Shock And Anaphylactic Shock

Shock And Anaphylactic Shock Shock is a medical emergency in which the organs and tissues of the body are not receiving a sufficient flow of blood. This deprives the organs and tissues of oxygen (which is carried in the blood) and allows the buildup of waste products. Shock can result in serious damage or even death. (Shock, 2008) Shock is usually caused by three major categories of problems: cardiogenic (problems associated with the heart), hypovolemic (total volume of blood available to circulate is low), and septic shock (infection in the blood). Cardiogenic shock can be caused by any disease which prevents the heart muscle from pumping strongly enough to circulate the blood normally. Heart attack, disturbances of the electrical rhythm of the heart, and any kind of mass which interferes with flow out of the heart are all things that affect the hearts ability to pump a normal quantity of blood. Hypovolemic shock happens when the total volume of blood in the body falls well below normal. This can happen when there is excess fluid loss, as in dehydration due to vomiting or diarrhea, diseases which cause excess urination (diabetes insipidus, diabetes mellitus, and kidney failure), extensive burns, blockage in the intestines, inflammation of the pancreas (pancreatitis), or severe bleeding anywhere in or througho ut the body. Septic shock can occur when an untreated or inadequately treated infection is allowed to grow in the body. Bacteria often produce toxins which can cause injury throughout the body. When large quantities of these bacteria, and the toxins, begin circulating in the bloodstream, every organ and tissue in the body is at risk of their damaging effects. The most damaging consequences of these bacteria and toxins include poor functioning of the heart muscles, widening of the diameter of the blood vessels, drops in blood pressure, activation of the blood clotting system that causes blood clots, followed by uncontrollable bleeding, damage to the lungs, causing acute respiratory distress syndrome, liver failure, kidney failure, and coma. (Weil, 2007) Treatment of shock includes keeping the patient warm, with legs raised and head down (to improve blood flow to the brain), putting a needle in a vein in order to give fluids or blood transfusions, giving the patient extra oxygen to breathe, medications to improve the hearts functioning, and treating the underlying condition which led to shock. The most preventable type of shock is caused by dehydration during an illnesses with severe vomiting or diarrhea. Shock can be avoided by realizing that a patient who is unable to drink needs to be given fluids intravenously. Other types of shock are only preventable by preventing the underlying conditions, or monitor and manage those conditions well enough so that they never progress to the point of shock. An anaphylactic shock is a rapidly progressing, life-threatening allergic reaction. This allergic reaction can start within seconds of exposure, and rapidly develop to cause airway constriction, skin and intestinal irritation, and abnormal heart rhythms. An anaphylactic shock is caused by the release of histamine and other chemicals from mast cells. Mast cells are a type of white blood cell and they are found in tissues that regulate exchange with our environment. Mast cells have antibodies called IgE (immunoglobulin type E). IgE are made to detect environmental substances to which the immune system is sensitive. A substance that most people can tolerate, but others have an allergic response, is called an allergen. When IgE antibodies come together with allergens, they cause the mast cells to release histamine and other chemicals, which mix into all of the bodys cells. This causes your bodys vessels to leak fluid into surrounding tissues, causing the fluid accumulation, redness, and swelling. On smooth muscle cells of the airways and digestive system, they cause constriction. On nerve endings, they cause itching. (Molle, Durham, Kronenberger, West-Stack, 2004) In an anaphylactic shock, the life threatening response is due to extreme hypersensivity to the allergen. Exposure by ingestion, inhalation, or skin contact causes anaphylaxis. Specific causes are fish, shellfish, nuts, stings of bees, wasps, or hornets, vaccines, antibiotics, insulin, hormones, aspirin and latex. Symptoms of an anaphylactic shock are hives, swelling of the tongue or mouth swelling of sinuses, difficulty breathing, wheezing, cramping, vomiting, diarrhea, anxiety, confusion, high BP, or loss of consciousness. Emergency treatment of anaphylaxis involves injection of epinephrine which helps constricts blood vessels and counteracts the effects of histamine. Oxygen can be given. Antihistamines can be used for skin rash, and amino-phylline for bronchial constriction. If the airway is obstructed, placement of a breathing tube would be needed as well. (Molle, Durham, Kronenberger, West-Stack, 2004) The prognosis of an anaphylactic shock depends on how quickly emergency medical attention is given. However, death is possible from severe anaphylaxis. For those who receive rapid treatment, speedy recovery is likely. The only reliable method of preventing an anaphylactic shock is complete avoidance of the allergen. For insect allergies, it is recommended to learn nesting sites and habits. To prevent food allergies, have knowledge of prepared foods or dishes in which the allergen is likely to be present and careful observations and questioning about ingredients when dining out. Also, use of a Medi-Al ert tag listing drug allergies is vital to prevent unintentional administration of drugs during a medical emergency. People prone to anaphylaxis should carry an Epi-pen that contains adrenaline for immediate injection. In conclusion, both shock and anaphylactic shock are extreme medical emergencies that should be handled with effectiveness and precision. It is crucial for the medical professional to be educated on the steps needed to respond to this emergency. Additionally patients should be educated on steps to prevent these shocks, and how to properly contact medical personnel.

The Theory Of Storage :: essays research papers

The Theory of Storage THE THEORY OF STORAGE. â€Å"THE SUPPLY OF STORAGE REFERS NOT TO THE SUPPLY Of STORAGE SPACE BUT TO THE SUPPLY OF COMMODITIES AS INVENTORIES. IN GENERAL A SUPPLIER OF STORAGE IS ANYONE WHO HOLDS TITLE TO STOCKS WITH A VIEW TO THEIR FUTURE SALE, EITHER IN THEIR PRESENT OR IN A MODIFIED FORM. SINCE PRODUCTION IS NOT STABLE FOR ALL COMMODITIES ESPECIALLY ARGICULTURAL CONSUMERS DEMAND THAT THE STORAGE FUNCTION BE SO PERFORMED THAT THE FLOW OF COMMODITIES FOR SALE WILL BE MADE RELATIVELY STABLE." (BRENNAN P. 51) "the theory purports to provide an explanation of the holding of all stocks, including those for which there is not an active future market. it will be shown that, on the supply side, in addition to the marginal expenditure on physical storage and the marginal convenience yield another variable, a risk premium, is required to explain the holding of stocks as functions of price spreads. in the empirical part of the study the theory will be applied to stocks of several agricultural commodities. the risk premium for each commodity will be measured residually under specified conditions by deducting form the price spread between two periods the other two components of the marginal cost of storage." (brennan p.50) IN GENERAL WE CAN OBTAIN A MEASURE OF THE RELATIVE RISK PREMIUMS INVOLVED IN THE STORAGE OF DIFFERENT COMMODITITES. "allen Paul, in a 1970 American journal of agricultural economics article, studied the pricing of grain storage space in the u.s. during the surplus period of the 1950s and 1960s. Paul's work differs from other works in that he investigates the pricing of all grain storage not just that available to a particular commodity. While brennan's marginal storage cost is from the point of view of the owner of the grain, Paul is looking at the first component only.

Brief Gonzales V. Raich

The case entitled ALBERTO R. GONZALES, ATTORNEYT GENERAL, et al. , PETITIONERS v. ANGEL McCLARY RAICH et al had the case no 03 – 1454. This was a case filed in the United States of America Supreme Court. The case was formerly known as the Ashcroft v. Raich. Substantive Facts The respondents, before the case was filed were growing and consuming cannabis. This is in accordance with the fact that they use the marijuana for medical purpose.The growing and consumption activities were authorized by the state of California; the Controlled Substances Act of the federal government had confiscated the medicines and drugs that were derived from the marijuana plants. Because of the confiscation of the drugs that were from marijuana, the respondents had posted a claim that the infliction of the CSA against them is a violation in the Commerce Clause. The inflictions also had violated the Due Process Clause of the Fifth Amendment including the 9th and 10th amendments.Medical necessity is als o claimed to be violated with the inflictions of the Controlled Substance Act (AudioCaseFiles, 2007). It was noted that California is a state wherein the use of marijuana for medical purpose is allowed. Without the drugs derived from marijuana, there would be so much pain experienced by the patients and death could result from those pains. Procedural History Angel Raich together with her companions in the field of medicine had sued the government because of the interference done by the federal government to their endeavor of using marijuana for medical purposes.Their claim is that the federal government had violated the constitution since it is constitutionally right to use marijuana for it (marijuana) was permitted to be used within the premises of the California State. Moreover, the claim included that the marijuana used by the California’s Medical co-ops are not in the name of commerce, nor did they bought the drugs from other states. Thus, the resources used for growing t he marijuana plants were only obtained within the premises of the State of California.Another claim from the Angel Raich was that she had used marijuana to prevent herself from dying because her doctor had claimed that she has allergies to the medicines she was prescribed. The federal government on the other hand claims that it was written in the Controlled Substances Act that it does not permit the legal use of marijuana in terms of medical purposes. Moreover, when the California State will not cease in using marijuana, it would be unfair for the other states not to also use marijuana for medical purpose.Their claim is not to permit exemption in using marijuana as stated in the US Federal Law. Broad and Narrow Holdings There is a general rule in the Constitution of the United States of America that the constitution is not allowing or permitting police powers to be carried by the federal government. But it was also stated in a clause in the US Constitution that it the federal govern ment will have this limited power in terms of commerce regulation in other countries and within the several states of the country. The clause that had given a limited power to the federal government is the Commerce Clause.As written in the history of the Commerce Clause, the federal government did only a very little interference with the activities done in the states of the country. The case of Angel Raich is quite simple not like the several cases filed in the Cumpreme Court of the United States. It was very clear that there was no commerce that had undergone in the course of the marijuana usage by the California Medical Co-op. All the activities done by the Raich and company had been within the California State and it was clear that the drugs were purely used for treating illness and diseases, specifically used also by Raich (Guither, 2007).Doctrinal and Policy Reasoning The case of Wickward v. Filburn which is related to the wheat production was used t ocompare the Raich’s case. In the wheat production case which was also commerce related case, the farmers are regulate the production of wheat in order to have a control in the volume of wheat that is transported within the states of the country. Filburn had a process did not violate the law because he only sold a portion of his wheat and other wheat produced was used for home consumption and other purposes. Filburn had lost the case considering the unsold portion of the wheat (Guither, 2007).Miscellaneous Justice Sandra Day O'Connor who presented a dissent of the GONZALES V. RAICH case started her statement by citing come of the relevant issues that are related to the case. She had stated the action done by the Commerce Clause authority was related to the Federalism issue among the states. Federalism is the one which encourage innovation if the state of California had agreed to be the laboratory of the entire country and will have the role of doing and performing experiments and studies which would no t affect the country.It is a federal crime according to Justice O’Connor to grow marijuana in your backyard and use it for medical purposes but if the state of California was considered to be a laboratory, then the use of marijuana (for medical purposes) is not a question (Cornell University Law School, 2007). Justice Clarence Thomas had also written a separate dissent of the case. He mentioned that the cultivation as well as consumption of marijuana done by the respondents is not included running in the commerce industry since there was no production for marketing done nor the respondents had bought materials for the cultivation.Thus, there was no strong evidence that the respondents had violated the Commerce Clause or even any law that was listed in the Constitution. The federal government in return should not have prohibited such activities (Cornell University Law School, 2007). Literature Cited: AudioCaseFiles. (2007). Gonzales v. Raich. Retrieved September 12, 2007 from http://www. audiocasefiles. com/cases/detail/case/8834/ Cornell University Law School (2007). Supreme Court Colloection; GONZALES V. RAICH (03-1454) 545 U. S. 1 (2005) 352 F. 3d 1222, vacated and remanded. Retrieved September 12, 2007 from http://www.law. cornell. edu/supct/html/03-1454. ZD1. html Cornell University Law School (2007). Supreme Court Colloection; GONZALES V. RAICH (03-1454) 545 U. S. 1 (2005) 352 F. 3d 1222, vacated and remanded. Retrieved September 12, 2007 from http://www. law. cornell. edu/supct/html/03-1454. ZD. html Curtis, Parker, Douglas, Finkleman (2007). Constitutional Law in Context. Volume 1. Second Edition. Guither, Pete. (2007). Raich v. Ashcroft – A Guide to the Supreme Court Case. Drug Warrant. com. Retrieved September 12, 2007 from http://blogs. salon. com/0002762/stories/2004/11/23/raichVAshcroftAGuideToTheS. html

The Night Battles and Peasants of Early Modern Europe

The Night Battles Composing of most of the European population in the 1500’s and 1600’s, peasants played an important role in the development of Europe. In his book The Night Battles, Carlo Ginzburg gives a unique perspective on the lives of Friulian peasants through the analysis of inquisitorial records. During the inquisitions, peasants were categorized as witches or benandanti, which literally means well-farer. â€Å"The benandanti were a small group of men and women, who because they were born with a caul, were regarded as professional antiwitches. They told inquisitors that, in dreams, they fought ritual battles against witches and wizards to protect their villages and harvests from harm.† (Ginzburg. Back Cover) Although the lives of the†¦show more content†¦23) The lives of most peasants from the early modern period also depended on agriculture, as most lived on farmland and depended on a good harvest for money and freedom. However, in order to protect their crops, the early modern peasant depended on farming techniques and tools such as the â€Å"three-field system† and innovations such as the use of mills and metal harvesting. (Merriman. 15) Although their ways of taking care of their crops differed, nonetheless, agriculture was perhaps the single most important part of a peasant’s life. Two similarities between the Friulian benandanti and the average peasant of the early modern period, is the fact that they are both uneducated and subsequently influenced very easily. These two things come hand-in hand, as the education level of peasants made it easy for them to be influenced. Early modern peasants contributed greatly to the rise of the Renaissance and the Reformation particularly because of their vulnerability to outside influences. Although education was limited for the upper class during the Renaissance, and books were limited, the minds of Christian peasants were also subjected to change during the time. This was no different for benandanti peasants who according to Ginzburg were also introduced to humanism. Peasant, Niccolo Pellizzaro was condemned in 1595 for saying that â€Å"the benedictions which priestsShow MoreRelated Historical References to Faust Essay1693 Words   |  7 Pagesan incredibly popular collection of (barely believable) anecdotes and stories about him called Volksbuch, which was published in 1587. The Volksbuch was an important source of inspiration to Goethe and other authors as they wrote about Faust. 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