Long-Term Care Essay Example | Topics and Well Written Essays - 2000 words

Long-Term Care - Essay Example In this particular scenario, as the demand for services by the population increases, and when the reimbursement is available, the providers for services will also increase. For a long time, Medicare and Medicaid were the most significant buyers of long-term care services. However, with the introduction of Managed Care Organizations (MCO), the pressure and the competition has increased. MCOs have the option to choose which providers they will do business with since many of them do not cover long-term care. This directly increases the amount of providers looking to provide the services, resulting in opening up the opportunity for competition between the providers (Pratt, 2010, p. 215). Our system allows competition due to a firm belief that the customer will benefit from competition as better quality will be offered in order to gain more customers. Since the customers are also better informed due to higher education and ability to compare services, their expectations are higher and the y give their ‘businesses’ to only those health care organizations that meet their needs. The health care facilities are also susceptible to pressure from payers and regulatory agencies to provide quality and cost-effective services. The providers that follow the requirements will be given incentives on top of their reimbursements. These institutions are the most favorable to increase their customer base, to have a solid financial relationship with managed care organizations (MCO), and with the Federal and State agencies. 2. Explain, using examples, the differences between licensure and accreditation. The health care industry is highly regulated. It is natural for them to be so as they deal with life and death situations. It is not like other industries where mistakes can be rectified or losses can be repaid. With the health care industry, the mistakes cost lives and hence, they must be prevented at any cost. For that purpose we have two types of external controls. One d eals with governmental regulations, licensing of facilities and individuals (public), and the other deals with voluntary accreditation and certifications (private) (Study Notes, p. 6). One of the most important differences between public and private agencies is that â€Å"public agencies have a dual purpose—to control both quality and costs—while the private organizations have a single purpose—to measure, evaluate, and ensure the quality of care† (Pratt, 2010, p. 258). Another difference is that the â€Å"government programs seek to ensure a minimum level of quality or competency, while the private organization set standards that measure and ensure more of an optimum level† (Pratt, 2010, p.p. 258-259). Licensure is provided by the State and it is basically a â€Å"permission to a qualified individual or entity to perform certain specified activities that would be illegal without a license† (Pozgar, 2006, p.273). For example, in the health ca re industry we find practitioners like Registered Nurses (RN), Licensed Practical Nurses (LPN), Physicians (MD), Registered Dietician (RD), Licensed Physical Therapist (PT), and many others who, in order to practice their profession, need a license from the State. The exam for

Examine the role played by the GATT and the World Trade Organisation Essay

Examine the role played by the GATT and the World Trade Organisation (WTO) in regulating international trade. What were the difficult issues it faced in the Doh - Essay Example The agreements are arrived at through a series of negotiating 'rounds', which are named after the location where the talks take place. The current round of talks are known as the Doha Round after Doha Qatar and include negotiations on goods, services, and intellectual property. In 1947, several nations came together in the post World War II environment to remove protectionist tariffs and foster international trade co-operation. GATT has never been recognised as an official international organisation and refers only to the body of agreements among its member nations. GATT's primary mechanism for regulating and stimulating international trade has been tariff reduction and elimination. "In the late forties, the average duty on industrial products imposed by developing countries was around 40 per cent ad valorem. As a result of the Uruguay Round and the previous Rounds, the average duty is as low as 3.9 per cent" (United Nations Conference 2003, p.45). While GATT experienced much success through the reduction of tariffs, many nations remained reluctant to enter into agreements that addressed other aspects of trade. The initial agreements were successful not only by freezing and reducing tariffs; they also discouraged the formation of preferential trade agreements. GATT was based on the concept of the "Unconditional Most Favored Nation" (MFN) status. This policy mandated that all members treat each other member with the same status as their most favoured trading partner. This gives equal access to all members and stimulates open trade. Some preferential agreements, based on geographical proximity, have been allowed under GATT. The European Economic Community (EEC) was a regional trade bloc that grew out of the European Coal and Steel Community (ECSC). Though it promoted preferential regional trade, it was allowed under a waiver of GATT's no-new-preferences rule (Kenwood 1999, p.285). Lower tariffs and equal access to markets is the foundation of GATT. Though the preamble of the GATT states that its purpose is the "reduction of tariffs and other barriers to trade and to the elimination of discriminatory treatment in international commerce", the agreements spread into many other areas (University of British Columbia 1998). One of the main thrusts of GATT has been the elimination of quantitative restrictions. Quotas and import restrictions had placed a serious impediment to world trade in the years 1913-1950. Quotas were even more damaging to trade than tariffs because they set a strict limitation on trade. GATT addressed this issue by condemning quantitative trade restrictions except for extreme situations such as short-term balance of payment purposes and for the protection of 'infant' industries (Kenwood 1999, p.242). The reduction of tariffs and the elimination of quantitative restrictions were primarily responsible for the UK's global trade growth in the last half of the 20th century. In the period 1913-1950 the UK had a negligi ble export growth rate. Under GATT the growth rate had increased to 5% for the period 1990-1996 (Kenwood 1999, p.24). GATT has also addressed other issues that promote free trade and the fair treatment of its members. The Uruguay round, 1986-1994, was designed to meet the challenges of technology and communications. The talks were directly responsible for $740 billion in tariff cuts and it has been estimated that global trade would increase by $270 billion a year and that the world would be over $500 billion

Charles Darwin Essay Example for Free

Charles Darwin Essay Charles Darwin was a British scientist who came up with the idea of the theory of Evolution. He was also a botanist which would be one of the reasons what lead him towards inventing his Theory of Evolution. Why and How? Charles Darwin travelled to the Galapagos Island as a biologist. He travelled on a ship which was undertaking surveys of the Pacific Ocean. His voyage was to examine plants and animals on the islands through which he came up with Theory of Evolution. Charles Darwin came up with his Theory of Evolution after surveying birds on each island he went to. He saw finches but they all had different beaks, one finch had a long beak the other had a short beak and another had a dipping beak. After seeing all this Charles Darwin started thinking and so he thought why does one bird have a long beak and the other have a small beak. During his voyage on the beagle he carried on observing and found fossils and also saw consistent results for which he came up with the theory of evolution. His theory explained that all living things have a common ancestor. The finches he discovered had different beaks and so he came up with the conclusion that all of these finches had a common ancestor and then they a ll evolved from that common ancestor. Hypothesis Charles Darwin’s hypothesis was that every living thing has a common ancestor and that we all evolve from that common ancestor. His reason for us all evolving was that so we can adapt with the nature around us and survive. For example giraffes have long necks, according to Charles Darwin these giraffes had a common ancestor who had short necks from time to time a mutation resulted in a giraffe having a long neck. The reason being is so that, the giraffe could reach the trees better and get extra food and be more prone to stay alive and reproduce than all of the other giraffes. Eventually, the attribute would be passed down until generally most giraffes had long necks. Evidence and proof Jean Baptise Lamarck, who was a French naturalist, discovered his own theory before Charles Darwin discovered his Theory of Evolution. Lamarck’s theory was that organisms would pass their attribute down to their generations for example if someone was to loos their arm then their coming baby would be born without a arm and then it would get passed down the generation and then eventually you would find most people without an arm. Charles Darwin’s theory contradicted to Lamarck’s theory and so people didn’t believe in his Theory of Evolution. Also Charles Darwin lacked in evidence because he had no evidence that all the finches have a common ancestor or that all organisms have an common ancestor and so because of him not having enough evidence he lacked proof and so his theory wasn’t reliable.

Case Study: Methanol Poisoning of a Child

Case Study: Methanol Poisoning of a Child Introduction In this PBL, we observe a case of methanol poisoning in a child. We will first define the unfamiliar term of tertiary care centre and proceed to understand acid base homeostasis in the body, the basis for methanol poisoning. Then we will look at how ethanol and methanol are metabolised in the body followed by how methanol poisoning actually works. We will also discuss how the osmolal gap is obtained using osmolality and osmolarity and lastly child abuse. Learning Objectives Definition of unfamiliar terminology An overview of acid base homeostasis in the body How ethanol and methanol are metabolised in the body How does methanol poisoning work Osmolality and osmolarity Child abuse 1. Unfamiliar term: Tertiary care centre A tertiary care centre is where a patient goes to when primary and secondary care have not been able to adequately treat the patient. Tertiary care centres are equipped with highly trained staff and highly dedicated medical equipment to cater to complex treatments or procedures as required by the patient. An example of a tertiary care centre would be the colorectal unit at The Royal London (1). Amareen was transferred to a tertiary care centre to receive more suitable care mainly due to the fact that she was so young and suffering from methanol poisoning. 2. Overview of acid base homeostasis in the body Acid base homeostasis is the regulation of hydrogen ions. The higher the concentration of hydrogen ions, the lower the pH and vice versa. Acidic solutions have a high pH whereas alkaline solutions have a lower pH. The normal pH in the body is in the range of 7.35-7.45. A pH lower than 7.35 results in acidosis whereas a pH higher than 7.45 results in alkalosis. Acid base balance has its basis in the Henderson-Hasselbalch equation shown in Figure 2. If we rearrange the equation, we see that bicarbonate and carbon dioxide directly affects the acid base balance. Figure 2: Henderson-Hasselbalch Equation (3) There are three main ways in which the body controls the acid base balance. These three systems usually work together. Firstly, there are physiologic buffers, each of which consist of a weak acid and its base salt or a weak base and its base acid. Physiologic buffers react immediately within seconds to the change in pH in the body. These buffer systems occur in both intra and extracellular parts of the cells. The main buffering systems for physiologic buffers are extracellular bicarbonate-carbonic acid buffering system, intracellular protein buffers and phosphate buffers in the bone. An overview of the physiologic buffer system is shown below in Figure 1. Figure 1: Physiologic buffer systems (2) If physiologic buffers are not enough to return the pH back to its normal value, pulmonary compensation can take place in the lungs. This works by eliminating or retaining carbon dioxide. Increased ventilation effort (hyperventilation) and decreased ventilation effort (hypoventilation) are the two ways pulmonary compensation works. The changes in pulmonary compensation is rapid within a few minutes. The final compensatory mechanism, renal compensation in the kidney, starts when the previous two mechanisms have failed to regulate the pH level in the body. The kidneys maintain balance by excreting or conserving bicarbonate and hydrogen ions in the body. However, this compensatory mechanism is a long term regulator and takes longer, usually a few hours, to respond to a change in acid base balance. The normal arterial blood gas values for partial pressure of carbon dioxide is 35-45 mmHg/ 4.7 kPa-6.0 kPa and bicarbonate concentration is 22-26 mmol/L. A change in the partial pressure of carbon dioxide or bicarbonate concentration from normal levels results in respiratory or metabolic disorders respectively. This together with acidosis or alkalosis determined by the pH results in 4 main disorders arising. Figure 3 below shows the 4 different disorders and their respective compensatory mechanisms. Figure 3: Diagnosis of the four main acid base disorders and respective compensation mechanisms (4). In Amareen’s case, metabolic acidosis occurs. The major cause is the high production of formic acid which is not excreted quickly from the body. This has caused a decrease in the bicarbonate concentration due to H+ combining with bicarbonate. By the law of mass action using the Henderson- Hasselbalch equation, there is extra CO2 generated thus Amareen shows respiratory compensation via tachypneic breathing whereby the peripheral chemo receptors in the lungs are stimulated which stimulates the alveoli to try to exhale the excess CO2. The exhalation of CO2 would in most cases be enough to correct the metabolic acidosis but in this case as methanol was ingested, external treatment was mandatory to save Amareen’s life. 3. How methanol and ethanol are metabolised in the body Ethanol metabolism Ethanol, commonly known as drinking alcohol, is metabolised primarily by alcohol dehydrogenase in the liver. Once ingested, ethanol is quickly absorbed by the gastrointestinal tract and small intestines with concentrations reaching at maximum level at 20-60 minutes (5). Ethanol is metabolised to acetaldehyde by alcohol dehydrogenase and then to acetate in the mitochondria via aldehyde dehydrogenase. Acetate is then metabolised to Acetyl CoA and subsequently to CO2 and H2O by the Krebs cycle in the mitochondria. Ethanol can also be metabolised by two other pathways: by cytochrome P450 2E1 (CYP2E1) in microsomes of the endoplasmic reticulum when there is a high ethanol consumption and by catalase in peroxisomes (6). The three ways ethanol is metabolised are illustrated in Figure 4 below. Figure 4: Oxidative pathways of ethanol metabolism in the body (7) Methanol metabolism Methanol, commonly known as wood alcohol, can be absorbed by the body via inhalation, ingestion and skin exposure (8). In this specific case, Amareen ingests methanol. When methanol is ingested, it is quickly absorbed by the gastrointestinal tract with concentration reaching a maximum level at 30-90 minutes after ingestion (8). Methanol is primarily metabolised in the liver. In the first step, methanol is metabolised to formaldehyde by alcohol dehydrogenase. Then formaldehyde is subsequently metabolised to formic acid by formaldehyde dehydrogenase. Formic acid is finally metabolised into carbon dioxide and water in the presence of tetrahydrofolate. This final step proceeds very slowly and hence there is an accumulation of formic acid in the body which is the chief cause of methanol poisoning and will be discussed in the next section. Methanol metabolism is illustrated in Figure 5 below. Figure 5: Metabolism of methanol (9) 4. How does methanol poisoning work Symptoms and Causes The main characteristics of methanol poisoning are metabolic acidosis and ocular damage. Formic acid, the metabolite of methanol and not methanol itself is considered to be toxic. The severity of the toxicity correlates with the degree of metabolic acidosis rather than concentration of methanol. (10, 11) The accumulation of formic acid in the body has many detrimental effects if left untreated. The effects of methanol poisoning can be grouped into different phases (12). The phases are described in Table 1 below. Table 1: Different phases of methanol poisoning Formic acid has been shown to inhibit cytochrome C oxidase activity in mitochondria (14) which is similar to the action of cyanide, hydrogen sulphate and carbon monoxide (15). Cytochrome C oxidase is the last enzyme in the electron transport chain of the mitochondria which results in the synthesis of ATP (16). Thus, by inhibiting cytochrome C oxidase, there would be significant reduction in the synthesis of ATP resulting in cell hypoxia leading to cell injury and death (17, 18). The amount of formic acid in the blood is proportional to the increase in the anion gap which measures the contribution of unmeasured anions to acidosis by using the formula [Na+] + [K+] – [Cl-] [HCO3-] (19). A high anion gap of 20mmol/dL was observed in the arterial blood gas of Amareen when she was transferred to the tertiary care centre. A high anion gap indicates the loss of bicarbonate ions without concurrent loss in chloride ions. Thus, a low serum bicarbonate level is a reliable indicator of the severity of methanol poisoning. Other causes of a high anion gap are diabetes keto acidosis, lactic acidosis, ethylene glycol and salycilate. Diagnosis Diagnosis for Amareen was relatively easy as a history was available from her parents stating that she had ingested methanol. This allowed doctors to treat Amareen quickly and correctly to prevent blindness or even death. If a history is unavailable, a test for the osmolal gap (refer to on how osmolal gap is derived) is very useful. A high osmolal gap (>10 mOsm/kg H20) indicates the presence of significant amounts of low molecular weight substances such as methanol. When methanol is metabolised, the osmolal gap returns to the normal and the anion gap increases due to formic acid formation which causes bicarbonate ions to decrease via the Henderson Hasselbach equation. A high serum methanol concentration of 35 mg/dL (> 0mg/dL), low serum bicarbonate level of 18mmol/L, low pH of 7.32 and a high anion gap of 20mmol/dL confirms Amareen’s diagnosis of metabolic acidosis cause by methanol poisoning. Treatments In this case, Amareen is treated with an ethanol drip. This is because like methanol, ethanol uses alcohol dehydrogenase as its first stage of metabolism and that ethanol has a higher affinity for alcohol dehydrogenase than methanol in the ratio of 20:1 (8). Therefore when ethanol enters the bloodstream, they will competitively bind to alcohol dehydrogenase thus inhibiting the formation of formic acid. In a clinical setting, a target level of 100-150 mg/dl is used to saturate alcohol dehydrogenase with ethanol (20). However, ethanol can be a challenge to administer due to irregular rate of metabolism making a steady target level difficult to maintain and it can also cause intoxication (20). Amareen later receives fomepizole treatment after the ethanol drip was not so effective. This is a better treatment because fomepizole has an even higher affinity for alcohol dehydrogenase than methanol in the ratio of 8000:1 (21). This prevents methanol from being metabolised. The advantages of fomepizole are the ease of administration, long duration of effect and that it doesn’t cause intoxication (22). However, fomepizole is very expensive and is less widely available (23). Due to both ethanol and fomepizole being ineffective in reducing the serum concentration of methanol in the body, haemodialysis was started. Haemodialysis is the most effective way to remove methanol and formic acid from the body (24). This works by passing blood from the body through a dialysis machine that contains a series of membranes to filter out unwanted substances and replenish essential minerals to the blood and then pumping blood back to into the body. The reason why haemodialysis was not immediately administered was probably due to it requiring a neck line which is very invasive and can result in multiple complications for Amareen who is only 5 years old. 5. Osmolarity and Osmolality Osmolality refers to the osmolar concentration of plasma per kilogram of solvent. Osmolality is measured using osmometers. Osmolarity on the other hand refers to the osmolar concentration of plasma per litre of solution. This value is calculated using a set formula from measured concentrations of Na+, K+, glucose and urea. The equation is 2[Na+] + 2[K+] + Glucose + Urea (all in mmol/L). Using osmolality and osmolarity, the osmolal gap can be calculated which is the difference between the actual osmolality and the calculated osmolarity which normally lies in the range of 8-10 mOsm/kg (25). 6. Child Abuse There are four main categories of child abuse (26). Physical abuse which involves bodily harm for example bruises, burns and fractures. Emotional abuse that involves persistent emotional ill-treatment or neglect causing adverse effects on the childs emotional development. Sexual abuse by forcing a child to perform sexual activity. This includes ‘non-contact’ sexual activities such as producing child pornography. Lastly, negligence which is the failure of carers to provide the basic physical and psychological needs as well as supervision from harm to the child which results in an adverse effect on the child’s health and development. An example would be protecting a child from dangerous substances which Amareen’s parents have failed to do. References NHS. Barts Health General surgery for patients: NHS; 2014 [cited 2014 11 November]. Available from: http://www.bartshealth.nhs.uk/our-services/services-a-z/g/general-surgery/for-patients/. College AC. Electrolyte Fluid Balance: Austin Community College; 2014 [cited 2014 11 November]. Available from: http://www.austincc.edu/apreview/EmphasisItems/Electrolytefluidbalance.html. Keener P. Okeanos Explorer | Expeditions | INDEX 2010: Indonesia-USA Deep-Sea Exploration | Expedition Purpose 2014 [cited 2014 11 November]. Available from: http://oceanexplorer.noaa.gov/okeanos/explorations/10index/background/edu/purpose.html. Droual R. The Urinary System: Fluid and Electrolyte Balance: Modesto Junior College; 2014 [cited 2014 11 November]. Available from: http://droualb.faculty.mjc.edu/Course%20Materials/Physiology%20101/Chapter%20Notes/Fall%202011/chapter_19%20Fall%202011.htm. Jones AW, Jonsson KA, Neri A. Peak blood-ethanol concentration and the time of its occurrence after rapid drinking on an empty stomach. J Forensic Sci. 1991;36(2):376-85. Zimatkin SM, Deitrich RA. Ethanol metabolism in the brain.: Addiction Biology; 1997. p. 387-400. Zakhari S. Alcohol metabolism and epigenetics changes. Alcohol Res. 2013;35(1):6-16. (IPCS) IPoCS. Methanol. Environmental Health Criteria 196. Geneva: WHO; 1997. Stà ¼rmann K, Ryan MT. Alcohol-Related Emergencies:A New Look At An Old ProblemEmergency Medicine Practice. 2001;3(9):9. Jacobsen D, McMartin KE. Antidotes for methanol and ethylene glycol poisoning. J Toxicol Clin Toxicol. 1997;35(2):127-43. Swartz RD, Millman RP, Billi JE, Bondar NP, Migdal SD, Simonian SK, et al. Epidemic methanol poisoning: clinical and biochemical analysis of a recent episode. Medicine (Baltimore). 1981;60(5):373-82. Tephly TR. The toxicity of methanol. Life Sci. 1991;48(11):1031-41. Martin-Amat G, McMartin KE, Hayreh SS, Hayreh MS, Tephly TR. Methanol poisoning: ocular toxicity produced by formate. Toxicol Appl Pharmacol. 1978;45(1):201-8. Nicholls P. The effect of formate on cytochrome aa3 and on electron transport in the intact respiratory chain. Biochim Biophys Acta. 1976;430(1):13-29. Alonso JR, Cardellach F, Lopez S, Casademont J, Miro O. Carbon monoxide specifically inhibits cytochrome c oxidase of human mitochondrial respiratory chain. Pharmacol Toxicol. 2003;93(3):142-6. Fontanesi F, Soto IC, Barrientos A. Cytochrome c oxidase biogenesis: new levels of regulation. IUBMB Life. 2008;60(9):557-68. Shah S, Pandey V, Thakore N, Mehta I. Study of 63 cases of methyl alcohol poisoning (hooch tragedy in Ahmedabad). J Assoc Physicians India. 2012;60:34-6. Jammalamadaka D, Raissi S. Ethylene glycol, methanol and isopropyl alcohol intoxication. Am J Med Sci. 2010;339(3):276-81. Sejersted OM, Jacobsen D, Ovrebo S, Jansen H. Formate concentrations in plasma from patients poisoned with methanol. Acta Med Scand. 1983;213(2):105-10. Jacobsen D, McMartin KE. Methanol and ethylene glycol poisonings. Mechanism of toxicity, clinical course, diagnosis and treatment. Med Toxicol. 1986;1(5):309-34. Bestic M, Blackford M, Reed M. Fomepizole: a critical assessment of current dosing recommendations. J Clin Pharmacol. 2009;49(2):130-7. Hall TL. Fomepizole in the treatment of ethylene glycol poisoning. Cjem. 2002;4(3):199-204. Rathi M, Sakhuja V, Jha V. Visual blurring and metabolic acidosis after ingestion of bootlegged alcohol. Hemodial Int. 2006;10(1):8-14. Suki WN, Massry SG. Therapy of renal diseases and related disorders: Springer; 1991. Kapur G, Valentini RP, Imam AA, Jain A, Mattoo TK. Serum osmolal gap in patients with idiopathic nephrotic syndrome and severe edema. Pediatrics. 2007;119(6):e1404-7. NICE. When to suspect child maltreatment. July 2009.

Discrepancy in Media Coverage Essay -- Communication, Influence on Peop

Discrepancy in Media Coverage Name: Course: College: Tutor: Date: Discrepancy in Media Coverage More boys than girls indulge in sports activities in school. This has become a huge source of concern. Male students take active part in sports activities. Girls on the other hand shun such activities. There has been a link between media coverage and the indulgence of girls in sporting activities in schools. This is primarily because; television and other media show sports as a preserve of men. As a result there are few females in the sporting activities on media. Hence female students never have role models to ape in sports. Boys find several sources of, motivation to participate in sports. However, the discrepancy in media coverage is getting better with time. There is a realization of the importance of balanced attention with regard to gender in sports programs. Therefore there are increased efforts to ensure that several sport program s show women participating in games. This will lead to a better perception of sports by girls. Eventually, girls will change their attitude about s ports. The paper takes a keen look at the entire perspective of media coverage and its corresponding effect on the participation of girls in sports activities. Media forums have always been instrumental in preparing a platform for the activities of the society. With regard to sports, it has been often been perceived as a preserve of males. Therefore, supporting programs in television and other forms of media have always featured males. Hence females have been left out. According to my experience as a specialist in the development of children, there is a need for a very positive and active partnership as far as the care of a chi... ...ke sure all of them are on the same page. To instill the culture of working together, Employers should establish that teams are groups that collaborate and share skills in effort to reach common objectives and goals that benefit the overall performance of the company. Every worker should have a different rough idea of what makes a good team. To run and operate efficiently, communication should be open between the employees and the management of the firm. When all of these are implemented, maximization of business values is almost guaranteed. Therefore, the presentation of media has a lot of influence on how people perceive reality. There have been several efforts to put an end to the discrepancy in media. As a result, there has been a significant change in the manner of presenting sports in media outlets. As a matter of fact, media discrepancy is getting better.

Post WW II and Japan Essays -- essays research papers fc

  Ã‚  Ã‚  Ã‚  Ã‚  World War II took place beginning at 1939 and ending in 1945. Japan was the last opposing country to surrender to the US Allies on September 2nd, 1945. Ending the long, horrific seven-year war.   Ã‚  Ã‚  Ã‚  Ã‚  Upon Japan’s admitted defeat, the U.S. invaded and took occupation of the country for seven years. Though assumed to be a distressing circumstance and expected total domination, it was a benefit to Japan, for the United States to take control of them, rather than being a disadvantage. The occupation helped the recovery and development of Japan’s economy and also clarified understanding between the two countries.   Ã‚  Ã‚  Ã‚  Ã‚  When the United States took control of Japan during late summer of 1945, it proved to be a milestone for the entire world. Never before had one advanced nation attempted to reform the supposed faults of another advanced nation from within (Reischauer 221).   Ã‚  Ã‚  Ã‚  Ã‚  Both countries were uneasy, complaining the regarded issue at first. For the Americans, the very notion of democratizing Japan represented a stunning revision of the propaganda they had imbibed during the war. When the media had routinely depicted all Japanese as children, savages, sadists, madmen, or robots. In the most pervasive metaphor of dehumanization, they were portrayed in word and picture as apes, or â€Å"monkey-men† (Dower 213). There was much hatred for the Japanese by the American people, because of the negative depiction of them by the media and the remembrance of the bombing of Pearl Harbor by the Japanese that drove the U.S. to declare war on Japan in the first place. Many Americans displayed extreme prejudice for the Japanese people calling them â€Å"jaundiced baboons† or the more unsophisticated racial term, â€Å"Jap.† The United States viewed Japan as a collapsing nation that needed strict guidance from them in order to ch ange into the correct form of government.   Ã‚  Ã‚  Ã‚  Ã‚  For the first time in history, Japan was a conquered nation. The slogan, which Japan used to cope during the occupation, was â€Å"enduring the unendurable.† For some Japanese people, the U.S. occupation seemed like more of the same totalitarian leadership as of the emperor, therefore was indifferent to the new order. The rest feared that the Americans would be vengeful, cruel conquerors. The wil... ...tates and Japan is certainly an impressive achievement. Due to the aid and influences contributed by the United States, Japan is now a peaceful, fully restored nation that has improved beyond expectations. The economy is one of the best in the world, and there is no longer any hostility between the two nations. America helped Japan restore its economy and society to build it into a better nation that it is today. Bibliography Perez, Louis G. The History of Japan. London: Greenwood Press, 1998. Reischauer, Edwin O. JAPAN, The Story of a Nation. New York: Alfred A. Knopf, 1970. Morton, W.Scott. JAPAN, Its History and Culture. New York: McGraw-Hill, 1994. Area Handbook Series. Japan, a country study. Washington D.C.: Library of Congress, 1992. Beasley, W.G. The Modern History of JAPAN. New York: Frederick A. Praeger, 1963. Koshiro, Yukiko. Trans-Pacific Racisms and the US Occupation of Japan. New York: Columbia University Press, 1999. Beasley, W.G. The Rise of Modern Japan. New York: St. Martin’s Press, 1995. Thomas, J.E. Modern Japan. London: Longman Singapore Publishers Pte., 1996. Dower, John W. Embracing Defeat, Japan in the Wake of World War II. New York: Norton, 1999.

Louis Pasteur in Public Health Essay

Louis Pasteur is a man of many talents; his greatest gift was his intelligence and patience without it the medical field and the public health system would not be where it is today. Through his patience and diligence Pasteur was able to make several advances in chemistry, microbiology, immunizations and preservations. In 1857 he developed the Germ Theory of fermentation and putrefaction, these theories assisted in the surgical revolution of antiseptics developed by Joseph Lister. He has laid the foundations for epidemiology and the defining rules for personnel hygiene. Many people believed that his theories were not true and hoped that he would fail however time and time again he proved them wrong. Through his studies and research Pasteur was able to positively impact the nineteenth century by the development of theories such as the Germ Theory and vaccines for several diseases such as anthrax and rabies, which led to the first successful vaccination of humans. He has shown how pathogens could be passed from animals to humans. Louis Pasteur was born in Dole, France on December 27, 1822; as the son of a tanner his father wanted him to get the education that he did not receive. He attended school at â€Å"? cole Primaire and later went to the College d’Arboix but did not finish due to be home sick. In 1842 he went on to earn his Bachelor’s degree in Science at College Royal de Besancon, from there he attended ? cole Normale to earn his Doctorate in Science focusing on physics and chemistry. (Toledo-Pereyra, 2009). In 1849 he married Marie Laurent; she bore him five children through the years, three of the passed away before reaching maturity. Even though Pasteur has been recognized for great accomplishments in the fields of physics, chemistry and microbiology he did not prosper from it. He taught at several colleges as Chemist, and later moved on to being a director or an administrator of the Department of Science. He is one of the founding fathers of microbiology. According to â€Å"Discovery of Pasteurization† (2010), â€Å"Pasteur laid the foundation for all microbiological techniques through his research on Lactic and alcoholic fermentation and defined these principles: All fermentation is caused by a microorganism, there is a particular ferment for every given fermentation, a sterile culture is required for ferment growth, the medium has to be seeded with absolute ferment particles† (Alcoholic Fermentation). Through his studies of fermentation Pasteur was able to denounce the theory of spontaneous generation. â€Å"Spontaneous generation is the supposed development of living organisms from non-living matter. † (American Heritage Dictionary, 4th Ed. ). The denouncement of spontaneous generation and studies of fermentation led to the sterilization of milk, wine and beer, which resulted in improved taste and quality; but also prevented thousands of unnecessary deaths. This process was later named after him and was called pasteurization which is the heating of beverages or food to kill living organisms to prevent spoilage. In 1857 he developed the Germ Theory of fermentation; later named the Germ Theory of disease, this led to Joseph Lister’s development of antiseptics that is now used for surgeries. As Pasteur continued to study micro-organisms he began to take on animal diseases. Through his studies he was able to develop several vaccines and eradicate rabies, also he was able to successful vaccinate human’s from the rabies disease. He was first called upon to investigate the disease of silkworms, which almost devastated the silkworm industry. His studies showed that the worms disease was caused by shiny corpuscles†; an unattached body cell, â€Å"which he later discovered was hereditary and contagious,† (Discovery of Pasteurization, 2010) and soon began suggesting new hygienic measures to properly cultivate the silkworms. Without delay he started to tackle more animal disease specifically Chicken Cholera and Anthrax which were occurring around the same time. Anthrax was slaughtering farm animals mostly, sheep; through investigations of healthy and diseased animals he was able to cultivate a vaccine to control the bacteria. Toledo-Pereyra, 2009), and he did the exact same thing with Chicken Cholera. In 1881 Pasteur began the study of the viral disease called rabies. Rabies attacks the central nervous system of warm blooded animals including humans. According to (Harrigan, 2011). â€Å"Animal symptoms may have the appearance of being sick, crazed, act vicious or may be over friendly, docile, and confused. Human symptoms may be pain or tingling sensation from the bite site, high fever, confusion, seizures and coma. Once an animal or individual is infected and they show signs of symptoms they rarely live. †(Symptoms). Pasteur began his investigations by studying â€Å"infected rabies animals to get an understanding of the disease’s cycle. He discovered that the spinal cords of dying rabbits with rabies could be kept no infected by maintaining them in a sterile, dried air for two weeks. He developed a system of various concentrations of inoculated material; he was able to protect the animals. (Toledo-Pereyra, 2009). According to Encyclopedia of World Biography (2011) On 1885 Pasteur was brought a nine-year-old boy by the name of Joseph Meister who had been badly mauled by a rabid dog, with the permission from the boys physician he administered the vaccination treatments. The child successfully recovered from the rabies virus due to Pasteur’s diligence and since of duty to his country. Louis Pasteur had different methods to help society accept his scientific theories. His most widely used was proof, he showed the people through controlled variable or environment. By letting his work speak for itself, he was able integrate is theories a lot easier. Two of Pasteur’s biggest adversary’s was â€Å"Justus Liebig he tried to disprove Pasteur’s theory on spontaneous generation and the theory of fermentation; and Felix Archimede Pouchet whom questioned his theory of spontaneous generation. †(Schwartz, 2001). He was able to hold his own through methodological research, experimentation, and documentation to prove that his theories were the most accurate. As a testament to time Pasteur’s efforts to rid the world of diseases such as Rabies, Anthrax, and Cholera his theories have rang true. His studies of fermentation, putrefaction and spontaneous generation have led society to be a more hygienic and sufficient place. There are healthier people in the world today, because of his efforts to help people live and for them to understand what was going on despite centuries of beliefs. If it was not for Louis Pasteur the medical profession would have probably just getting to understanding the life of a microorganism. Pasteur has influenced countless people through his work because of the way he presented, explained and proved it. His studies helped Joseph Lister in the surgical field, by showing that there are micro-organisms that are in the air which causes contamination of the wounds. According to New world of Encyclopedia (2008)â€Å"The young boy whose life was saved by Pasteur’s vaccine for rabies worked at the Pasteur Institute, Meister was ordered by German forces occupying Paris to open his crypt, but he committed suicide rather than comply. † The impact the Pasteur had has been greatly felt throughout the world, without his perseverance the world would not be where it is today in regards to the medical field and public health. His desire to understand why things happened and how they happened influenced people to work with his drive, and determination. Pasteur’s willingness to accept change despite the fear it may cause, has shown us that just because something has been thought for centuries does not make it right, and if you do not believe in something find a way through scientific experimentation to be able to disprove it or show that it is right. For almost every experiment that was used to show the population that it was true he did it publicly for all eyes to see so that there was no doubt, and to prove that change is can be good. Louis Pasteur was a great chemist, physicist, and above all else a great teacher. He taught the world that just because you do not see it, does not mean that it is not there. Through his microscope he was able to make drinks healthier, formulate vaccines, and eradicate some the worst diseases that was known to man. Pasteur’s influences have touched each and everyone in some way shape or form. Even though he was doubted and criticized he still did not stop trying to make this world a better place. This man is truly a Public Health figure for all time.