THE USE OF PRE-HOSPITAL LACTATE MONITORING IN SEPTIC PATIENTS Introduction Sepsis and septic shock are deadly health complications that continue to contribute to the high morbidity and subsequent mortality of septic patients worldwide. The approximated global sepsis burden is to be more than 30 million affected with 6 million fatalities yearly. ( Alaap Mehta, Ali Khalid & Manta Swaroop, 2019). Sepsis causes organ malfunction, which increases mortality risks in as many as more than one in four septic patients. It is a multifaceted complication that is brought up by an unregulated response of the host’s immune system towards an infection. Therefore early detection and management are crucial to improve the effects and reduce patient morbidity and mortality. Better-quality clinical techniques in diagnosis and treatment of sepsis have developed as the World Health Organization (WHO) declared it a global health priority that required diagnosis, management, and prevention resolutions. However, despite significant advances in the comprehension of the pathophysiology of sepsis, the development of advanced hemodynamic monitoring tools, and resuscitation methods, incidences of sepsis remain high, and this is indicative of lack…

Colorectal Cancer I learned that colorectal cancer is one of the deadliest forms of cancer and the third most commonly diagnosed all over the world. The world has made significant steps in the development of diagnosis and treatment methods for the disease. However, a lot still needs to be done to reduce mortality associated with the disease. The number of people dying from colorectal cancer every year has remained relatively constant for the past fifty years. The treatment outcomes for CRC significantly depend on the stage of diagnosis. Stage IV patients have meager chances of recovery, with only 8 percent having the ability to live for up to 5 years after diagnosis. Bowel obstructions are very common among Colorectal Cancer patients, especially in the advanced stages. The obstructions worsen the conditions and significantly impact on the person’s survival. Colorectal patients who develop colorectal obstruction have a 20 percent lower chance of survival compared to the patients without. I also learned that the treatment measures for patients with bowel obstructions are significantly different from those without. For the former, surgery can…

Oo La Lab in Dubai             Using fragrance in the Middle East is a cultural practice. The middle east is popular for the production of unique scents that allow users to stand out. For this reason, scents in Dubai is a constantly growing sector whose market is as old as time itself. The brand is bound to succeed given that it considers the culture and preferences of the clientele. According to the Founder of the Oo La Lab, Dan Terry, the brand introduced to Dubai reflects the people’s heritage and diversity in cultural stories. Dubai is currently enjoying a vast range of new products that are uniquely discerning and accommodating of local tastes. Further, there have been attempts by the organization to teach customers in Dubai to customize unique scents that suit their tastes. This strategy has allowed clients to see the vision of the organization to cater to the unique needs individuals. The packaging of the products has an added aesthetic touch that makes it stand out from other brands. The packaging comes in small batches and hand-pored options…

Hispanic checklist peer review The female author of the Hispanic checklist is addressing the persons prone to dark complexion discrimination. She, in this case, intends to sensitize them of the likelihood of their life decisions being influenced by the ill encounters due to marginalization. She acknowledges that her dream of bringing up children in the Dominican society that embraced racial diversity was threatened when her family relocated to the United States. It dawned on the author the severity of racism when she saw tables aligned on racial fronts in the lunchroom. She finally refrains on a possibility that her courtship life was surrounded by choices aimed at diminishing the dark complexion in her siblings. Flash-forward is a captivating aspect that is profoundly utilized in the excerpt. The author presupposes that she wished that her children would have uplifting experiences as she had during her upbringing. Relocation to the new land thus triggers an interest to determine what kind of family she landed subject to the hinted on racial discrimination. The plot of the narration folds in a systematic manner vivid…

MODERN MEDICINE AND MEDICAL INFORMATICS The health industry is comprised of various stakeholders. It is not unusual because all sectors are made of different components. These components have different roles in the health industry. The tasks might be completely distinct from one group to another. However, they all work together to achieve a common goal or objective as set by the industry. Chapter two of the provided book has addressed several groups that are found in the health industry. One of such groups is the librarians. The librarians are tasked with the role of organizing, maintaining, and supporting data records as they are collected from various departments of the health system (Aken, 2010). Data is an essential asset in every organization. It provides for the importance of librarians in the industry. The efficiency and quality of the service offered by the sector depend on the efficiency and speed of data retrieval from the library. Therefore, librarians play a crucial role in the smooth running of the industry. Librarians have improved and advanced the traditional data storage format by the introduction…

In The Last of the Siraya by Howard Goldblatt I believe ingenious people not only in Asia have, for centuries, faced land injustices and unlawful sentences from settlers who have always come disguised as helpers. Reading these articles has made me correlate with other materials that I have randomly come across the Indian in the United States. The IP continues to face injustices and challenges from accessing their ancestral lands and space, which have been classified as national government lands. However, I think that there the law has been formulated to lock the indigenous people (IP) out of the lands by assuming that their traditions are uncivilized and outdated. In The Last of the Siraya by Howard Goldblatt, we can see Yinhua, who comes from the indigenous community living in a settlement together with her MA (father) and NA (mother) with worries about meeting basic needs. However, the Japanese family where Second Young Master came from was well renown and possessed the land of the Siraya tribe, and in turn, they were taking rent from the people who are initially…

related to a microbiology topic (e.g. a certain bacterial species, virus, or other microbe; topic in immunology like vaccines, antibiotics, antimicrobial agents, etc). You will choose a microbiology research article published within the last 5 years, and write a summary paper using the points below as a guideline. Note: The article you choose must be a primary source scientific research paper with lab experiments that were performed. It must have at least four figures/charts/graphs/tables that you can comment on. It must be related to a microbiology topic (e.g. a certain bacterial species, virus, or other microbe; topic in immunology like vaccines, antibiotics, antimicrobial agents, etc). Your paper should not be a review article. It should not come from a secondary source newspaper or magazine. If you are unsure if the paper you choose meets these criteria, you can email me, and I will approve your article.Your paper should be 3 – 5 pages in length (double-spaced, typed). [unique_solution]Please note that scientific research papers are written using technical, scientific language, and you are not expected to fully understand the entire paper.…

Batch experiment studies on bio-sorption of Pb(II) and Cu(II) metal ions using low cost adsorbents from Prosopis Juliflora Bark and leaves.                                                                                                                   ABSTRACT Different heavy metals such as Lead (Pb), Cadmium (Cd), Copper (Cu), Chromium (Cr), Mercury (Hg), Zinc (Zn) and Arsenic (As) are the core elements used as colour pigments in textile industries. This is widely effecting the aquatic environment causing high increase of metallic substances in water resources, which is a threat for the environment and human health. Among different processes adsorption by activated carbon is an efficient process to remove heavy metals from waste water.  Research is being done on inventing different low cost adsorbents from different agricultural wastes that can be used effectively to remove different heavy metals from textile waste water.  My work discuss about the efficiency of removing heavy metals such as copper and lead by using activated carbon from Prosopis Juliflora bark and leaves. Prosopis Juliflora is widely known for the extensive property of absorbing water and certain heavy metals.  Activated carbon was formed from Prosopis juliflora bark and Prosopis Juliflora leaves…

Community Intervention Plan Develop a proposed project with interventions to address one of the issues. Assignment  Part 2 Outline In Part two of your paper you will propose a plan to address one of these problems over a one year time period Final Project Part Two: You have analyzed a health issue in the community you have assessed. A private organization wants to promote community participatory health promotion and prevention and will award a $50,000 grant to be used over one year for a proposal that can impact health outcomes.  Propose a project that would offer a program to provide services or interventions that could be effective in addressing the identified health problem or issue. Discuss why you selected the issue, determine measureable outcomes, select evidence based interventions, draft a budget and provide a timeline (Use attached forms below) In a well-constructed 750 –1000 word paper (3 – 4 pages) in APA format, address the following components of a proposal for your project – include all topics): Describe the following: Title of Proposed Community Intervention Project Plan Describe the following in a…

Biology

Lab design

Lab design Task A research lab has recently identified a novel protein with structural similarity to members of the Bcl-2 family of proteins. You are fortunate enough to be working in this research lab across the summer and have been given the project of establishing whether this new protein “BKLY” discovered in the lab has pro- or anti-apoptotic properties. One of the lab members has inserted the gene for this protein into a plasmid and will transfect cells for you so that they over-express the protein. The head of the lab has asked you to design a series of experiments to examine the protein. You need to: Show that the cells have taken up the plasmid ( i.e. the transgene is present) Show that the cells are expressing the protein Determine whether the protein has pro- or anti-apoptotic properties or no effect. She explains to you that in order to publish the material you will need to show evidence of any effect on apoptosis by at least 3 different methods relying on different characteristics of apoptosis. In designing your experiments…

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