Salmonella Infection: Causes and Effects

Salmonella Infection: Causes and Effects Recently, food safety is an increasingly important public health issue with news of food poisoning reported daily. Governments all over the world are intensifying their efforts to improve food safety. These efforts are in response to an increasing number of food safety problems and rising consumer concerns. Foodborne is any illness resulting from the consumption of contaminated food, pathogenic bacteria, viruses or parasites that contaminate the food. Foodborne disease is a common, costly yet preventable and is a widespread public health problem, both in urban and rural areas. Symptoms of foodborne illness range from mild gastroenteritis to life-threatening neurologic, hepatic and renal syndromes. Foodborne diseases are incorrectly referred to as food poisoning due to the similarity in symptoms. Examples of foodborne diseases are Botulism, Brucellosis, Salmonellosis and many more. Salmonellosis is a type of foodborne disease caused by the Salmonella bacterium (WebMD, 2011). Salmonell a food poisoning happens when the gastrointestinal tract or the digestive tract is infected by a variety of types of Salmonella bacteria (Brian MD, 2011). The two most common are Salmonella serotype Typhimurium and Salmonella serotype Enteritidis. According to the United States Department of Health Human Services (South Heartland District, n.d.), approximately 40,000 cases of Salmonellosis are reported in the United States each year. The actual number of infections may be 30 times greater because many milder cases are not diagnosed or reported.   Salmonella bacteria live in the intestines of people and animals and are often passed on from the preparation of food to the process of food consumption. The main cause of salmonella is due to the improper hygiene of food handlers. A frequent cause is when a food handler does not wash his/her hand with soap after using a bathroom. Food becomes contaminated by the unwashed hands of an infected food handler. Infection can also spread from cutting boards, counters and kitchen utensils. Besides, some food can be contaminated such as meat during the butchering process, fish when harvested in contaminated waters and fruits and vegetables if being watered with contaminated waters or during the washing process before distribution. Furthermore, public are aware of the handling of certain animals can spread the salmonella infection. Snakes, turtles, birds, chicks and other reptiles may carry salmonella. Children are exposed to salmonella by holding and cuddling infected animals. Salmonella can also be found in the faeces of some pets, especially those with diarrhoea (Jerry Shaw, 2010). The history of Salmonella outbreak is between 2002-2003 when there was a multistate outbreak of Salmonella Typhimurium infections which were ultimately associated with the consumption of raw milk. Sixty-two people were infected from various countries including Indiana, Ohio, Tennessee and Illinois. Out of the 32 food samples tested, five were positive of Salmonella Typhimurium including three raw skim milk samples, one raw milk butter sample and one raw cream sample. Upon investigation, only the consumption of raw milk was associated significantly with the illnesses (U.S. Food and Drug Administration, 2009). A recent outbreak of Salmonella was linked to tainted melons have killed two victims and leaving 141 ills in 20 states in the United States. It is said that the salmonella outbreak linked to the contaminated rock melon grown in Southern Indiana. Agriculture experts said that the frequent problems with rock melon come from the nature of the melons and sloppy agricultural practices (Liz Szabo, 2012). One may prone to Salmonella infection during travelling which is more common in developing countries with poor sanitation. People with pets and reptile also have a higher risk of Salmonella infection. People living in group housing are more prevalent to Salmonella infection simply because they are exposed to more people. In addition, food prepared at the universities canteen often uses large amount of ground meat or unshelled eggs that have been pooled from many source. Besides, infants and elderly are more prone to Salmonella bacteria due to the weak immune system in their bodies. Besides, Salmonella infection happens more frequently during the summer compare to other seasons (Victor Smida, 2011). Salmonella germs are resistant in the environment. They can survive about 5 to 6 months in polluted water and feces, survive and reproduce in at room temperature in wet environments, in food and infusion solutions. Transmissions of Enteric Salmonellosis are caused by Salmonella typhi and Salmonella paratyphi A, B and C. All the clinical entities are different in characteristic development and lasting immunity of the body. Contamination is made orally when a person eats infected food or drink infected water. After an incubation period about 14 days, the disease begins with lethargy, malaise, fever and pain during the first week followed with constipation along this period. In the second week, the bacteria are back into circulation and will cause high fever, sensitive stomach and possibly pink macules on the abdominal skin (Victor Smida, 2011). Mayo Clinic staff (2011) stated that the symptoms of Salmonella food poisoning generally begin within 8 to 72 hours after ingesting food or beverages contaminated with Salmonella bacteria. Most salmonella infections can be classified as gastroenteritis. Symptoms of Salmonellosis include fever and chills, headache, nausea, vomiting, multiple bouts of diarrhea which may be bloody and severe abdominal pain and cramps. Generally, with proper care to avoid dehydration, healthy adults can begin to seek improvement in their symptoms within a couple of days and can recover completely with a week. Most people recover without treatment. In some cases, Salmonella food poisoning can result in serious or life-threatening complications, such as severe dehydration and Reiters syndrome. A small number of people who are infected with Salmonellosis develop Reiters syndrome, a disease that can last for months or years and can lead to chronic arthritis. Seek immediate medical care if one has a change in level of consciousness or alertness, dizziness, eye irritation, painful joints, weakness and painful urination. Signs and symptoms of salmonella infection generally last four to seven days but it may take several months before the bowel habits are entirely normal. Basically, replacement of fluids and electrolytes is the focus of treatment because salmonella infection can be dehydrating. However, if the diarrhea is severe, hospitalization may require especially to younger kids, seniors and people with compromised immune systems where fluids are delivered directly into the vein. If a person is suffering from dehydration due to Salmonella, it is advisable to give the person rehydration drinks, like Pedialyte or Rehydralyte. Alternatively, the person can also be given sports drinks. Usually, it is recommended that the person continue with normal diet to obtain necessary nutrients and help in hastening process. In addition, doctor may recommend anti-diarrheal to help relieve cramping. If the salmonella bacteria are suspected to enter the bloodstream, doctor may prescribe antibiotics to kill the bacteria (OnlineMedicineTips.com, n.d.) However, prevention is better than cure. According to the U. S. Department of Agriculture, good hygiene is a priorit y when handling with food, pets and children (2011). Salmonella can be prevented by avoiding raw or unpasteurized milk and other dairy products. Wash hands after getting into contact with animal feces especially reptiles since reptiles are particularly likely to carry salmonella bacteria. Also, refrigerate and freeze leftovers right away and eat them within two or three days of refrigerating. Moreover, avoid having contact with a person who has infectious Salmonella food poisoning or its symptoms, such as vomiting and diarrhea. On top of all, drink plenty of fluids to prevent dehydration (Imraan Seedat, 2010).

Of Mice And Men :: essays research papers

â€Å"Of Mice and Men† At the starting of the story, two men named George Milton and Lennie Small are trying to get to a ranch in Salinas Valley, California. George is the leader of the two men, because of Lennie’s small size. George is filled confidence while Lennie is a simple man with a big heart. On account of Lennie they got kicked out of town called Weed, up North. Leenie is a type of guy that is not very bright and gets frightened and confused really easy. Petting animals and picking up things that are interesting to him. Lennie and George decided to go the pool hall one night. There was a girl there that got Lennie’s eye. She was wearing a bright red dress. It interested Lennie and he grabbed her sleeve and wouldn’t let go. The girl was full of fear because some stranger wouldn’t let go of her dress. He held it tighter and tighter and wouldn’t let go. After that night he found out that the girl was pressing charges against him. Every day the police were on the look out for Lennie. But George and Lennie escaped from the town by hiding in a ditch until nightfall. After the night of lying in a ditch Lennie and George started to hitchhike. They hitchhiked all the way to Salinas Valley, California. They got there the next day which was their destination. This is the ranch where they started working. They met an old man of the name Candy. He had been working there for many years. A couple minutes later an anther guy walked in named Curly. He was the boss’s son. He was very hostile to the new people. George thought that he would do something to Lennie in the future. George informed Lennie never to talk to Curly’s wife cause he knew he would get in trouble. That night Candy’s dog had puppies, which one was given to Lennie. He went every night to pet his new dog. The next night one of the workers persuaded Candy about his dog and telling him that he should kill him so he didn’t have to suffer. They killed the dog because of its old age, which was the best thing to do. After Lennie watching the dog being killed he asked George about what their plans were again for the future of them. George repeated it and said as soon as we get enough money we will buy a house with a few acres of land, and a few animals.

Influence of Health Care Delivery

Influence of health care delivery Influence of health care delivery services in the future Shellie Bosley University of Phoenix Abstract Your abstract should be one paragraph and should not exceed 120 words. It is a summary of the most important elements of your paper. All numbers in the abstract, except those beginning a sentence, should be typed as digits rather than words. To count the number of words in this paragraph, select the paragraph, and on the Tools menu click Word Count. Influence of health care delivery services in the futureThe impacts of healthcare delivery systems biggest issues are the aging and obesity. We need to understand how these can impact our lives and what we can do to address them now before they become a bigger issue in the future. Many of the Americans from the baby boomer era are becoming retired and will add to the future endeavors of the working class with many of our government programs being affected. The second contributor is obesity. Since this ca n go in hand with the aging these are the main reasons we need to look at our delivery systems. AgingWith our population of baby boomers which are born between 1946 and 1964 they will start to turn 65. This means that our numbers of aging people is likely to double from what it is now. This also has an increase due to immigrants arriving from 2005 to 2050. In the United States our aging is graying at a much slower pace. By 2050 we are expected to have one fifth of our population retired. The increased number will have a huge impact on the United States structure of many programs. The rapid change can have major social and economic issues when we do not plan for them ahead of time. The postwar baby boom in the United States has strained local hospital, public school, and postsecondary education systems, as well as the labor force as these unexpected large cohorts have moved through the life cycle. U. S. population aging has been long predicted. †(Kevin Kinsella and Wan He, â₠¬Å"An Aging World: 2008,† U. S. Census Bureau, International Population Reports P95/09-1 (Washington, DC: U. S. Government Printing Office, 2009). But this is not the only numbers that are important for policies and programs. This also affects healthcare, disability, living arrangements, kinship networks and the economy.It is about the cost and implications the Aging population will have on America. Environment Environmental factors are air pollution, food and water containments, radiation and toxic chemicals as well as health determinants. You also have factor such as socioeconomic status which means the more money and better you can live the less likely you are to be a burden on society. Behavior and lifestyle can also influence along with heredity. But the most important is health care because this is your determinate to living a long healthy life. DemographicsDemographics of the aging population more than 3. 5 million boomers turn 55. By this year the 50 and older populati on will reach 100 million. It is an increase of 31 percent this decade. They are expected to live 19 years longer and women outnumber men by almost 6 million. Half a million are grandparents with the responsibility of raising their grandchildren. The major income is social security, income from assets, private pensions, government pensions, private pensions and earnings. Most of the elderly live in metropolitan areas and they tend to move less.Most elderly are home owners and their homes do have physical problems. And most have a free and clear home where they do not owe anything on them. When it comes to work and education 6. 2 million Americans age 65 are in the work force. Between 1970 and 2008, the percentage of older persons who had completed high school rose from 28% to 77. 4%. About 20. 5% in 2008 had a bachelor's degree or higher. (http://assistedliving. about. com/od/startingabusiness/a/agingtrends. htm) Reducing The aging trend is likely to increase due to their needs bein g different than younger people.Older adults have different health care needs than younger age groups, and this will affect the demands placed on the health care system in the future. They are more likely to suffer chronic illness such as cancer and heart disease. About 84% of those age 65 and older suffer from at least one chronic condition, compared to 38% of those ages 20 to 44 [Wu and Green, 2000]. They are more to require the service of healthcare due to injuries and illness. They have more limitations than younger people and they use more prescription medications.They usually consume more ambulatory care, hospital service, nursing homes and home health services than younger people. When dealing with the aging we can implement many options to help them live a full and healthy lifestyle. We need to help them improve their health by getting regular exercise and not smoking, reduce the chronic disease. We also need increase the use of preventive services and help them understand t hat addressing the issue now will help them live a longer life. If they have a coginitive impairment, mental health issue get them address early. And provide them with education and planning for serious events. ObesityThe CDC reports that obesity rates among adults in the United States doubled between 1980 and 2012. Today, over 30% of our country’s population is obese with many not feeling this is a real issue. The increased healthcare cost created by this trend shows otherwise. When you think of health many studies show being obese increases your risk for serious health. Many serious health factors are heart disease, diabetes and many cancers. This makes the risk in healthcare cost and a decline in productivity in the economy. The current obesity rates in America are more than one third. There are no real differences between men or women.Adults aged 60 and over are more obese than younger adults. With men it is no real difference in rates but with women the rate is 42 percen t to 31 percent in women under 60. When you place children in the equation it is higher for adolescents than preschool aged children. The obesity rate is higher among boys than girls at an 18 percent to 15 percent rate. (http://www. cdc. gov/obesity/data/adult. html) Environmental factors The environmental factors that contribute to obesity are lack of healthy choices in diet and lack of exercise either from choice or lack of resources such as the store is too far to walk so they drive.With fewer options for physical activity and healthy eating it becomes difficult to make good choices. Other environmental factors are energy balance with means spending too much time watching television, playing video games and these types of things than energy building activities such as bike riding or walking. Another factor is the food industry with reasonable food portions, change in what is in them and cheaper health options for the consumer that cannot afford. Demographics Overweight in adults and children has tripled and it is estimated that one in five people in the United States is overweight.We are seeing many younger people becoming obese with the higher rates in the Hispanic, African Americans, Mexican Americans and Native Americans. The lower the families income the higher the risk for obesity rate due to lack of resources to pay for them. The higher the income the more readily the healthy food options are. Trend During the past 20 years, there has been a dramatic increase in obesity in the United States and rates remain high. More than one-third of U. S. adults (35. 7%) and approximately 17% (or 12. 5 million) of children and adolescents aged 2—19 years are obese. (www. cdc. gov) In 2009-2010 the age-adjusted mean BMI was 28. (95% CI, 28. 3-29. 1) for men and also 28. 7 (95% CI, 28. 4-29. 0) for women. Median BMI was 27. 8 (interquartile range [IQR], 24. 7-31. 7) for men and 27. 3 (IQR, 23. 3-32. 7) for women. The age-adjusted prevalence of obesity was 35. 5% (95% CI, 31. 9%-39. 2%) among adult men and 35. 8% (95% CI, 34. 0%-37. 7%) among adult women. Over the 12-year period from 1999 through 2010, obesity showed no significant increase among women overall (age- and race-adjusted annual change in odds ratio [AOR], 1. 01; 95% CI, 1. 00-1. 03; P = . 07), but increases were statistically significant for non-Hispanic black women (P = . 4) and Mexican American women (P = . 046). For men, there was a significant linear trend (AOR, 1. 04; 95% CI, 1. 02-1. 06; P ; . 001) over the 12-year period. For both men and women, the most recent 2 years (2009-2010) did not differ significantly (P = . 08 for men and P = . 24 for women) from the previous 6 years (2003-2008). Trends in BMI were similar to obesity trends. (NHANES) With the increase in BMI it can lead to many diseases which are heart disease, diabetes, hypertension and Metabolic Syndrome. Reducing the risks To reduce the risks of obesity you first need to be educated on the risks and how you became a risk factor.Then you need to change your eating habits to a healthy diet. You will need to increase your regular exercise and decrease inactivity. Go to the doctors and figure out a healthy path to get in control. Citations 1. National Heart, Lung, and Blood Institute, National Institutes of Health (2000). The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (NIH Publication No. 00-4084). Available online: http://www. nhlbi. nih. gov/guidelines/obesity/prctgd_c. pdf. 2. Purnell JQ (2008). Obesity. In DC Dale, DD Federman, eds. , ACP Medicine, section 3, chap. 10.Hamilton, ON: BC Decker. 3. American Gastroenterological Association (2002, reapproved 2008). AGA technical review on obesity. Gastroenterology, 123(3): 882-932. [Erratum in Gastroenterology, 123(5): 1752. ] 4. Klien S, Romijin JA (2008). Obesity. In HM Kroneberg et al. , eds. , Williams Textbook of Endocrinology, 11th ed, pp. 1563-1587. Philadelphia: Saunders. 5. U. S. Department of Health and Human Services (2008). 2008 Physical Activity Guidelines for Americans (ODPHP Publication No. U0036). Washington, DC: U. S. Government Printing Office. Available online: http://www. health. gov/paguidelines/pdf/paguide. pdf.Gingras Y, Lariviere V, Macaluso B, Robitaille J-P (2008) The Effects of Aging on Researchers' Publication and Citation Patterns. PLoS ONE 3(12): e4048. doi:10. 1371/journal. pone. 0004048 References Anderson, Charles & Johnson (2003). The impressive psychology paper. Chicago: Lucerne Publishing. Smith, M. (2001). Writing a successful paper. The Trey Research Monthly, 53, 149-150. Entries are organized alphabetically by surnames of first authors and are formatted with a hanging indent. Most reference entries have three components: Authors: Authors are listed in the same order as specified in the source, using surnames and initials.Commas separate all authors. When there are seven or more authors, list the first six and then use â€Å"et al. † for remaining authors. If no author is identified, the title of the document begins the reference. Year of Publication: In parenthesis following authors, with a period following the closing parenthesis. If no publication date is identified, use â€Å"n. d. † in parenthesis following the authors. Source Reference: Includes title, journal, volume, pages (for journal article) or title, city of publication, publisher (for book).

Definitions and examples of double plurals in English

A double plural is the  plural form of a noun with an additional plural ending (usually -s) attached —  for example, candelabras (singular, candelabrum; plural, candelabra) or sixpences (singular, penny; plural, pence). In addition, the term double plural is occasionally used to refer to a noun with two plurals that differ in meaning, such as brothers and brethren (plurals of brother). Examples and Observations: In the light of the debate between environmental advocates and oil industries, the state officials discovered that the flooding had also released other bacterias that pose a serious health threat.(Colorado Flooding Exposes Huge Environmental Damage. Digital Journal, September 28, 2013)Bacteria is the Latin plural form [of bacterium]. In formal and scientific writing, it is always treated as plural and used with a plural verb: These bacteria are clearly visible when stained.In everyday English, bacteria is also used as a singular noun meaning a strain of bacteria: They said it was a bacteria, not a virus. This singular use has generated a double plural: bacterias. Bacterias, meaning strains of bacteria, is fairly common in journalism, but not suited for technical or formal writing.(Margery Fee and Janice McAlpine, Guide to Canadian English Usage, 2nd ed. Oxford University Press, 2007)Paparazzi(s)Back through the system with the riffraff again Fiends on the floor scratching again Papar azzis with their cameras snapping them...(Jay-Z, 99 Problems. The Black Album, 2004)paparazzi (photographers who follow celebrities, often aggressively, in hopes of snapping candid photos) is a plural; paparazzo is the singular. Originally Italian —  invented for Frederico Fellinis film La Dolce Vita (1960) —  the term first surfaced in English in the mid-1960s. Unfortunately, because the singular form is so rare, some writers have begun using the misbegotten double plural *paparazzis...(Bryan Garner, Garners Modern American Usage. Oxford University Press, 2009) From Old English to Modern English Modern English breeches is a double plural (OE nominative singular broc trouser, nominative plural brec), as is ... kine (OE nominative singular cu cow, nominative plural cy with the addition of the plural -n from words like oxen). (John Algeo, The Origins and Development of the English Language, 6th ed. Wadsworth, 2010)OE cildru children belonged to a very small minor class of neuter nouns having a plural in -ru; the /r/ has survived in PDE [present-day English], but an additional weak -n plural has been added, giving PDE children a double plural. (Celia M. Millward and Mary Hayes, A Biography of the English Language, 3rd ed. Wadsworth, 2012) Kate Burridge on Double Plurals Occasionally, people using incident in the plural give it a double plural  Ã¢â‚¬â€Ã‚  incidentses. Incidents doesnt sound plural enough —  just as quince (in 1300s one coyn and many coyns) didnt for early English speakers (Quinces is historically a double plural). (Kate Burridge, Gift of the Gob: Morsels of English Language History. HarperCollins Australia, 2011)They stopped and formed a semicircle around the microphone. Everywhere there is a crisis, they sang together. Every time they throw the dices.(Richard Lockridge, Murder Roundabout, 1966)This same process is currently affecting the word dice. Dice was traditionally the plural of die small cube with six faces, but is now being reinterpreted as singular. In this case weve also got a split happening. In specialist contexts die is still being used as a singular noun for metal stamp for coining. The dice used in gaming has a new reformulated plural, technically a double plural, dices (though some speakers still use dice as plural) ...When speakers dont feel words to be plural enough, they add another plural marker for good measure.(Kate Burridge, Blooming English: Observations on the Roots, Cultivation and Hybrids of the English Language. Cambridge University Press, 2004) Double Plurals in Irish English Both [Terence Patrick] Dolan [in  A Dictionary of Hiberno-English, 2006] and [Jiro] Taniguchi [in A Grammatical Analysis of Artistic Representation of Irish English, 1972] ... draw attention to double plural forms (or what Taniguchi calls vulgar forms) which also occasionally appear in Irish English. These involve the addition of /É™z/ to existing plurals which end in -s. Dolan offers the examples of bellowses for bellows and galluses for gallus, an obsolete form of the word gallows meaning braces. Taniguchi, on the other hand, cites newses as a plural for news (1972: 10). While I have not encountered the latter form, I have frequently heard other forms, such as pantses and knickerses. What is more, the film corpus displays the forms chipses and barrackses.(Shane Walshe, Irish English as Represented in Film. Diss., Peter Lang GmbH, 2009)My mother used always to laugh because when they met Mrs. Hogan used to say any newses and look up at her, with that wild stare, opening her mou th to show the big gaps between her front teeth, but the newses had at last come to her own door, and though she must have minded dreadfully she seemed vexed more than ashamed, as if it was inconvenience rather than disgrace that had hit her.(Edna OBrien, A Scandalous Woman. Stories by Contemporary Irish Women, ed. by Daniel J. Casey and Linda M. Casey. Syracuse University Press, 1990) Double Plurals in Russian Anglicisms In general, words tend to be borrowed as unanalysed wholes, their internal structure being opaque to the borrower. Russian speakers are therefore often not aware of the meaning of the English plural morpheme -s; this can lead to double plural marking through the addition of a Russian inflection to an English plural; as in pampersy, dzhinsy, chipsy. (Tamara Maximova, Russian. English in Europe, ed. by Manfred Gà ¶rlach. Oxford University Press, 2002)