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Necrotizing fasciitis
Treatment for antibiotic resistance
Necrotizing fasciitis late stages
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Some call it “horror'; and some call it “the super germ';, but now, our always known “regular'; bacteria, those one-celled creatures once considered under control with antibiotics, have invaded our hospitals and headlines with a vengeance. The vengeance used against us is caused by an existing organism called necrotizing fasciitis, the so-called flesh-eating bacteria, caused by Group A streptococcus. What this organism does is progressively destroy the human body tissue all the way to the bone. This organism has amazingly outsmarted us of even our most potent drugs.
In our community right now, medical researchers are testing antibiotics that may have chemicals to disable the resistance of this organism. But while research continues, it is vital to be aware of how these deadly germs spread and what we can do to prevent them.
Long before humans discovered antibiotics, they existed in nature. So naturally, after penicillin was introduced, some germs were already naturally resistant to the drug. As we used more and more of the antibiotics, we incidentally caused drug-resistant germs to progress. So, even if you’ve never misused antibiotics, you could still become infected by bacterium most drugs won’t kill. For each drug, there are germs genetically programmed to survive- some w/ outer walls tough for antibiotic to cross, others with ways to dump the drugs back out before they can work, and yet others can inactivate the antibiotic. Even worse, by passing tiny packets of genetic material to other bacteria, these survivor germs sometimes also pass the formula for resistance to the other bacteria. The best way you can protect yourself and your family against drug-resistant bacteria is by using antibiotics correctly. Taking them when they’re not needed encourages the takeover of drug-resistant strains in your body. (Redbook, pg.95) That’s because when antibiotics are given, the normal bacteria in your body are killed off, leaving lots of bacterial “parking spaces'; open. And the germ left to fill them is the drug-resistant ones. (Redbook, pg.95) So far, antibiotic resistance has not been a big problem with streptococcus A, the germ familiar to all of us for causing millions of cases of strep thr...
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...k two nurses to change the dressing- one to lift the folds of skin and the other to pack the wound. Continuing to mark the date and the margins of the wound, Katie’s nurses and doctors were hoping for a survival. Nutritional support at this point was entered via gastrointestinal tubing and by this time Katie was going through major psychological wounds that needed healing as well. Sadly the doctors were not able to prepare Katie to go home. Despite fasciotomy and the surgery, her infection continued aggressively. Her wound after surgery had a foul-smelling drainage, which increased in amount every day. Local cellulitis developed at the IV site on her arm. Just 10 days after the first surgery she underwent a second infection spreading around her hip area. Despite all efforts by Katie and the hospital staff, she died of septic shock and multisystem organ failure after 30 days in intensive treatment. Although flesh-eating disease is always life threatening and in most cases results in a fatality, it doesn’t have to have an unhappy ending if you use prompt recognition and go to clinical expertise within the first sign of the disease. Don’t let it get you!
E. Coli 0157, written by Mary Heersink, is a nerve-racking, adrenaline-filled story of a mother's experience with a then unknown deadly bacteria. The book brings up many reactions in its readers, especially the questioning of the practice of doctors in hospitals. The reader's knowledge base of scientific procedures in emergency centers was widened as well as the knowledge of how to the human body reacts to different agents in its system.
The Underground Railroad was an escape network of small, independent groups of individuals bound together by the common belief that enslaving a human being was immoral. A loosely structured, informal system of people who, without regard for their own personal safety. Conducting fugitives from slavery to free states, and eventually to Canada where they could not be returned to slavery was a dangerous undertaking.
In the documentary, Hunting the Nightmare Bacteria, reporter David Hoffman investigates this new untreatable infection along two individuals and a bacterial virus within a hospital. The first individual Hoffman investigates is Addie Rerecich of Arizona, she was treated for a staph infection with antibiotics, but other complications arise. Addie had a lung transplant, she was given several different antibiotics, but her body became pan-bacteria, non-resistance to the bacteria. Addie’s life was on the edge, she had to be on life support, and finally she received new lungs. The transplant helped Addie but it would take years before could go back to normal before the infection. The second individual is David Ricci; he had his leg amputated in India after a train accident. The antibiotic treatment he received became toxic to his body increasing problems. While in India, he underwent surgery almost every day because of infections he was developing. Back in Seattle, doctors found the NDM-1 resistance gene in his body; NDM-1 gene is resistance to almost all antib...
The Underground Railroad was large group of people who secretly worked together to help slaves escape slavery in the south. Despite the name, the Underground Railroad had nothing to do with actual railroads and was not located underground (www.freedomcenter.org). The Underground Railroad helped move hundreds of slaves to the north each year. It’s estimated that the south lost 100,000 slaves during 1810-1850 (www.pbs.org).
The Underground Railroad was not a real railroad with a train but a network of meeting places in which African slaves could follow to Canada where they could free. Those who helped were at risk of the law but got the satisfaction of knowing that they were helping those who did not deserve to be treated like less than everyone else. People who escaped had to take care, they were creative with giving instructions and the way they escaped their owners but if they were caught the punishment was not very humane.
The life of a plantation mistress changed significantly once her husband left to join the Southern army. A majority of them stayed right on the land even if they were rich enough to move to a safer place. While there, the women and children would do a plethora of things: plant gardens, sew, knit, weave cloth, spin thread, process and cure meat, scour copper utensils, preserve and churn butter, and dip candles. Another important chore for a plantation mistress was caring for all the slaves. This included providing food, clothing, shelter, and medical care.1 Since money was scarce, "everything was made at home" according to one Southern woman. In a letter to her sister, she added that they "substituted rice for coffee . . . honey and homemade molasses for sugar . . . all we wore was made at home. Shoes also. You would be surprised to see how neat people looked."2 Even a ten-year-old girl wrote in her diary how she would have to go to work to help her mother: "Mama has been very busy to day and I have been trying to help her all I could." This same little girl cooked for her family and cared for her little sister while her mother was busy keeping the plantation alive. 3 Not only did the women stay busy trying to keep...
The first documentation of the name Underground Railroad is from the year 1831 and in one case, attributed to the owner of a former slave, Tice David. David successfully gained freedom by traversing along small creeks, rivers, and dense woods and his owner finally gave up searching for him. Upon returning to Kentucky, Tice David’s former slave-owner announced, “He must have gone on an underground road” (America’s Civil War, 42). Another name given to the Underground Railroad was the Freedom Train (National Underground Railroad Freedom Center) and Harriet Tubman was inarguably one of the most famous conductors on this train, leading thousands of slaves to their freedom in the north.
Necrotizing Fasciitis (flesh eating bacteria ) from an essay by Katrina Tram Duong, edited by S.N. Carson M.D.
Although not "underground" nor a "railroad," this informal system became a loosely constructed network of escape routes that originated in the South, intertwined throughout the North, and eventually ended in Canada and other places where runaways were safe from being recaptured. From 1830 to 1865, the Underground Railroad reached its peak as abolitionists who condemned human bondage aided large numbers of slaves to freedom. They not only called for an end to slavery, but acted to assist its victims in securing freedom. Unlike other organized activities of the abolition movement that primarily denounced human bondage, the Underground Railroad secretly resisted slavery by aiding runaways.
Gender in society has changed. In our present generation, women are displeased with the fact that society does not want them to do men’s work or labor, but during the 1800s, women would do anything to be relieved of the hard labor they endured. Labor is a productive activity, especially for the sake of economic gain. This definition alone describes the drive of plantation owners in Antebellum Georgia, economic gains. As readers there must be an understanding that labor is divided into skilled and unskilled labor. These two distinct types of labor determined who worked, how hard they worked, and what workers received in return. Plantation owners wanted not only the best slaves, but slaves that could make them a better profit. Here is where Gender comes into play. In Swing the Sickle for the Harvest is Ripe, Diana Berry suggests that gender disappears, which is true, but is only true during unskilled labor. During unskilled labor tasks men and women worked together day in and day out to maintain cotton and rice plantations, of which Georgia held the title as the leading producer. The women being more efficient and most commended for their labor in the fields , put in
The Underground Railroad, a term that have been used dating back as early as the1830s.
The Underground Railroad despite occurring centuries ago continues to be an “enduring and popular thread in the fabric of America’s national historical memory” as Bright puts it. Throughout history, thousands of slaves managed to escape the clutches of slavery by using a system meant to liberate. In Colson Whitehead’s novel, The Underground Railroad, he manages to blend slave narrative and history creating a book that goes beyond literary or historical fiction. Whitehead based his book off a question, “what if the Underground Railroad was a real railroad?” The story follows two runaway slaves, Cora and Caesar, who are pursued by the relentless slave catcher Ridgeway. Their journey on the railroad takes them to new and unfamiliar locations,
The Underground Railroad was used by many black slaves who escaped to freedom, conductors who helped free slaves were great people who took many risks. The days when slaves thought they could never make it or when a conductor's house was the best feeling in the whole world helped slaves not lose hope. Slaves may have not had a full education, but they knew they didn't deserve this, “Some slaves chose to rebel because of their lack of rights and the dominant power places on them...they received physical punishments, physical abuse and no right to an education” (The Underground Railroad Wksht). Many slaves were soon fed up with the abuse they were received all based on the color of their skin and background so they decided to resist and flee. More than hundreds were lucky enough to seek help from conductors on the Underground Railroad. Men and women of each color worked in unison to free slaves, they are the reason to why so many slaves could breathe in the fresh air and walk without any chains. They broke laws, but they did a good deed and the many bounties on their heads and the suspicions never hindered their determination to bring slaves to freedom. One conductor could not bring a handful of slaves to freedom in the North or especially Canada without the high risk of being caught. It took the whole team of conductors to bring slaves to freedom. Many conductors who took slaves out of the plantations and started them on their journeys, used disguises to return for others and help slaves at least get a day without whips or chains. Conductors were able to walk freely, but they are the ones who decided for themselves to help the men, woman, and all the children who wanted a new life. Many slaves were able to escape with no more physical abuse, get an education, and all because the conductors on the Underground Railroad gave a
Bacterial cells, like plant cells, are surrounded by a cell wall. However, bacterial cell walls are made up of polysaccharide chains linked to amino acids, while plant cell walls are made up of cellulose, which contains no amino acids. Many bacteria secrete a slimy capsule around the outside of the cell wall. The capsule provides additional protection for the cell. Many of the bacteria that cause diseases in animals are surrounded by a capsule. The capsule prevents the white blood cells and antibodies from destroying the invading bacterium. Inside the capsule and the cell wall is the cell membrane. In aerobic bacteria, the reactions of cellular respiration take place on fingerlike infoldings of the cell membrane. Ribosomes are scattered throughout the cytoplasm, and the DNA is generally found in the center of the cell. Many bacilli and spirilla have flagella, which are used for locomotion in water. A few types of bacteria that lack flagella move by gliding on a surface. However, the mechanism of this gliding motion is unknown. Most bacteria are aerobic, they require free oxygen to carry on cellular respiration. Some bacteria, called facultatibe anaerobes can live in either the presence or absence of free oxygen. They obtain energy either by aerobic respiration when oxygen is present or by fermentation when oxygen is absent. Still other bacteria cannot live in the presence of oxygen. These are called obligate anaerobes. Such bacteria obtain energy only fermentation. Through fermentation, different groups of bacteria produce a wide variety of organic compounds. Besides ethyl alcohol and lactic acid, bacterial fermentation can produce acetic acid, acetone, butyl alcohol, glycol, butyric acid, propionic acid, and methane, the main component of natural gas. Most bacteria are heterotrophic bacteria are either saprophytes or parasites. Saprophytes feed on the remains of dead plants and animals, and ordinarily do not cause disease. They release digestive enzymes onto the organic matter. The enzymes breakdown the large food molecules into smaller molecules, which are absorbed by the bacterial cells. Parasites live on or in living organisms, and may cause disease. A few types of bacteria are Autotrophic, they can synthesize the organic nutrients they require from inorganic substances. Autotrophic bacteria are either photosynthetic or Chemosynthetic. The photosynthetic bacteria contain chlorophyll that are different from the plant chlorophyll. In bacterial photosynthesis, hydrogen is obtained by the splitting of compounds other than water.
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.