Thursday, November 28, 2019
The Pros and Cons of Commercial Surrogacy Essay Example
The Pros and Cons of Commercial Surrogacy Essay The advancement of technology in relation to artificial reproductive techniques have thrown open a social debate that has wide-ranging implications. The society is challenged to find a balance between new commercial opportunities and their moral underpinnings. In this essay, salient points in favor and against such reproductive practices will be presented from a neutral perspective. One of the clear dangers of scientifically engineered reproduction is the unprecedented social and moral complications entailing a cloned human being. The debate on cloning is a subject in its own right and hence this essay will only pertain itself to surrogate motherhood in its traditional and modern versions which categorically excludes the concept of cloning. It is believed that nearly one in eight heterosexual couple in the United States cannot have babies due to infertility of one or the other. Reproducing and having a family of oneââ¬â¢s own is a basic human objective. In this context, artificial reproduction techniques will prove to be a blessing for these couple, who are perfectly capable of raising a healthy child, if only they can have one. But, there is a catch though, as the following paragraph will show (Annas, 1998). We will write a custom essay sample on The Pros and Cons of Commercial Surrogacy specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on The Pros and Cons of Commercial Surrogacy specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on The Pros and Cons of Commercial Surrogacy specifically for you FOR ONLY $16.38 $13.9/page Hire Writer While it is perfectly agreeable to facilitate infertile married couple to have a child of their own, the process gets complicated if the surrogate mother is hired. The passion associated with the act of copulation is an essential ingredient that binds the couple emotionally. When this act is mechanized, as is usually the case with surrogacy, then it is equitable to prostitution. Feminists would argue that this is one more way in which men try to control women and their concern is not unfounded (Callahan, 1999). Another objection that is raised against artificial reproductive techniques is that it will lead to making babies and surrogates mere commodities. There are already certain websites in the Internet that offer these services and it wonââ¬â¢t be long before it spawns an industry of its own. It is appalling to think of a commercial enterprise in which price tags are attached to human eggs, ovaries and surrogate mothers. This will undermine the long-standing tradition of family values and relationships. A renowned anthropologist raises questions about unusual relationship dynamics that could unfold in the future, thus: ââ¬Å"A woman can give birth to her own grandchild, for example, by carrying a pregnancy from her daughterââ¬â¢s egg. Embryos can be frozen and a child brought into the world long after its genetic parents are dead. The existence of such choices makes once apparently secure connections between biology, folk biology, conception ideology, and kinship categories less stable than they were.â⬠(Konrad, 2002) But, people who welcome commercial surrogacy have more to say. The conventional option for infertile couple is adoption. But the process of adoption had become increasingly more complicated in the modern world. The red tape involved can also be quite tedious. Moreover, the adopted baby will not be genetically related to the couple. Some studies have shown that the available pool of babies for adoption is also decreasing. Commercial surrogacy on the other hand can off-set or mitigate these drawbacks. The skeptics make a pertinent objection when they say that commercial surrogacy can lead to deepen the social fissures existing in the contemporary world. They point to a particular statistic in the surrogacy cases registered so far in the United States to support their argument. For instance, most of the surrogate mothers who offer their service are almost always from the lower strata of society. They opted to this mode of ââ¬Å"employmentâ⬠not because of altruistic or humanitarian reasons but for basic sustenance. Another relevant fact is that most women are either of African American or Hispanic lineage. If this phenomenon is left unchecked, there will come a time in the near future when a separate demographic category of surrogate women would develop, which would comprise the racially oppressed and economically backward women participating unwillingly in a baby-making industry (Mcewen, 1999). The above argument is countered in equal measure by the following rationale in support of artificial reproduction methods. To quote: ââ¬Å"Means of assisted reproduction are also used frequently with couples who have difficulty conceiving or gestating a child, including women who have no uterus, have miscarried, or have conditions such as hypertension and diabetes that could be worsened by pregnancy. Surrogacy also affords parenting opportunities to women who suffer from illnesses, such as phenylketonuria (PKU), or HIV or AIDS that could damage the fetus either during gestation or the birthing process. Women now have the benefit of assistive techniques such as artificial insemination, in vitro fertilization, cryopreservation, and surrogacy.â⬠(Levine, 2003) But it has to be remembered that the surrogate mother loses her right over the baby as soon after she delivers it. This can be very painful for both biological and gestating surrogates, although the pain of severance from her baby must be more intense for the former. Since this is a commercial enterprise, she can be tried for breach of contract, if she were to show attachment toward the baby, however natural this might be. So, this can be inhumane and cruel to the surrogate mother and this is one of the more pressing issues that should be debated and discussed by the general public (Naraya, 2000). On the other hand, the financial compensation that the surrogate mother receives from her patron is quite substantial. The lump sum that she receives will take care of her basic expenses for a long time to come. Even legislations are made to ensure that the surrogate mother gets paid for miscarriage and partial term completions. More importantly, according to updated law, she is entitled to full compensation even if the child is stillborn. So, the judicial climate is quite favorable to women who participate in commercial surrogacy (Daly, 1994). In conclusion, we have to admit that this is a complex debate ââ¬â one that concerns a broad range of social institutions. The foremost among them will be the ethical and legal implications of commercial surrogacy. There are strong arguments cited both in support and in opposition to this modern day concept and it is not easy to take a decisive stance on the issue. Contemporary society and its public intellectuals need to debate and discuss in earnestly so that the conundrums posed by commercial surrogacy are resolved in favor of the future human generations. References: Annas, G. J. (1998). Death without Dignity for Commercial Surrogacy: The Case of Baby M., The Hastings Center Report, 18(2), 21+. Callahan, S. (1999). The Worth of a Child., The Hastings Center Report, 29(3), 44. Daly, L. K. (Ed.). (1994). Feminist Theological Ethics: A Reader (1st ed.). Louisville, KY: Westminster/John Knox Press. Human Life a Gift, Not a Commodity. (2002, November/December)., Canadian Speeches, 16, 14+.
Monday, November 25, 2019
Free Essays on Mcarthyism
McCarthyism and its Effects on America McCarthyism not only destroyed the lives and careers of many Americans but also the innocent image of the country. Senator Joe McCarthy from Wisconsin was the same as any man. But when he cried Communism the world seemed to listen. Following the Cold War between Russia and the United States there came many hardships, such as unemployment and high inflation. These hardships produced a restless society. The society then looked for something or someone to blame (Fried, 39). They found someone to blame. Communists. Throughout the country there was a witch hunt known as the Red Scare. A basic idea was formed: Communism was evil. Anyone who participated in such evil was considered illegitimate and were to be excluded from such things as sharing ideas, and jobs (Reeves, 136). This fear of Communism or anti-Communism as it was called could be described as a type of "virus." When all was calm in America the virus would fade, but the moment a crisis struc k, the virus came back stronger than ever (Feuerlicht, 35). Communism was a threat not only for countries overseas but a threat for America and its people. It was a threat on the American way of life, a bruise on the phrase "the right to life, liberty, and the pursuit of happiness." (Feuerlicht, 45) And McCarthy helped spread this fear. McCarthy and his ways challenged the Bill of Rights. "When free speech or due process are denied to any individual everyoneââ¬â¢s rights are jeopardized. Todayââ¬â¢s oppressors may become tomorrowââ¬â¢s accursed group." (Feuerlicht, 154) And nothing is guaranteed more than the destruction of America when the freedoms promised by the Bill of Rights are denied (Feuerlicht, 154). McCarthy installed a fear in the people. But people feared tremendously the loss of their jobs. They feared that their political afflictions would reflect on their job status (Reeves, 99). By trying to keep America from becoming a Communist nation, McCarthy a... Free Essays on Mcarthyism Free Essays on Mcarthyism McCarthyism and its Effects on America McCarthyism not only destroyed the lives and careers of many Americans but also the innocent image of the country. Senator Joe McCarthy from Wisconsin was the same as any man. But when he cried Communism the world seemed to listen. Following the Cold War between Russia and the United States there came many hardships, such as unemployment and high inflation. These hardships produced a restless society. The society then looked for something or someone to blame (Fried, 39). They found someone to blame. Communists. Throughout the country there was a witch hunt known as the Red Scare. A basic idea was formed: Communism was evil. Anyone who participated in such evil was considered illegitimate and were to be excluded from such things as sharing ideas, and jobs (Reeves, 136). This fear of Communism or anti-Communism as it was called could be described as a type of "virus." When all was calm in America the virus would fade, but the moment a crisis struc k, the virus came back stronger than ever (Feuerlicht, 35). Communism was a threat not only for countries overseas but a threat for America and its people. It was a threat on the American way of life, a bruise on the phrase "the right to life, liberty, and the pursuit of happiness." (Feuerlicht, 45) And McCarthy helped spread this fear. McCarthy and his ways challenged the Bill of Rights. "When free speech or due process are denied to any individual everyoneââ¬â¢s rights are jeopardized. Todayââ¬â¢s oppressors may become tomorrowââ¬â¢s accursed group." (Feuerlicht, 154) And nothing is guaranteed more than the destruction of America when the freedoms promised by the Bill of Rights are denied (Feuerlicht, 154). McCarthy installed a fear in the people. But people feared tremendously the loss of their jobs. They feared that their political afflictions would reflect on their job status (Reeves, 99). By trying to keep America from becoming a Communist nation, McCarthy a...
Thursday, November 21, 2019
EU LAW Essay Example | Topics and Well Written Essays - 2000 words
EU LAW - Essay Example Article 18(1) of the E.C. Treaty provides that every citizen can move and reside freely in any part of the E.U. Article 39 (1) provides for free movement of workers. Article 43 provides for freedom of establishment by which individuals can get self employed. Article 49 gives freedom to provide and receive service in any part of the E.U.1. Citizens are bound by the law of the European Union and decision of the European Union Court of Justice is final. The individuals and Government officials should consult the legislation relating to the European parliament which represents people of Europe, the Council of the European Union which represents national governments of member states, and the European Commission that takes care of the common interest of the E.U. The Sarbotinians should exercise their votes in European Parliament elections. Some of the benefits that Sarbotinians can enjoy because of this membership in the EU are that they can travel across EU regions without passports and border checks. They can buy goods of their choice in any other member state where they may get at cheaper prices without custom duties. The single currency Euro makes it easier for all EU members to travel in any part of EU without having to convert it to local currency. Austria, Belgium, Cyprus, Finland, France, Germany, Greece, Ireland, Italy, Luxemburg, Malta, the Netherlands, Portugal, Slovakia, Slovenia and Spain are already using Euro even for their local transactions. Hereafter it will be a single market without frontiers for member states thus intensifying competition and ensuring the highest possible quality for goods and services at the lowest possible prices. As per ascension treaty, there can be restrictions on work in other member states for new Sarbotinians between January 2010 and December 2015 but they will be phased o ut gradually. While the U.K.,
Wednesday, November 20, 2019
The Rationality of the American Voter Essay Example | Topics and Well Written Essays - 1000 words
The Rationality of the American Voter - Essay Example Can charisma alone be enough to win an election when faced with a public that is generally ignorant of the political process and the important issues at stake By improving the education of the voter, we can elevate the level of leadership in politics. In the absence of information, a candidate's charm, likeability, and charisma all contribute to an image that the voter seizes upon to make their electoral decision. A candidate's ability to project an image of almost super-human proportions resonates well with a public that is caught in times of crisis. Wars, a bad economy, depreciating social structures, and cultural turmoil all play into the hand of the charismatic leader as voters look for relief from their hardships and despair (Bass & Riggio, 2006, p.64). During these periods of political upheaval, voters are less interested in the issues and more interested in salvation from the looming dire situation. Candidates will take this opportunity to exploit the current situation or negatively characterize the opponent's alternatives. The 1992 election saw a charismatic Bill Clinton defeat the incumbent George Bush. Bush was characterized as a 'wimp' and Clinton was able to capitalize on his charming appeal with the slogan 'it's the economy stupid'. Had there been a booming economy, the American voter would have been more reluctant to change and would have been more likely to stay with the stabil ity of the sitting president (Alvarez & Nagler, 1998, p.1362). In addition, Clinton was able to portray the economy in bleaker terms than the voter understood. The slight economic downturn of 1992 was enough to create an opportunity for a charismatic candidate. The education of the voter, as portrayed by the candidate, was less important than the situation that they were caught up in. When voters are ignorant on the issues, under-informed, and generally politically naive about the electoral process, charisma can be an overriding factor. Media outlets that have a political agenda that they promote often influence voters, but offer limited information. Talk shows, pundits, radio talk show hosts, and pop culture all contribute to an air of confusion and irrationality for the average citizen. It is more likely the case that a voter loyal to a party will may make a decision based on who informed them rather than if they were informed. Therefore, the effect of charisma on the voter will be most heavily felt among the independents that will ultimately decide the election. According to Silva and Costa (2006), "rational ignorance is not to explain the behavior of the entire population of voters, but rather only that of swing voters" (p.39). Widely known figures will emphasize their accomplishments and record, but a relatively unknown challenger may have to rely on image an d charisma (Miller, 1990, p.530). Silva and Costa conclude that, "factors like the candidate's image and charisma may dominate a rigorous evaluation of his performance" (p.40). Often, uneducated voters cannot delineate between the truth and the fiction in political campaign ads. In today's climate of ideologues, characterizations, and partisanship, charisma can be a deciding factor in a close election. To rely on charisma alone to carry a candidate to victory is dependent upon a voting public, particularly the independent middle, which is
Monday, November 18, 2019
The Underlying Causes of Women Empowerment as in a Management Level Literature review
The Underlying Causes of Women Empowerment as in a Management Level across the past decade in the United Kingdom - Literature review Example This research methodology is designed to understand and gauge the reasons for increased women empowerment across managerial levels in the United Kingdom. Although laws and regulations have been in place for quite some time, research has showed that there has been a spike in womenââ¬â¢s involvement in managerial position in the United Kingdom. This comprehensive research methodology provides a brief overview of the hypothesis, the research strategy and design for the research. The research methods that will be employed to gather the necessary information, followed by the data analysis methods, will also be discussed. At the end of the module, a brief statement about ethical issues at hand and a conclusive statement will be provided. WOMEN EMPOWERMENT AT A MANAGERIAL LEVEL IN UNITED KINGDOM: United Kingdom has been considered as a pioneering modern society that has embraced the changing societies and ideas; they are the prime example of a modern society. For the literature review to be objective and the research to be authentic, the sources that were used for the gathering of the theoretical material was done from scholarly articles and researches that have been conducted in the past. These researches substantiate the theory that there has been an increase in the development of women empowerment, especially in the Managerial level positions in the United Kingdom. ... Women were not considered for strategically important positions in the past. The race towards the top for the women was slow and steady. Women have now reached an epitome of success; 15 out of 500 fortune companies have women CEOââ¬â¢s and this figure are expected to improve with each passing year (CNNMoney, 2010). In order to understand the causes and reasons for the increase in women empowerment, researches have been conducted in the past to see if literacy levels, understanding from the other gender, increase in the womenââ¬â¢s career oriented personalities, their likelihood to come back to work after marriage and maternity. Research has shown that the increase in the inclination shown from the women to develop their career as seriously as men do, has increased the level of their competency and has made the opposite gender notice the increase in managerial capability. The work life balance of women has definitely increased over the years, now that they are given flexible wor k hours, and presence of child care options etc. This inclines the women to come back after childbirth and work full time, a phenomena that was not present about 20 years ago. Women working full time would become homemakers and stay back to take care of their children, leaving their careers behind. This is definitely changing today, increasing women participation in the managerial layer (Walby, 2002). There still exists a perception in the minds of the male gender, about the way women handle situations in managerial positions. It has been proven that women have a different management style than men and men mostly do not agree with that style as being as effective as their own. A recent study by Harvard Business Review has shown the majority of the male gender
Friday, November 15, 2019
Strategies to Reduce Hospital Acquired Infections
Strategies to Reduce Hospital Acquired Infections REVIEW OF LITERATURE When we think about hospital, one thing comes to our mind is ââ¬Å"Hospital is the place for cureâ⬠. This revolutionary idea of treating the patients under the same roof was considered to ease the job of healing. But due to lack of knowledge of sterilization and antisepsis, it turned wrong in Pre- Listerian era leading to gangrene and death of patients which were suffering from wounds. Due to this reason a new discipline was emerged called as senics which was mainly dealing with the Hospital Acquired Infection (Nosocomial Infection). Semmelwis in 1861 with the help of medical officer and students observed the association of Puerperal sepsis in patients. Thus by the introduction of hand washing with chlorinated lime, he was successful to bring dramatic reduction in infection rate. Hospital acquired infection (HAI) are infections acquired during hospitalization, which are not present at eh time of admission (Atata et al, 2006). According to Baveja in 2002, the term hospital acquired infection, hospital- associated infection, hospital infection or nosocomial infection(nosocomion,meaning hospital) is defined as infection developing in patients after admission to the hospital ,which was neither present nor in the incubation period at the time of hospitalization . Such infections may become evident during their stay in the hospital or sometimes after their discharge. Due to its increased mortality and morbidity in the hospital patients these HAIs are of significant cause. HAIs are also caused due to prolonged hospital stay which are inconvenient for the patient and constitute economic burden on health care (Malhotra S, et al 2014). Dancer in 1999, depicts that microorganisms which are associated with hospital acquired infection displays two important characteristics, firstly those are the pathogens of well-established medical importance and secondly they also can withstand the hospital environment which benefits them outside temperature. Thus providing an appropriate environment niche for their survival until they transfer back to patients. Some pathogens originate from patients own flora especially those who are immunocompromised whereas others can survive in human tissues and thus rely upon person to person spread in order to disseminate. The patients who are immunocompromised due to underlying diseases, medical or surgical treatment, age are typically affected by nosocomial infections. In pediatric ICU, the hospital acquired infections are approximately three times higher than elsewhere in hospitals (Weistein 2006). Pathogen transference occurs most commonly by presence of bacterial or fungi in inanimate surfaces and equipment or between the hands of health professionals and patients (Kayabas et al., 2008). The transmission of microorganisms from hands of health care workers, medical equipment and surfaces which has become contaminated with a wide variety of pathogenic and nonpathogenic organisms has become a significant proportion of hospital environment infection which ultimately results in crosscontamination (Sehulster et al., 2003). When compared to other hospital patients, the patients who are hospitalized in ICUs are 5-10 times more likely to acquire nosocomial infection. The risk of infection and the frequency of infection vary by infection site. The increasing incidence of infection is caused mainly by antibiotic-resistant pathogens leading to seriousness of hospital acquired infection (Weber 2006). Some of the common human pathogens like, Staphylococcus aureus, Acinetobacter spp, Enà terococcus spp and Escherichia coli can survive for longer periods of time on the hospital surfaces or formites that can potentially transmit infectious organisms (Kramer et al., 2006). The primary sources of indoor air contamination are the microorganisms. When compared to outside air environment, the indoor air environment can potentially place patients a greater risk because enclosed spaces can confine aerosols and allow them to build up to infectious level. The relative humidity and/ or the moisture content of the materials determine that to what extent different micro-organisms are able to grow on indoor or outdoor materials (Dhanasekaran et al., 2009). Adebolu and Vhriterhire in 2002 reported that magnitude of hospital acquired infection is dependent upon the number and type of visitors, mechanical movement within the enclosed space, quality of hospital systems and level of hygienic conditions in hospital environment. Sites where infections acquired in hospitals and other healthcare facilities. To be classified as a nosocomial infection, the patient must have been admitted for reasons other than the infection. He or she must also have shown no signs of active or incubating infection. Depending on the hospital involved, 1 to 10 percent of the patients affected die as a result of the nosocomial infection (George Krucik 2014). Most of these infections can be prevented while others are unavoidable. In hospitals the contaminated surfaces are increasing the cross transmission which is shown in figure-2. Figure-2 Showing the contaminated surfaces in hospitals (source: Wikipedia). These infections occur: Up to 48 hours after hospital admission Up to 3 days after discharge Up to 30 days after an operation In a healthcare facility when a patient was admitted for reasons other than the infection. In the United States, it has been estimated that 9.2 out of every 100 patients acquire a nosocomial infection Pathogens Causing Infection According to the CDC, the most common pathogens that cause nosocomial infections are Staphylococcus aureus, Pseudomonas aeroginosa, and E. coli (C.Glen May hall 2004). Based in biological and clinical criteria, the national Healthcare Safety network (NHSN) has categorized into 50 infection sites under 13 major types for the surveillance purpose (W. Bereket et al., 2012). When choosing the test organisms that are clinically relevant to human pathogens, six different organisms are considered to be major threats. These pathogens cannot cause the most devastating illnesses but majority of them will compromise with antibiotic resistant infections that are seen in most healthcare settings. These are commonly called as ESKAPE pathogens namely Enterococcus faecium, Staphylococcus aureus Klebsiella pneumonia, Actinobacter baumanni, Paeudomonas aeruginosa and several species of Enterobacter. These (ESKAPE Pathogens) pose a biggest threat that physician face today. To fight with them we definitely need some new drugs and need some cooperation among industry and government to setup RD (research and development) infrastructure to fill the needs of new drugs tha t will tackle tomorrowââ¬â¢s infectious diseases threats. Escherichia Coli It is oxidase negative, Gram negative, and facultative anaerobic. It is one of the common organisms that are involved in Gram negative sepsis and endotoxin-induced shock. It is one if the leading cause of blood stream infections among all other Gram-negative pathogens. It is the fifth leading pathogen for causing blood stream infection in United States (Maazuddin t al., 2014). According to Bijay Kumar Chandra 2012, a study was concluded that Escherichia coli were most common agent found in nosocomial diarrhea. Some of the common infection caused by this organism includes wound infection, urinary infection, meningitis in neonates, pneumonia in immunocompromised hospitalized patients and E. coli associated diarrheal disease or gastroenteritis. It also possess broad range of virulence factors which are responsible for disease such as UTIs and gastroenteritis (Brooks GF et al., 2007). Enterococcus spp These are gram-positive cocci typically arranged in short chains and pairs. These grow optimally at 350C on a complex media which requires carbon such as glucose, nucleic acid base and vitamin B. when enriched with sheep blood agar, it supports the growth with large and white colonies. Enterococcus species are facultative anaerobic and are considered as a part of normal flora in genitourinary tract and gastrointestinal tract of humans. Enterococcus species have emerged as a one of the most important pathogen of hospital environment. The major enterococcal infections of humans are caused by two species namely Enterococcus faecalis and Enterococcus faecium. Enterococci are one of the most important hospital acquired pathogens. Isolates of Enterococcus faecium and Enterococcus faecalis are the third most prevalent pathogens worldwide. The most common infection produced by this organisms are intra-abdominal infection, urinary tract infection, pelvic infection, surgiclal wound infection, endocarditis, bacteremia, neonatal sepsis and rarely meningitis. Enterococcus faecalis is the most common cause of infection (80-90%) followed by Enterococcus faecium (10-15%) (Marothi YA et al., 2005). Staphylococcus aureus Staphylococcus aureus is by far the most important pathogen in the hospital environment in all the genus staphylococcus. It is non-spore forming, non-motile, gram positive, catalase positive facultative anaerobe arranged in clusters (Wahington CW et al., 2006). The indicence of nosocomial blood stream infection is more known to be caused by S. aureus (Rodrigo et al., 2012). S. aureus is rarely isolated from urinary tract infection (T.Grace et al., 1993). This S. aureus is both pathogen and commensal. Approximately 30% individuals are intermittently colonized with S. aureus whereas 20% are persistently colonized. It is one of the leading cause of hospital acquired infections. Methicillin resistance staphylococcus aureus (MRSA) are the one which causes most of the infection and its isolation is continuously increasing (S Khono et la., 2007). Infections may occur during hospital stay by streptococcus and staphylococcus species when compared to other Gram-negative bacteria. Coagulase Negative Staphylococci The coagulase-negative staphylococci (CNS) species are widely known to cause NTs specifically bacteraemia in patients with prosthetic implants and catheter and also in patients who are immunocompromised. Staphylococcus epiermidis and Staphylococcus haemolyticus are the teo well known species and occur most common in CNS species (C.Geary et al., 1997). Coagulase negative staphylococci, Staphylococcus aureus and Enterococcus are the three most widely isolated pathogens which tends to cause blood stream infections. After hospitalization of the patient, the CNS usually takes 19 days to cause bacteraemia. The mortality rate of CNS is less when compared to some other pathogens (Aldof et al., 200). For the colonization of CNS, the main reason is its antimicrobial resistance. This CNS isolates is resistant to Oxacillin or nafcillin and methicillin (T Grace et al., 1993). Pseudomonas aeruginosa It is a Gram-negative with mucoid polysaccharide capsule typically arranged in pairs. It is a well known cause of pneumonia, endophthalmitis, conjunctivitis, sepsis and also associated with high mortality rates. Potential reservoirs include humidifiers, equipment, incubators, sinks, tap water and hands of health care workers. The identification of this pseudomonas aeruginosa is mainly based on simple biochemical test and colony characteristics. It colonizes the respiratory and gastrointestinal tracts of the hospitalized patients. When normal defense mechanism is impaired, the pathogenesis by this organism is initiated. Pseudomonas aeruginosa attaches and colonizes the mucous or skin and invades locally to produce systemic disease. This process is mediated by different virulent factors like enzymes (proteases, elastases, phospholipase C), Pili and toxins (endotoxin A). P. aeruginosa produces infection such as blue-green pus, urinary tract infection, meningitis, and necrotizing pneumon ia (Contreras GA et al., 2008). Many contemporary studies showed that, the antibiotic resistance among the gram-negative bacteria is increasing especially of pseudomonas aeruginosa. The rate of resistance towards ceftazidime and imipenem by Pseudomonas aeruginosa was increasing dramatically. Prevention of Infection There are number of simple care practices that can reduce the probability of developing a Hospital acquired infection. Some of them include sterilization of resuscitation bags and masks, elimination of overcrowding, decreasing number of heal sticks, use of sterile suctioning technique, careful preparation and storage of infants formulas, using single dose administration of medications and avoiding drugs associated with increased risk of nosocomial infection. Infection Control Committee The infection control committee is a board which deals with the preventionof hospital acquired infections. It involves multidisciplinary personals like pharmacists, physicians, clinical microbiologists and others. This committee works on co-operation, information sharing principles and inputs. It has many different tasks to perform for the eradication and prevention of hospital acquired infection. It has to review and approve the surveillance data when needed. It has to examine and encourage the infection control practices and provide proper staff training in infection control safety. It also need to assess the new devices used in the hoapital for their risk in violating infection control stratergies and slso to communicate and co-operate with the hospital control committees for information. According to infection committee statistics, the infection rate were increased from 13.8- 22.1 per 1000 catheter days (Jeffery et al., 2005). Therefore infection control committee plays a key rol e in preventing the nosocomial infection. Hand Hygiene Hand hygiene has been considered to be the most important tool in nosocomial infections control. One of the significant contributors to the outbreaks of this hospital environment infection is failure to perform appropriate hand hygiene. Resident and transient microorganisms are known to be the natural microflora of the skin of hands. The resident microorganisms survive and multiply on skin and does not cause any harm to human flora whereas transient microorganisms represent recent contamination of hands which is acquired from colonized or infected patients/clients or contaminated environment or equipment. These transient microorganisms are not isolated consistently from most of the persons. When compared to resident microorganisms, the transient microorganisms which are found on the hands of health care personnel will become as a primary source of infections. Gram negative coliforms and Staphylococcus aureus has been known to be the most common transient microorganisms (Sarmad et al. , 2009). Appropriate hand washing results in reduced incidence of both nosocomial and community infection (Kampf et al., 2004).An estimated 40 percent of nosocomial infections are caused by poor hand hygiene (WHO). Hospital staff can significantly reduce the number of cases with regular hand washing (Figure-8). They should also wear protective garments and gloves when working with patients (James Chin 2000).
Wednesday, November 13, 2019
Robert Frost Essay -- essays research papers fc
ââ¬Å"Good fences makes good neighbors,â⬠is a small portion from the Mending Wall written by one of modern times most proficient writers, Robert Frost. Two of the critical articles I examined were quite helpful in gaining a better understanding of the ââ¬Å"Mending Wallâ⬠and also of Robert Frostââ¬â¢s poetry. The Gale Research shows the best and most effective understanding of the ââ¬Å"Mending Wall,â⬠mainly because it deals specifically with that poem. It basically states that the poem is built around two attitudes, that of the speaker, which the Gale critic presumes is the poet, who is imaginative and an independent thinker and that of the neighbor, who prefers not to question anything (Gale). The other article deals more with other poetry that Robert Frost has written and helps explain common themes. One critic states that Frostââ¬â¢s poetry contains a theme of nature and mankind being one entity (Wagner 12). à à à à à According to the Gale Research article, the poet is describing the relationship between the two different men who have the same common interest in repairing the wall. It goes on explaining how they walk on each of their sides of the wall, picking up stones and replacing the oddly shaped and shattered ones. It shows the mental differences between the speaker and the neighbor by stating that the speaker, the more imaginary one, wanted to use a spell to fix the oddly shaped stones, while the more down to earth one wanted to use his hands and labor (Gale). à &...
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