Pulmonary Edema Lungs

Pulmonary Edema Lungs Outline of pulmonary edema: Pulmonary edema is the inflammation of the lungs that occurs due to the excessive accumulation of fluids in the lungs (alveoli) which results in poor exchange of gases which can cause dyspnea and finally respiratory and cardiac failure. Symptoms: The common symptoms of pulmonary edema include Dyspnea i.e. difficulty in breathing, shortness of breath, noisy and labored respirations rales, blood in cough, restlessness, anxiety, palor (paleness of skin). Diagnosis: It can be diagnosed by physical examination and knowing the patients medical history. By checking the wheezing sounds that are whistling or musical sound that can be heard without a stethoscope and inspiratory crackling sound that can be heard at the end of deep breath with the help of stethoscope and the characteristic third sound of the heart which can be seen in the cases of cardiogenic pulmonary edema patients. Apart from those general blood tests like liver enzymes, electrolytes, complete blood count etc. is done than a final confirmation is made by the X-ray of the lungs. Pulmonary Edema is a disease that affects the heart finally and begins in the lungs. Due to the inadequate pumping of the left ventricle, fluid accumulates in the spaces outside the blood vessels in the tissues of the lungs. It leads to a complication of heart disorders, sometimes acting as the first sign of coronary heart disease, and most commonly associated with congestive heart failure. It can be chronic or develop suddenly and quickly become life threatening. As large amounts of fluid suddenly shift from the pulmonary blood vessels to the lungs then pulmonary edema becomes life-threatening. When the heart begins to fail, the veins going through the lungs build up pressure and in turn the lungs pressure begins to rise which results in the building up of fluid being pushed into the alveoli. This fluid interrupts our normal oxygen flow through the lungs. Results and symptoms of pulmonary edema: Pulmonary edema occurs due to excessive accumulation of fluids and foam into the alveoli of the lungs when the pulmonary blood vessels are engorged. It can often be associated with congestive heart failure. It begins primarily with the building up of fluids in the microscopic alveoli of the lungs causing poor respiratory exchange resulting in Dyspnea with noisy and labored respirations. Rales which are powdery or gravelly sounds can be heard with stethoscope and some patients even cough up blood-tinged sputum. It occurs when the heart becomes damaged or weakened; as a result unable to pump blood to all the parts of the body, typically beginning with the left heart failure as a consequence of the damaged left ventricle which leads to backing up of the blood first in the pulmonary vessels and finally in systemic vessels. As a consequence blood fluids are forced into the body tissues due to increased pressure in the vessels causing a swelling known as edema. If it occurs in the alveoli of the lungs it is termed as pulmonary edema. Finally it can lead to congestive heart failure. Shortness of breath; Difficulty in breathing: Diseases like pulmonary edema leads to shortness of breath or difficulty in breathing which is known as Dyspnea which occurs due to poor respiratory exchange in the lungs. It causes labored and noisy respirations often associated with powdery or gravely sounds known as rales when checked with the stethoscope. Dyspnea is not a primary illness but a condition brought about by a number of medical, traumatic and environmental causes. It can be related to Lung diseases, heart conditions, allergic reactions, CO poisoning, etc. In most cases it occurs when a disease has caused some kind of direct interference with either the flow of air into and out of the lungs or with the exchange of gases within the lungs. In typical dyspnea, as in the case of asthma the problem causing interference originates in the lungs itself. Dyspnea can be classified into acute dyspnea with sudden onset can be caused by anaphylactic shock, cardiac arrhythmias trauma, etc. and chronic dyspnea which can be caused by Asthma, Bronchitis, COPD, Neuromuscular disorders, etc. Air hunger or feeling of drowning, Grunting of gurgling sounds with breathing, Wheezing As a sign of congestive heart failure the patient would wish to remain in a seated or semi-reclined position which allows less labored respiration. The patient should be kept calm to conserve body heat. These oxygen hungry patients will accept oxygen therapy without difficulty. In severe lung diseases like an Asthma attack, the small bronchioles becomes narrower due to the contraction of the smooth muscles that make up the airway apart from the overproduction of thick mucus leading to the restriction of airflow. The airflow is restricted in mainly in one direction such as, during inhalation, the expansion of lungs exerts an outward force resulting in the increase in the diameter of the airway, allowing air to flow into the lungs. During exhalation the opposite occurs resulting in the trapping of the stale air into the lungs which requires forceful exhalation of air by the patient, producing the characteristic wheezing sound associated with asthma. Wheezing sounds are whistling or musical sounds that can be heard without a stethoscope. Gurgling is caused often due to a foreign object, or blood and other fluids in the trachea. It is believed that cardiac murmurs are associated with the possibility of heart failure which is not correct as in about 50 % of the heart failure cases there is no murmur observed. Still a cardiologist should take note seriously if any murmur is present in the patient. In the diagnosis of heart failure Gallop rhythm (one can imagine the sounds of hooves of horse smoothly running at full speed) is very typical and significant. SOB with lying down, you may need to sleep with you head propped: The affects of the body position of a person sometimes gives an idea about the underlying disorder causing dyspnea. For example in platypnea, that is dyspnea while sitting gives indications of a liver disease. The worse type of Dyspnea is when the patient is lying down and suffering from shortness of breath, which is associated with heart disease or paralysis of the diaphragm. It is called as orthopnea. Another type of dyspnea is PND (Paroxysmal nocturnal dyspnea) which occurs during sleep forcing the patient to wake up gasping for breath; usually relieving the patient if he / she sit up or stands. It may indicate the dysfunctioning of the left ventricle of the heart, narrowing of the mitral valve or hypertension. If a patient is suffering from orthopnea he sleeps with the head propped up. Cough: It is an annoying symptom which can occur as a result of many causes such as pulmonary edema, tuberculosis, Bronchitis, Asthma, etc. Anxiety: Factors like excessive worry, nervousness, instability, nausea, etc. are the major symptoms of anxiety. Restlessness: It can be caused by a number of factors such as anxiety, nervousness, insomnia, hyperactivity, etc. Excessive sweating: Sweating is due to the presence of sweat glands under our skin, which is controlled by the sympathetic nervous system of our body and whenever our body temperature rises sweating is stimulated. Thus, it controls the body temperature. Emotional stress also stimulates sweating. Palor or pale coloration or cyanosis of the parts will also take place during any respiratory or cardiac attack. Sympathetic over stimulation leads to symptoms like palor, sweating, and tachycardia during heart failure. Additional symptoms with progression of the disease: Nasal flaring: It is an indication of breathing difficulty caused by the enlargement of the nostril opening during breathing; as a result the total airway resistance is reduced. Inability to speak: The patient may not be able to speak due to pulmonary obstruction or cardiac failure. Decrease in levels of awareness: the level of awareness or consciousness of the patient will also go down during any respiratory or cardiac attack.

Essay --

A to Z Index | FAQs | About BLS | Contact Us Submit U.S. Bureau of Labor Statistics Follow Us Follow BLS on Twitter | What's New | Release Calendar | Site Map Search Home Subjects Data Tools Publications Economic Releases Students Beta OOH HOME | OCCUPATION FINDER | OOH FAQ | OOH GLOSSARY | A-Z INDEX | OOH SITE MAP | EN ESPAÑOL Occupational Outlook Handbook Healthcare > Athletic Trainers and Exercise Physiologists PRINTER-FRIENDLY Print EN ESPAÑOL Summary What They Do Work Environment How to Become One Pay Job Outlook Similar Occupations More Info Summary athletic trainers image Both athletic trainers and exercise physiologists can use various forms of physical activity to help patients overcome injuries or chronic health conditions. Quick Facts: Athletic Trainers and Exercise Physiologists 2012 Median Pay $42,690 per year $20.52 per hour Entry-Level Education Bachelor’s degree Work Experience in a Related Occupation None On-the-job Training None Number of Jobs, 2012 28,900 Job Outlook, 2012-22 19% (Faster than average) Employment Change, 2012-22 5,400...

Advertising, through the ages has evolved to be a very powerful tool that can shape identities and personalities of consumers regardless of age, culture or sex

Advertising has, one way or another shaped my identity and personality. I also have to admit that because of my exposure to advertisement, I have achieved a certain status in my neighborhood.   I play basketball during my past time, and I became popular in town not only because of my skill but also because of the Nike shoes that I wear.Nike is the world's leading supplier of athletic shoes and apparel.  Ã‚   I first heard of Nike when I was a kid, in T.V commercials of former basketball player Michael Jordan promoting the shoes.Being an NBA fan and a basketball aficionado, the commercials intrigue me into trying out the shoes he is endorsing.   The moment I bought my pair of Nike shoes and paraded it in school, I saw my classmates in complete awe after seeing me wearing the shoes for the first time.   I was bombarded with questions like â€Å"how much does it cost† or â€Å"where it was bought.†Also, when I play basketball using the said shoes, I also earned ext ra attention from the people who are watching the game because of my footwear.Aside from that I can feel that I can do things that Jordan does (high flying dunks, higher jumping ability) just by wearing the shoes he endorsed, especially when dunking the ball from the free throw line which was made famous by Michael Jordan during the slam dunk contest (though I have not yet accomplished it).When comparing it to other shoes, I can see that Nike has the edge because of its dimensions.   I feel that the shoes are lighter than other brands as what Jordan swears it to be.   During a game of basketball, which usually requires frequent running, I can feel that the shoes’ weight does not affect my speed.Another important feature is the durability of the shoes, in which it can last for years even if I frequently use it during basketball games.  Ã‚   Buying shoes that can be damaged easily can cause discomfort and even injuries.   I also feel that buying another brand will compr omise quality and that I may acquire an injury if my shoes, for example is below the standards that of Nike. With proper care, Nike shoes can be your companion for life.With its features and other types (running shoes, tennis shoes), all sports enthusiast will, like me, be forever loyal to the brand.   I can say that whenever I am wearing Nike shoes, I feel that I am better than other people, especially when playing basketball.   The shoes give my self-esteem a boost.Advertising, in reality is designed to attract people into buying particular products. But these days, consumers are very wise with regards to spending their hard-earned money. An advertisement full of fluff is easily recognized by them.Consumers know what they want and are not easily convinced especially when an advertisement is just luring them into spending. To meet their standards, advertising also stepped-up into the next level. It has become more creative, truthful and warm.My relationship with my Nike shoes i s growing strong. Michael Jordan may have influenced this â€Å"fetish† of mine. But in the end, I can say that my loyalty is due to the reason that through time, I have come to prove the things they say in the ads. And because of this, I give my loyalty only to Nike shoes and only to it.ReferenceSage, Alexandria (June 26, 2008). â€Å"Nike profit up but shares tumble on U.S. concerns†. Reuters. http://uk.reuters.com/article/companyNews/idUKWNAS924120080626. Retrieved 2008-07-10.â€Å"Jordan and Wilkins Battle for Dunk Title†. NBA's Greatest Moments nba.com (website)http://www.nba.com/history/1988slamdunk_moments.html   

Dantes Divine Comedy Essays - Literature, Divine Comedy, Fiction

Dante's Divine Comedy Essays - Literature, Divine Comedy, Fiction Dante's Divine Comedy In Dante's Divine Comedy, Dante incorporates Virgil's portrayal of Hades from The Aeneid into his poem, and similarities between the Inferno and Hades can be drawn, however Dante wasn't attempting to duplicate Virgil's works. Although the Hell depicted in Dante's Inferno is essentially based on the literary construction of the underworld found in Virgil's Aeneid, in their particulars the two kingdoms are quite different. Virgil's underworld is largely undifferentiated, and Aeneas walks through it without taking any particular notice of the landscape or the quality of suffering that takes place among the dead. Aeneas' first concern is with the fate of his friends, then with meeting his father once more: the philosophical and religious significance of sin and death is nothing to him, and there is no moral judgement implied in the fate of the departed. In Dante's Inferno, on the other hand, there is a systematic differentiation of the landscape, and each progressively lower circle of he ll implies a deadlier sin. The quality of punishment given out to the sinners is thus increased as Dante's descend, and Dante's compassion for the dead lessens as he moves downward to the bottom of hell. Virgil's underworld is really an extension of the natural world, being entered through a cave mouth at the end of a beach at the Euboian settlement of Cumae, renowned as the dwelling of Sibyl, it is she who permits his passage to the realm below: The cavern was profound, wide-mouthed and huge, Rough underfoot, defended by dark pool And gloomy forest. Overhead, flying things Could never take their way, such deathly Exhalations rose from the black gorge Into the dome of heaven.(Fitzgerald, p168) Virgil's first descriptions of the underworld are dramatic and turbulent, and there is even a series of symbolic fates that are medieval in their abstraction: And pale Diseases and sad Age are there. And Dread, and Hunger that sways men to crime. And sordid want in shapes to affright the eves And Death and Toil and Death's own brother, Sleep(Fitzgerald, p.169) But once Aeneas gets past these figures, and the on rushing horde of the dead and dying at the boatman's shore, the underworld turns out to be relatively calm and stable setting. There are some further similarities between Virgil's and Dante's hells, no doubt due to Dante's close reading of the Latin and his wish to make Virgil his guide and mentor. For example, there are periodic challenges to the living as they walk through hell, and the boatman warns Virgil, It breaks eternal law for the Stygian craft to carry living bodies. Virgil also conceived the idea of separating the dead infants wail in one area, the falsely accused and condemned in another, the suicides in yet another. But all Virgil's dead are condemned to the same hopeless fate, and it is only the memory of life which torments them. Conscious of this, Aeneas apologizes to Dido for deserting her at the behest of the gods; unfortunately, Dido repudiates him and joins Sychaeus, her former mate. A central concern of many of Aeneas encounters is whether or not the burial rituals have been carried out; the unburied are not even allowed to cross the River Styx, and those whose rituals have not been properly performed seem to suffer some kind of anguish on that account. The main purpose of Aeneas' visit to the underworld is to see his father, and the encounter with Anchises is one of the high points of the Aeneid. The basic distinction of Virgil's hell is that the elect are sent to the Blessed Groves, where, as one of them tells Virgil, We walk in shady groves, and bed on riverbanks and occupy green meadows fresh with streams. (Fitzgerald, p183) Here Aeneas meets Anchises, and his father gladly tells him about the great secrets of eternal life, and how those Souls for whom a second body is in store drink from the waters of forgetfulness. In Virgil's scheme, the virtuous dead are reborn through the device of cleansing their memories, thr ough a vague process of purification at Elysium. Most important of all, however, is the knowledge that the living Aeneas will go on to found Rome

Mars essays

Mars essays In 1962, the United States President, John F. Kennedy, spoke at Rice University in Houston, Texas. Kennedy promised to put an American on the moon by the end of the 1960s. (The History) On June 16, 1969 Kennedys dream promise was kept. The United States placed two men on the surface of the moon. (Apollo 11) By the year 2001, a few months short of 32 years later, no other body has had humans as guests. Why not? The vast wealth of knowledge which could be gained by a manned exploration of Mars is probably one of the better reasons to go. By further exploration of Mars the field of Comparative Planetology could be expanded. One of the procedures which could be performed my explorers sent to Mars is drilling samples out of the Martian ice caps. This process is done on Earth in order to get a climatic history. This information would be extremely useful when looking at Mars. We would finally know why the water which once rushed over Mars and created the great cannels of Mars have become frozen. Other important information which could be found on Mars deals with the vulcanism. We could more easily study to see when and why vulcanism ceased on Mars. (Collins 84) Opponents argue that this would just be all too costly. They claim that the money could not be found for such a venture.(Easterbrook 91) Well In answer to the money problem one comes to a totally new point, the economy. This spending of money would not break the United States government, it would stimulate the United States Industrial fields. The money spent on a Mars mission would not merely be spent in space, it would be spent in the United States. All of the money spent here would also push the United States industries to make better products. The companies would be pushed to create such dependable products in fields such as aerospace and avionics. Of course we would see the same effects seen after NASAs crowing achievement, putt...

To what extent does the work of Jaques Louis David change during the Essay

To what extent does the work of Jaques Louis David change during the French Revolution - Essay Example To know a few details from this artist’s life is to understand some of his choices. Jacques Louis David’s life was filled with underlying turmoil from the early years. Losing his father in a duel, and gaining two stern uncles to fulfil the vital paternal role while very young, made indelible marks. The uncles thought he should be an architect or building contractor, since it was the way they made their living. In spite of being perfectly capable of the required draftsmanship, David had other ideas2. He was obsessed with drawing. He wanted to paint. The family had expectations of the young David that did not include painting as a career, although his fixation with drawing showed everyone very soon that his talents should not go to waste. He filled sketchbook after sketchbook with drawings3, with the kind of dedication that was impossible to ignore. Both uncles finally accepted his ability to make choices and persuaded his mother, who had left him to be brought up by them, and a teacher was sought: but not too far afield. Boucher, a relative, taught art, but soon, when he saw the style David wanted to paint, and their difference in personalities, he decided his neighbour and artist friend Joseph-Marie Vien would be a better candidate as a tutor for the young David. This change is one that would mark the artist’s preferences for some time4. A facial disfigurement marred David’s dealings with people. Because it affected his speech, he tended to prefer solitary activities, but made an effort to resist isolation, reminded of his schooldays, when he often crouched behind the teacher’s dais at school5. Being a young man with personal issues when the ancien rà ©gime, or Old Order, was winding down, towards the end of the 18th century, meant that experiencing changes in the morals and society in general became personal. David happened to be

School Exclusion Essay Example | Topics and Well Written Essays - 1500 words

School Exclusion - Essay Example The topic under consideration is school exclusion. In many years the choice of this topic is motivated by a number of good reasons which includes among other things: My experience working directly with young people excluded by schools, on alternative education provision programs puts me in a good position to bring in first hand account into the research work being carried out. In addition, I have worked on projects that are related to social problems such as joblessness, alcohol and substance abuse and its attendant increased crime proliferation. A common trend that was observed among the majority of people that I came into contact with during this period exhibited interesting features that boarded on the subject matter of this research. Almost all the people had a visible form of low level of formal education; they also had a history of unpleasant experiences in the school setting. Finally, it is important to state that current social and political policy places education at the centre for personal and social development, thus making the topic increasingly relevant to our day and age. It is against this background that Mr. Tony Blair former British Prime Minister was quoted as saying "The best defence against social exclusion is having a job, and the best way to get a job is to have a good education' (SEU 1999, Pp6). The Labour Government therefore committed itself to addressing the challenges posed by social inequalities. Consequently, in carrying out research on a topic which is of personal interest to me it is my desire to contribute to the body of existing knowledge in my research sphere and also as a reference point for future research work (Bell 1999 Pg2). Indeed, the question of social exclusion and its attendant ills on the wellbeing of society is of paramount importance to stakeholders and interest groups. Many have therefore called for a well conserted approach to studying and addressing it. Suffice to cite a few statistical data from the 1999 report of the Social Exclusion Unit (SEU) on Truancy and School Exclusion: In the 1995/96 academic year there were 12,500 permanent exclusions; Schools have to report to LEAs fixed-term exclusions (defined as exclusions of between five and a maximum 15 days per term) but the information is not collated. OFSTED estimates there are around 100,000 a year. Some of these may be repeat exclusions of the same child; Most excluded pupils are white, male young teenagers. But a number of groups are disproportionately likely to be excluded; children with special needs are six times more likely than others to be excluded; African-Caribbean children are more than six times more likely to be excluded from the school system; Children in care are ten times more likely; 83 per cent of excluded pupils are boys. 80 per cent are between 12 and 15 and half are 14 or 15; Recent evidence however proves that exclusions at primary ages are rising fast - by 18 per cent as captured in the report; Exclusion rates vary greatly from school to school, but tend to be higher in areas of deprivation; Statistics from the SEU's report Preventing Social Exclusion (2001) sights: Of all rough sleepers only 38% have any educational qualifications; Young runaways are twice as likely to have been excluded from school compared to those who do not