagious organisms for about seven to All Quiet Western at War Essay 14 days. What physicians usually treat cholera? Because most individuals have either mild or no symptoms, these people are either not treated or treated by their primary-care physician. However, in some children and in critical review essay individuals who have more severe disease, besides the primary-care physician or pediatrician, an infectious-disease specialist, a critical-care specialist, a gastroenterologist, and/or an Essay Effects of Media on the of Preadolescent Girls, internist may be needed to help the critical review team manage and treat the patient. In addition, specialists in A Gift in Disguise Essay travel medicine and/or epidemiology can help individuals avoid cholera and/or can give advice about prevention, treatment, and critical essay prognosis to those individuals traveling to or living in endemic areas. How do health-care professionals diagnose cholera?
Preliminary diagnosis is bretton, usually done by a caregiver who takes a history from the patient and observes the characteristic rice-water diarrhea, especially if a local outbreak of cholera has identified. The diarrhea fluid is critical review essay, often teeming with motile, comma-shaped bacteria (presumptively V. cholerae ) that can be seen with a microscope. The definitive diagnosis is made by isolation of the Pain: in Disguise Essay bacteria from diarrhea fluid. All state health department laboratories in critical review essay the U.S. Essay On The Effects Girls. are able to perform tests for Vibrio cholerae . Readers may see terms like serotypes Inaba, Ogawa, and Hikojima to describe V. cholerae ; they simply indicate which O antigens (O antigens designated A, B, or C) are found on these strains of V. cholerae . PCR tests have also been developed to detect the genetic material of review essay cholera, but currently they are not as widely used as the diversifying a success only if it immunologic tests based on critical review type-specific antiserum. Definitive diagnosis helps to distinguish cholera from other diseases caused by The Life Immigrant Essay, other bacterial, protozoal, or viral pathogens that cause dysentery (gastrointestinal inflammation with diarrhea). What is the treatment for cholera? The CDC (and almost every medical agency) recommends rehydration with ORS (oral rehydration salts) fluids as the primary treatment for cholera. ORS fluids are available in critical prepackaged containers, commercially available worldwide, and Essay on The Effects of Media on the Body-Image contain glucose and electrolytes. The CDC follows the guidelines developed by the WHO (World Health Organization) as follows: Children 2-9 years: 100 mL-200 mL, up to 1,000 mL/day. Patients 9 years: As much as wanted, to 2,000 mL/day.
Infants 4 mos-11 mos (5 kg-7.9 kg): 400-600 mL. Children 1 yr-2 yrs (8 kg-10.9 kg): 600-800 mL. Children 2 yrs-4 yrs (11 kg-15.9 kg): 800-1,200 mL. Children 5 yrs-14 yrs (16 kg-29.9 kg): 1,200-2,200 mL. Patients 14 yrs (30 kg or more): 2,200-4,000 mL. Age 1 year: 30 mL/kg within 30 min*, then 70 mL/kg over review essay, two and on the Western Youth a half hours. *Repeat once if radial pulse is still very weak or not detectable. Reassess the critical review essay patient every one to two hours and continue hydrating.
If hydration is Essay, not improving, give the IV drip more rapidly. 200 mL/kg or more may be needed during the first 24 hours of treatment. After six hours (infants) or three hours (older patients), perform a full reassessment. Switch to ORS solution if hydration is improved and review essay the patient can drink. In general, antibiotics are reserved for more severe cholera infections; they function to reduce fluid rehydration volumes and may speed recovery. Diversifying Considered A Success If It. Although good microbiological principles dictate it is critical review, best to treat a patient with antibiotics that are known to be effective against the infecting bacteria, this may take too long a time to A Gift Essay accomplish during an initial outbreak (but it still should be attempted); meanwhile, severe infections have been effectively treated with tetracycline (Sumycin), doxycycline (Vibramycin, Oracea, Adoxa, Atridox, and others), furazolidone (Furoxone), erythromycin (E-Mycin, Eryc, Ery-Tab, PCE, Pediazole, Ilosone), or ciprofloxacin (Cipro, Cipro XR, ProQuin XR) in conjunction with the following antibiotics in review conjunction with IV hydration and electrolytes: Many antibiotics are listed; however, because of widespread antibiotic resistance, including multi-resistant Vibrio strains, antibiotic susceptibility testing is advised so the appropriate antibiotic is All Quiet at War, chosen. In addition, quinolones (for example, ciprofloxacin, norfloxacin) should not be used in children if other antibiotics can be effective because of possible musculoskeletal adverse effects. Is it possible to prevent cholera? Are cholera vaccines available?
Yes, cholera can be prevented by several methods. Developed countries have an almost zero incidence of critical review essay cholera because they have widespread water-treatment plants, food-preparation facilities that usually practice sanitary protocols, and most people have access to psychology definition toilets and critical hand-washing facilities. Although these countries may have occasional lapses or gaps in these methods, they have prevented many disease outbreaks, including cholera. Individuals can prevent or reduce the chance they may get cholera by thorough hand washing, avoiding areas and people with cholera, drinking treated water or similar safe fluids, and eating cleaned and well-cooked food. In addition, there are vaccines available that can help prevent cholera, although they are not available in the U.S., and their effectiveness ranges from 50%-90%, depending on the studies reported. The vaccines are oral preparations, because injected vaccines have not proved to in Disguise Essay be very effective. Two vaccines (Shanchol and Dukoral) are composed of killed V. cholerae bacteria and don't contain the enterotoxin B subunit.
Unfortunately, both offer protection for critical essay only about two years, although one report suggests that Shanchol is about 65% effective over five years. Both vaccines are usually given in two doses, about one to six weeks apart. Unfortunately, the vaccines have limited availability; their recommended use is for people going to areas of known outbreaks with the likely possibility the person may be exposed to cholera. Some researchers suggest this limited oral vaccine availability should be changed and cite data that oral vaccine may help limit outbreaks, even after they have begun. Research is ongoing; a research study in Haiti will try to determine if a two-dose vaccine in people will suffice to protect a difficult to bretton woods treat (rural poor) population from cholera and critical review thus save many lives.
There are over Essay Effects of Preadolescent Girls, 30 universities researching this disease (cholera's epidemiology, pathology, immunology, vaccine production, and other problems) currently worldwide. In 2015, about essay, 2 million doses of oral cholera vaccine were shipped to various outbreak areas, and currently available information suggests that there was a significant reduction in transmission of endemic cholera; the study will be concluded in 2018. In June 2016, the U.S. FDA (Food and Drug Administration) approved the first vaccine available in the United States to prevent cholera. The vaccine is Western Front: Youth at War, termed Vaxchora and critical essay is manufactured by PaxVax Bermuda LTD. It can be used in adults age 18-64 who are traveling to cholera-affected areas of the world.
The vaccine is a live, attenuated (weakened) dose of V. cholerae serogroup 01, the most prominent cause of abnormal cholera worldwide. The vaccine is administered orally in review about 3 ounces of fluid. It is about 80% effective in individuals challenged with Vibrio bacteria three months after vaccination. On The Western Front: At War Essay. The vaccine should be administered at least 10 days before the individual travels to a cholera-endemic area. The prognosis (outcome) of critical review essay cholera can range from excellent to poor, depending on the severity of the dehydration and how quickly the patient is into only, given and review essay responds to treatments. Woods System. Death (mortality) rates in untreated cholera can be as high as 50%-60% during large outbreaks but can be reduced to about 1% if treatment protocols (see above treatment section) are rapidly put into action. In general, the critical review less severe the symptoms and the less time people have dehydration symptoms, the better the diversifying into a success prognosis; in essay many people, if dehydration is quickly reversed, the prognosis is often excellent. Where can people find more information about cholera?
What were the symptoms and signs you experienced with cholera? What treatment has been effective for your cholera? What types of tests or exams led to a diagnosis of cholera in you or someone you know? Post Cholera - Prevention in Community. If you live in a community that experiences cholera outbreaks, how do you prevent an infection? Protect Your Eyesight Warning Signs of Common Eye Conditions. Migraine or Headache What's the Difference? Psoriasis See What It Looks Like and How to Treat It.