...diseases may be transmitted via contact from person to person, or caused by bites from insects or animals (Mayo Clinic, 2013). Signs and symptoms may vary but very often include fever and chills (Mayo Clinic, 2013). The communicable disease chosen for this paper is chickenpox or varicella. Varicella is an infection caused by a virus called varicella zoster virus or VZV (CDC, 2012). The mentioned infection also is well known by herpes zoster and dates to the ancient civilizations; it was reported in 1888 that a relation between herpes zoster and chickenpox was suggested (PubMed, 2000). In 1954, Thomas Weller isolated the VZV virus from the fluids contained in the vesicles of both chickenpox and herpes zoster lesions in cell culture (CDC, 2012). In the 1970 a varicella vaccine was developed in Japan (CDC, 2012). The vaccine was licensed to use in the United States of America in 1995, and the vaccine that helps reduce the risk of herpes zoster was licensed in 2006 (CDC, 2012). VZV is a DNA virus and one of the herpes virus group, VZV persists in the body after the first infection, that results of chickenpox, while herpes zoster is the result of recurrent infection (CDC, 2012). What are the signs of varicella and herpes zoster? Chickenpox infection in most cases lasts about five to ten days; rash is the main characteristic of the disease, other symptoms may be noticed one to two days prior to the appearance of the rash, such as fever, headache, loss of appetite, and general...
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...Grand Canyon University: NRS-427V 11/23/13 “In 1895 varicella infection (chickenpox) was not reliably distinguished from smallpox until the end of the 19th century. The first vaccine to reduce the risk of herpes zoster was licensed in May 2006.” (Center for Disease Control and Prevention, 2013) Chickenpox is a highly infectious childhood disease. Varicella zoster virus causes chickenpox, and also shingles. When infected with chickenpox the most well-known symptom are the skin lesions present that appear on the torso then spreading to the rest of the body in rapidly, can take a couple of hours. The skin lesions that are present occur in the stages of macule, vesicle, and granular scabs, the size varies from one to four mm. It only takes a few hours for the first step, macule lesions to spread from the torso which is where the most of the fluid filled vesicles are seen, then to the rest of the body such as the mucous membranes, arms, legs, mouth, head, upper respiratory tract, vaginal/penis areas, and even the conjunctivae/ cornea. The vesicle stage of chickenpox happens when the lesions which resemble blisters can appear raised or depressed in appearance, and the third stage occurs when the blisters open, then dry and become scabs. Approximately by the third day of having chickenpox it is common to see all three of the different stages of vesicles at the same time. The skin lesions commonly two hundred to five hundred are referred to as one crop, with chicken pox...
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...health problems (Farlex Partner Medical Dictionary, 2012). Epidemiology can be applied to any disease. It has helped to develop the methodology used in research and public health. For the purpose of this paper, we will explore the childhood illness chickenpox, the factors that contribute to it’s development, the epidemiological triangle, and the role of the community health nurse as related to reporting and follow-up of cases. Description of Chickenpox Chickenpox, also known as varicella, is a highly contagious viral illness caused by the herpes virus, HHV3.4 or varicella zoster virus (Lowth, 2013). Chickenpox is mainly considered a childhood illness but can affect anyone at any age. Symptoms In children the illness generally begins with fever and malaise followed by development of papules on the skin. The day following the first fever a rash often appears on the face and scalp. Within the next 24 hours more papules appear as the first ones turn into vesicles. The rash generally will spread to the trunk, abdomen and limbs. Vesicles can be so few that they go unnoticed and leave the virus undiagnosed or they can cover the entire body including the mucous membranes. The course of the disease is generally seven to ten days from the initial fever to the crusting of the last vesicle. Mode of Transmission The varicella zoster virus is spread by droplet contact when a person with chickenpox breathes, cough, sneezes, laughs, or even speaks. Droplets of saliva infected with the...
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...Epidemiology: Chickenpox The Varicella-Zoster virus causes a very infectious disease called Chickenpox. Chickenpox is usually acquired through the inhalation of airborne respiratory droplets from an infected host. Chickenpox is primarily acquired during childhood , with more than 90% of all reported cases occurring in children under the age of 10. A person with chickenpox can spread the virus without even showing any signs or symptoms. It is usually most easily transmitted two to three days before a rash appears and keeps that high transmission rate until the blisters have crusted over. The following paper provides a detailed description of Chickenpox and the determinants of health contributing to the development of the disease. The epidemiologic triangle is used to explain the relationships among an agent, a host and the environment. The paper also addresses the role of the community health nurse in Chickenpox management and discusses the role of one national organization in the fight against the spread of Chickenpox. Description of Chickenpox Chickenpox is an infection caused by the Varicella-Zoster virus. It is considered contagious and is characterized by a itchy rash and appears like blisters all over the body . It occurs most frequently in children between the ages of five and eight years old and is transmitted so easily that the majority of the population will catch the disease at some point in their childhood. Chickenpox can be transmitted by coming into contact...
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...by a virus called varicella-zoster which has a resemblance with the herpes virus. It can be transmitted through close contact with the fluids from the blisters or through air wherein the virus is disseminated by coughing or sneezing. Chickenpox is regarded as highly communicable for individuals who are exposed to the disease for the first time has an 80% risk of acquiring the disease through close contact of an infected individual. As claimed by the Pub Med Health, “most children with chickenpox exhibit symptoms like fever, headache, stomach ache, loss of appetite, or presence of small, fluid-filled, itchy, red spots over the skin.” At the time when the chickenpox blisters has dried and formed scabs is the point where the individual isn’t contagious. Each and every individual is at risk of being infected by chickenpox – no exception. It is known to have life threatening effects. As the Directors of Health Promotion and Education states, “in the United States, 4,000 to 9,000 individuals are hospitalized annually with chickenpox, with approximately a hundred casualties. Those at highest risk for complications are newborns, individuals with compromised immune system, and adults.” As chickenpox is caused by a virus, it has no cure and the virus would remain in our system for a lifetime even after we’ve done exhibiting the signs and symptoms of the illness. Furthermore, the virus can induce another kind of illness called shingles. As the varicella-zoster virus shifts into the skin...
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...Communicable Disease Paper Maria G. Sanchez HCS/457 June 29, 2015 Charlotte A. Ferrell Communicable Disease Paper One of the many highly communicable diseases is chickenpox. This communicable disease is caused by varicella-zoster virus (VZV) which has a resemblance with the herpes virus. It can be transmitted in two ways, one through direct contact with the fluids from the blisters, mucus, or saliva and second through air where the virus is disseminated by coughing or sneezing. A person who has chickenpox can spread the virus even before he or she has any symptoms. Chickenpox is regarded as highly communicable for individuals who are exposed to the disease for the first time nor have been vaccinated against it. They have an 80% risk of acquiring the disease through close contact of an infected individual. As claimed by the Pub Med Health, “most children with chickenpox exhibit symptoms like fever, headache, stomach ache, sore throat, loss of appetite, or presence of small, fluid-filled, itchy, red spots over the skin.” Chickenpox causes a red, itchy skin rash that usually appears first on the abdomen or back and face, and then spreads to almost everywhere else on the body, including the scalp, mouth, arms, legs, and genitals. At the time when the chickenpox blisters has dried and formed scabs is the point where the individual isn’t contagious. Chickenpox is normally a mild disease. Each and every individual is at risk of being infected by chickenpox – no exception. It is known...
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...Benchmark Assignment: HIV Epidemiology Paper Dawn Hickey-Johnson Grand Canyon University Benchmark Assignment: HIV Epidemiology Paper “The global trends and adverse health impact of HIV, viral hepatitis, STIs, and TB remain among the major and urgent public health challenges of our time. These conditions account for substantial morbidity and mortality, with devastating fiscal and emotional costs to individuals, families, and societies. Despite decades of investment and support, the U.S. still experiences a disproportionate burden of these conditions compared with other Western industrialized nations, with substantial health disparities being observed across population subgroups and geographic regions.” (Hazel D. Dean, ScD, MPH Kevin A. Fenton, MD, PhD, 2010) This paper will focus specifically on HIV/AIDS. “ Genetic research indicates that HIV originated in west-central Africa during the late nineteenth or early twentieth century. · AIDS was first recognized by the U.S. Centers for Disease Control and Prevention in 1981 and its cause, HIV, identified in the early 1980s. ("STOP AIDS," 2009) Acquired Immune Deficiency Syndrome(AIDS) is a disease caused by the Human Immunodeficiency Virus (HIV). HIV attacks the human immune system, and progressively reduces its effectiveness, leaving the host susceptible to opportunistic infections and tumors. Due to the extended incubation period, the time between being infected with the virus and the manifestation...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...Preface A well-developed knowledge of clinical microbiology is critical for the practicing physician in any medical field. Bacteria, viruses, and protozoans have no respect for the distinction between ophthalmology, pediatrics, trauma surgery, or geriatric medicine. As a physician you will be faced daily with the concepts of microbial disease and antimicrobial therapy. Microbiology is one of the few courses where much of the "minutia" is regularly used by the practicing physician. This book attempts to facilitate the learning of microbiology by presenting the information in a clear and entertaining manner brimming with memory aids. Our approach has been to: 4) Create a conceptual, organized approach to the organisms studied so the student relies less on memory and more on logical pathophysiology. The text has been updated to include current information on rapidly developing topics, such as HIV and AIDS (vaccine efforts and all the new anti-HIV medications), Ebola virus, Hantavirus, E. coli outbreaks, Mad Cow Disease, and brand-new antimicrobial antibiotics. The mnemonics and cartoons in this book do not intend disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts...
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...Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ..........................................................................................
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...Part II POLICIES AND PROCEDURES FOR THE PHYSICIANS’ INJECTABLE DRUG LIST GEORGIA DEPARTMENT OF COMMUNITY HEALTH DIVISION OF MEDICAL ASSISTANCE PLANS Published October 1, 2013 PREFACE The Physicians’ Injectable Drug List (PIDL) manual contains basic information regarding Georgia’s Fee for Service (FFS) Medicaid and PeachCare for Kids programs and should be used in conjunction with Policies and Procedures Manual for Medicaid and PeachCare for Kids Part I, Part II Policies and Procedures Manual for Physician Services, and other applicable program manuals. We urge you and your office staff to familiarize yourselves with the contents of this manual and refer to it when questions arise. Use of the manuals will assist in the elimination of misunderstandings concerning the coverage levels and billing procedures that can result in delays of claims processing or payments, inaccuracies and/or denials. The PIDL is reviewed and updated quarterly, it is re-priced annually. Drugs that are not re-priced by the manufacturer or are no longer manufactured, or obsolete may not be re-priced or changed— refer to the Schedule of Maximum Allowable Payments (Appendix A) in this manual. For quality purposes, the PIDL is periodically purged of drugs with no or low (fewer than 50 units of service annually) utilization over a three (3) year period; except for orphan drugs and certain chemotherapeutic agents. Requests for coverage of purged drugs will be considered on a case-bycase...
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...A PROJECT REPORT ON MARKETING RESEARCH &SALES PROMOTION WITH REFERENCE TO CIPLA LTD [pic] A PROJECT REPORT SUBMITTED TO THE Osmania University Hyderabad in partial fulfillment for the award of the degree of MASTER OF BUSINESS ADMINISTRATION Submitted BY M.RAMBABU (Roll No: 04808140) DEPARTMENT OF MANAGEMENT STUDIES St.Mary’s P.G COLLEGE Deshmukhi, Nalgonda Dist Andhra pradesh (2008-2010) A PROJECT REPORT STUDY ON MARKETING RESEARCH & SALES PROMOTION Submitted BY M.RAMBABU [Roll. No: 04808140] St.Mary’s P.G COLLEGE Deshmukhi, Nalgonda Dist Andhra Pradesh. In partial fulfillment for the award Of Master of Business Administration DEPARTMENT OF MANAGEMENT STUDIES St.Mary’s P.G COLLEGE Deshmukhi, Nalgonda Dist Andhra pradesh (2008-2010) DECLARATION I here by declare that the project titled “marketing research &sales promotion WITH SPECIAL REFERENCE TO CIPLA LTD”, HYDERABAD, submitted to ST.MARY’S P.G COLLEGE, in partial fulfillment of the requirement for the award of the degree of “Master Of Business Administration” DATE: PLACE: (M.RAMBABU) ACKNOWLEDGEMENT The satisfaction and euphoria that I feel after the successful completion of my project would be incomplete...
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...NINTH EDITION Burton’s MICROBIOLOGY FOR THE HEALTH SCIENCES Paul G. Engelkirk, PhD, MT(ASCP), SM(AAM) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biology Department Temple College, Temple, TX Janet Duben-Engelkirk, EdD, MT(ASCP) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biotechnology Department Temple College, Temple, TX Acquisitions Editor: David B. Troy Product Manager: John Larkin Managing Editor: Laura S. Horowitz, Hearthside Publishing Services Marketing Manager: Allison Powell Designer: Steve Druding Compositor: Maryland Composition/Absolute Service Inc. Ninth Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business © 2007 Lippincott Williams & Wilkins, © 2004 Lippincott Williams & Wilkins, © 2000 Lippincott Williams & Wilkins, © 1996 Lippincott-Raven, © 1992, 1988, 1983, 1979 JB Lippincott Co. 351 West Camden Street Baltimore, MD 21201 Printed in the People’s Republic of China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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