Pulmonary Edema Lungs

Pulmonary Edema Lungs Outline of pulmonary edema: Pulmonary edema is the inflammation of the lungs that occurs due to the excessive accumulation of fluids in the lungs (alveoli) which results in poor exchange of gases which can cause dyspnea and finally respiratory and cardiac failure. Symptoms: The common symptoms of pulmonary edema include Dyspnea i.e. difficulty in breathing, shortness of breath, noisy and labored respirations rales, blood in cough, restlessness, anxiety, palor (paleness of skin). Diagnosis: It can be diagnosed by physical examination and knowing the patients medical history. By checking the wheezing sounds that are whistling or musical sound that can be heard without a stethoscope and inspiratory crackling sound that can be heard at the end of deep breath with the help of stethoscope and the characteristic third sound of the heart which can be seen in the cases of cardiogenic pulmonary edema patients. Apart from those general blood tests like liver enzymes, electrolytes, complete blood count etc. is done than a final confirmation is made by the X-ray of the lungs. Pulmonary Edema is a disease that affects the heart finally and begins in the lungs. Due to the inadequate pumping of the left ventricle, fluid accumulates in the spaces outside the blood vessels in the tissues of the lungs. It leads to a complication of heart disorders, sometimes acting as the first sign of coronary heart disease, and most commonly associated with congestive heart failure. It can be chronic or develop suddenly and quickly become life threatening. As large amounts of fluid suddenly shift from the pulmonary blood vessels to the lungs then pulmonary edema becomes life-threatening. When the heart begins to fail, the veins going through the lungs build up pressure and in turn the lungs pressure begins to rise which results in the building up of fluid being pushed into the alveoli. This fluid interrupts our normal oxygen flow through the lungs. Results and symptoms of pulmonary edema: Pulmonary edema occurs due to excessive accumulation of fluids and foam into the alveoli of the lungs when the pulmonary blood vessels are engorged. It can often be associated with congestive heart failure. It begins primarily with the building up of fluids in the microscopic alveoli of the lungs causing poor respiratory exchange resulting in Dyspnea with noisy and labored respirations. Rales which are powdery or gravelly sounds can be heard with stethoscope and some patients even cough up blood-tinged sputum. It occurs when the heart becomes damaged or weakened; as a result unable to pump blood to all the parts of the body, typically beginning with the left heart failure as a consequence of the damaged left ventricle which leads to backing up of the blood first in the pulmonary vessels and finally in systemic vessels. As a consequence blood fluids are forced into the body tissues due to increased pressure in the vessels causing a swelling known as edema. If it occurs in the alveoli of the lungs it is termed as pulmonary edema. Finally it can lead to congestive heart failure. Shortness of breath; Difficulty in breathing: Diseases like pulmonary edema leads to shortness of breath or difficulty in breathing which is known as Dyspnea which occurs due to poor respiratory exchange in the lungs. It causes labored and noisy respirations often associated with powdery or gravely sounds known as rales when checked with the stethoscope. Dyspnea is not a primary illness but a condition brought about by a number of medical, traumatic and environmental causes. It can be related to Lung diseases, heart conditions, allergic reactions, CO poisoning, etc. In most cases it occurs when a disease has caused some kind of direct interference with either the flow of air into and out of the lungs or with the exchange of gases within the lungs. In typical dyspnea, as in the case of asthma the problem causing interference originates in the lungs itself. Dyspnea can be classified into acute dyspnea with sudden onset can be caused by anaphylactic shock, cardiac arrhythmias trauma, etc. and chronic dyspnea which can be caused by Asthma, Bronchitis, COPD, Neuromuscular disorders, etc. Air hunger or feeling of drowning, Grunting of gurgling sounds with breathing, Wheezing As a sign of congestive heart failure the patient would wish to remain in a seated or semi-reclined position which allows less labored respiration. The patient should be kept calm to conserve body heat. These oxygen hungry patients will accept oxygen therapy without difficulty. In severe lung diseases like an Asthma attack, the small bronchioles becomes narrower due to the contraction of the smooth muscles that make up the airway apart from the overproduction of thick mucus leading to the restriction of airflow. The airflow is restricted in mainly in one direction such as, during inhalation, the expansion of lungs exerts an outward force resulting in the increase in the diameter of the airway, allowing air to flow into the lungs. During exhalation the opposite occurs resulting in the trapping of the stale air into the lungs which requires forceful exhalation of air by the patient, producing the characteristic wheezing sound associated with asthma. Wheezing sounds are whistling or musical sounds that can be heard without a stethoscope. Gurgling is caused often due to a foreign object, or blood and other fluids in the trachea. It is believed that cardiac murmurs are associated with the possibility of heart failure which is not correct as in about 50 % of the heart failure cases there is no murmur observed. Still a cardiologist should take note seriously if any murmur is present in the patient. In the diagnosis of heart failure Gallop rhythm (one can imagine the sounds of hooves of horse smoothly running at full speed) is very typical and significant. SOB with lying down, you may need to sleep with you head propped: The affects of the body position of a person sometimes gives an idea about the underlying disorder causing dyspnea. For example in platypnea, that is dyspnea while sitting gives indications of a liver disease. The worse type of Dyspnea is when the patient is lying down and suffering from shortness of breath, which is associated with heart disease or paralysis of the diaphragm. It is called as orthopnea. Another type of dyspnea is PND (Paroxysmal nocturnal dyspnea) which occurs during sleep forcing the patient to wake up gasping for breath; usually relieving the patient if he / she sit up or stands. It may indicate the dysfunctioning of the left ventricle of the heart, narrowing of the mitral valve or hypertension. If a patient is suffering from orthopnea he sleeps with the head propped up. Cough: It is an annoying symptom which can occur as a result of many causes such as pulmonary edema, tuberculosis, Bronchitis, Asthma, etc. Anxiety: Factors like excessive worry, nervousness, instability, nausea, etc. are the major symptoms of anxiety. Restlessness: It can be caused by a number of factors such as anxiety, nervousness, insomnia, hyperactivity, etc. Excessive sweating: Sweating is due to the presence of sweat glands under our skin, which is controlled by the sympathetic nervous system of our body and whenever our body temperature rises sweating is stimulated. Thus, it controls the body temperature. Emotional stress also stimulates sweating. Palor or pale coloration or cyanosis of the parts will also take place during any respiratory or cardiac attack. Sympathetic over stimulation leads to symptoms like palor, sweating, and tachycardia during heart failure. Additional symptoms with progression of the disease: Nasal flaring: It is an indication of breathing difficulty caused by the enlargement of the nostril opening during breathing; as a result the total airway resistance is reduced. Inability to speak: The patient may not be able to speak due to pulmonary obstruction or cardiac failure. Decrease in levels of awareness: the level of awareness or consciousness of the patient will also go down during any respiratory or cardiac attack.

Young People Question their Antidepressants :: Psychology Pharmacy Papers

Young People Question their Antidepressants Like many eager freshmen this year, Amy* made Northeastern University her home with a burst of optimism and the excitement of a fresh start in a strange, new place. But just over a year ago, while a high school senior, she almost lost her chance for the college experience—her grades plummeted with her as she fell deeper into depressive episodes, putting her life and her academic future in jeopardy. The scars she etched in her body tell of her battles with depression, a painful mental disease she dealt with in secrecy for four years before finally seeking help. After years of self-mutilation and uncontrollable sadness, the 18-year-old music industry major started taking antidepressants, the controversial wonder-drugs she attributes her current happiness to. â€Å"I can handle my life much easier now,† she said. â€Å"I would not be able to function without them.† But while Amy embraces her prescription to Zoloft, Northeastern freshman music industry major Erin* plans to drop hers. The very medicine that helped Amy work her way to happiness has left 17-year-old Erin confused and wary of her treatments. Rather than freeing her from the hopelessness of depression, the antidepressant drugs left her apathetic and numb—and when her current prescription runs out, she won’t be refilling it. Antidepressant use in children and adolescents has surged in recent years, with 11 million prescriptions written in 2002 alone, a number that has tripled since the early 1990s. But the practice of prescribing the drugs to young people has attracted a cloud of controversy, with lackluster testing of the medicines and recent revelations that the drugs can lead to increased suicidality—the suicidal thoughts and actions that accompany depression. Still, demand is high and the rate of depression in young people is substantial. The Center for Mental Health Services, a division of the U.S. Department of Health and Human Services, found in a 1999 study that 6.5% of people aged 18-24 have major depression, yet fewer than 25% of those diagnosed will seek professional treatment—those who do will likely end up on antidepressants. While much about the treatment of depression remains a mystery, information about the illness in children and adolescents is even cloudier. Carol Glod, a local expert on depression and associate professor at the Bouve College of Nursing at Northeastern University, says the only solution is to conduct more research. â€Å"You have to do something for the person that has depression and, without the research, we don’t know what works,† she says. Young People Question their Antidepressants :: Psychology Pharmacy Papers Young People Question their Antidepressants Like many eager freshmen this year, Amy* made Northeastern University her home with a burst of optimism and the excitement of a fresh start in a strange, new place. But just over a year ago, while a high school senior, she almost lost her chance for the college experience—her grades plummeted with her as she fell deeper into depressive episodes, putting her life and her academic future in jeopardy. The scars she etched in her body tell of her battles with depression, a painful mental disease she dealt with in secrecy for four years before finally seeking help. After years of self-mutilation and uncontrollable sadness, the 18-year-old music industry major started taking antidepressants, the controversial wonder-drugs she attributes her current happiness to. â€Å"I can handle my life much easier now,† she said. â€Å"I would not be able to function without them.† But while Amy embraces her prescription to Zoloft, Northeastern freshman music industry major Erin* plans to drop hers. The very medicine that helped Amy work her way to happiness has left 17-year-old Erin confused and wary of her treatments. Rather than freeing her from the hopelessness of depression, the antidepressant drugs left her apathetic and numb—and when her current prescription runs out, she won’t be refilling it. Antidepressant use in children and adolescents has surged in recent years, with 11 million prescriptions written in 2002 alone, a number that has tripled since the early 1990s. But the practice of prescribing the drugs to young people has attracted a cloud of controversy, with lackluster testing of the medicines and recent revelations that the drugs can lead to increased suicidality—the suicidal thoughts and actions that accompany depression. Still, demand is high and the rate of depression in young people is substantial. The Center for Mental Health Services, a division of the U.S. Department of Health and Human Services, found in a 1999 study that 6.5% of people aged 18-24 have major depression, yet fewer than 25% of those diagnosed will seek professional treatment—those who do will likely end up on antidepressants. While much about the treatment of depression remains a mystery, information about the illness in children and adolescents is even cloudier. Carol Glod, a local expert on depression and associate professor at the Bouve College of Nursing at Northeastern University, says the only solution is to conduct more research. â€Å"You have to do something for the person that has depression and, without the research, we don’t know what works,† she says.

Walt Disney: the Quintessential American

Disney: The Becky Tashkulova Mr. Brown American History 25 May 2011 Walt Disney: The Quintessential American You’re riding a rollercoaster in a Disney theme park in Orlando, Florida. You look around at the incredible architecture and imagination that is flowing throughout the park. You start wondering if your childhood would be the same without the man behind all this greatness. Walt Disney was a man full of charisma, joyfulness, and positivity. He never backed down or felt discouraged after failing.He was a man who knew what he wanted and ended up getting it; he was a go-getter. His legacy is celebrated every year by the making of new Disney movies and he is appreciated throughout the world. If you ask an average person who is the quintessential American, his or her response would be someone like George Washington, Theodore Roosevelt, or Abraham Lincoln. Although those are great examples, they don’t portray the same traits as America would. This paper will show how Wal t Disney is the quintessential American.Just like America, Walt Disney is prejudiced, catalytic, and persistent. Many people use â€Å"racist† in a wrong form. To be racist is to keep one race from doing something; while Walt Disney never did that. He was prejudiced against other races, which means unreasonable feelings, opinions, or attitudes, especially of a hostile nature, regarding a racial, religious, or national group. Although there is no hard proof to show that Walt Disney was prejudiced, he did show it in his creations, or so we think (Gabler). The Three Little Pigs† featured the wolf dressed as a Jewish peddler. The American Jewish Congress protested that the characterization was so â€Å"vile, revolting and unnecessary as to constitute a direct affront to the Jews. † According to Walt Disney Archives, Walt referred to Italians as â€Å"garlic eaters† and used a variety of crude terms for blacks. To this day, many critics assume that the crows in Dumbo are shown as stereotypes. But Walt was no closet racist. At home he always preached racial, religious and ethnic tolerance to his two daughters.Under his supervision, Disney studios was inhospitable to many minorities, few of whom said to worked there, said that they were virtually verboten on the screen (Gabler). Everyone sees America as this â€Å"welcoming† and â€Å"interracial† country, but no one remembers all the terrible and hypocritical things that America has done in its history. Some would say America is paradoxal, or hypocritical, or contradictory, and while all those words do describe America, no one seems to describe America as prejudiced. The Chinese Exclusion Act was brought up in Congress due to the overflowing population of Chinese in the United States.The US needed workers to build the Transcontinental Railroad, so they brought in the Chinese to build it. After it was all done, no one knew what to do with the Chinese that were left in the coun try and the incoming ones. So Congress decided to pass the Chinese Exclusion Act, which permitted the Chinese entering the US starting from 1882. Congress passed the National Origins Act in 1924 because of the crazy amount of immigrants moving to the US. It excluded any Eastern and Southern Europeans and almost all Asians and other nonwhites from entering the US.This act instituted admission quotas by using the 1890 census to determine the population of a particular nationality group; the government then only allowed 2 percent of that population into the nation. After the Japanese hit Pearl Harbor in 1941, Franklin D. Roosevelt had issued an order to â€Å"punish† all the Japanese living in the United States. The order gave the military broad powers to ban any Japanese citizen from a fifty to sixty mile wide coastal area stretching from Washington state to California and extending into southern Arizona.The order also authorized transporting these citizens to assembly centers, or concentration camps, hastily set up and governed by the military in California, Arizona, Washington state, and Oregon (Executive Order 9066). What does it mean to be persistent? According to the modern day dictionary it means, persisting, especially in spite of opposition, obstacles, discouragement, etc. , persevering, lasting or enduring tenaciously. Walt Disney was seen as determined and hard working, never giving up, and always having faith.His views and visions came from the fond memory of yesteryear, and persistence for the future. Disney’s brothers, Roy and Raymond, had gone off to war and although he was too young to enlist his parents insisted on him not going to war. So he forged his parents’ signature on a passport to go over to France as part of the Red Cross Ambulance Corps (Cole, 21). This particular action shows that Disney would not take no for an answer. He wanted to help out, so his determination showed the most during this event in his life.After completing a set of his 1st cartoons, and working every night in his garage with a borrowed camera, he sold his first set of cartoons to a local theater in Kansas City, Newman Theatre: Newman Laugh-O-Grams† (Cole, 25). His 1st production of Alice in Wonderland had failed, so he started working on his other cartoons but when his first animations company had failed, declaring bankruptcy in the spring of 1923, he had asked Margaret Winkler, who was previously interested in Alice in Wonderland, to distribute the money in the creation (Cole, 28).Although there was a nasty court case after, Disney focused on the positives and kept on moving forward. After his bankruptcy in New York, Disney moved to California, but he was simply too young and inexperienced. So he started the same business as he did in Kansas City and started advertising his cartoons. At first, he had trouble-finding buyers, but finally he sold a serious to a local theater (Cole, 30). His life motto, â€Å"Keep Movin g Forward† was included in a Disney creation of â€Å"Meet the Robinsons† to show Walt’s persistence and optimism.It meant to never stop, never give up, and just to â€Å"Keep Moving Forward†. This motto also shows that Disney chose to stay positive. He was never pessimistic and tried his hardest to give his all. He worked hard and even after having failed attempts at starting his own animation company, he never gave up and just kept on going. All of his hard work paid off, and we can see his magnificent work and amazing determination today. When you think of America, what is the first thing that comes to mind? First man on the moon, the hunt for Osama bin Laden, the Apollo Program, and the struggle during the Cold War perhaps?All those things were achieved by America because, America always needs to be the best of the best and beat everyone in anything. Russia sends in a man in space, America tries to override it by sending rockets in space and trying to land on the Moon. The Apollo Program was commenced because of this crazy race/competition going on with the U. S. S. R. The program was designed to land humans on the surface of the Moon. Six of the missions completed their task by landing on the moon, while the others only orbited Earth’s surface. This shows how hard America tried to get someone on the Moon, in which they succeeded (Williams).The first man on the Moon was the result of the Apollo Program. The legendary man’s name was Neil Armstrong. As spacecraft commander for Apollo 11, the first manned lunar landing mission, Armstrong gained the distinction of being the first man to land a craft on the moon and first to step on its surface. After the tragic events of 9/11, there was a hunt to find the leader of the Al-Qaeda. After a crazy and hectic search for Osama bin Laden, the elite American forces had found him in a custom-built hideout, not far from a Pakistani military academy. It was long believed that he wa s hiding in caves around the world.His body was quickly buried at sea with a stunning finale to a furtive decade on the run (Osama bin Laden). Despite the inconclusiveness of the Korean War, the existence of Cuba as a Soviet satellite 90 miles from Florida, the draft dodgers and Weathermen terrorists, despite the American retreat from Vietnam, the Watts riots of 1964, the Watergate, the humiliating 1979 occupation of the U. S. embassy in Tehran, from 1947 to 1989, the U. S. successfully contained and defeated the Soviets in the Cold War's long and tedious struggle (Bay). That took extraordinary persistence.It took resilient, adaptable, creative and able military and security services. But most of all it took the basic, consistent support of the American people. The ones, who go to work, pay the bills; wear the police and military uniforms. And as John Kennedy once said â€Å"bear any burden †¦ to assure the survival and the success of liberty. † (Bay). â€Å"It all star ted with a mouse† is what everyone says about the Disney franchise. If you think about it, Disney had drastically changed our lives. Walt Disney can be described as catalytic, which means to be relating to or causing or involving catalysis; â€Å"catalytic reactions†, revolutionary.The Disney franchise is a big part of American culture. Kids would do anything for tickets to one of the theme parks. Florida is the top tourist city in America and the only reason it is, is because of the Disney theme parks. Just like America has affected the world with its charm and magic, so has Walt Disney. We celebrate his birthday and his accomplishments every year. His legacy will remain forever. Walt Disney has affected our generation so much and it all started when a mouse character appeared in his series of cartoons, â€Å"Oswald†.When Steamboat Willie opened at the Colony Theater in New York on November 18, 1928, Walt knew that he created something that will change the whole world (Crafton, 5). It signaled the beginnings of animation history. Most people credit Walt Disney as the one who started the animation history, however some critics say that animations have been around since late 1800s (Crafton, 6). If you travel to any country abroad, everyone would know of America as these â€Å"cowboys† who run around with lassos, on horses, chasing Native Americans. That, dear readers, is the magnificent influence of America all over the world.Although everyone sees Americans as these fat, lazy, stupid human beings who eat McDonalds and watch television everyday, Europeans, Asians, Indians, Africans, etc. , praise the United States. Believe it or not, American culture has been so influential everywhere, that everyone wants to live in the US. The culture and entertainment are huge aspects of the influence that America has had on these second world, third world, and even first world European countries. There are KFC’s, McDonalds’, and other â€Å"typical† American fast food restaurants all over the world.America is so powerful, that the celebrities, movies, and any television shows are shown in, almost, every country in the world. Entertainment and culture are not the only features that America has brought over to the rest of the world. After the all-known Revolutionary War, War of Ideas was going around the world. And what it was is that, all the countries that were ruled by kings and queens were starting to ponder upon their rulers. They wanted independence and freedom of speech. The French Revolution that happened shortly after America gained independence from Great Britain can prove that.Now all these countries were starting to revolt because they thought if an underdog, like America, can defeat and break away from a powerhouse, like Great Britain, so can they. To be the quintessential is to be the essential part of something. Walt Disney is indeed the essential whole of everyone’s lives. America and Walt have both been persistent, catalytic, and prejudiced to the world. And although they’ve been the bad guys sometimes, they have tremendously affected the whole world by their great determination and willpower.They have done great things like the Apollo Program, creating Mickey Mouse, landing a man on the Moon, leaving a tremendous legacy behind, etc. And as Ralph Waldo Emerson once said, â€Å"To be great, is to be misunderstood † (Emerson) Works Cited Bay, Austin. â€Å"RealClearPolitics – In Praise of American Persistence. † RealClearPolitics – Opinion, News, Analysis, Videos and Polls. Creators Syndicate Inc. , 3 May 2011. Web. 11 May 2012. . Bell, Elizabeth, Lynda Haas, and Laura Sells. From mouse to mermaid: the politics of film, gender, and culture.Bloomington: Indiana University Press, 1995. Print. Cole, Michael D. Walt Disney: creator of Mickey Mouse. Springfield, N. J. , U. S. A. : Enslow Publishers, 1996. Print. Crafton, Donald. Befo re Mickey: the animated film, 1898-1928. University of Chicago Press ed. Chicago: University of Chicago Press, 1993. Print. â€Å"Executive Order 9066: The President Authorizes Japanese Relocation. † History Matters: The U. S. Survey Course on the Web. N. p. , n. d. Web. 17 May 2012. . Gabler, Neal. â€Å"Walt Disney–prince or toad?. † Los Angeles Times 22 Nov. 2009, sec.Entertainment: n. page. Los Angeles Times-California, national, and world news. Web. 14 May 2012. â€Å"Osama bin Laden is dead – CBS News. † Breaking News Headlines: Business, Entertainment & World News – CBS News. CBS Interactive Inc. , 1 May 2011. Web. 17 May 2012. . Peet, Bill. Bill Peet: an autobiography. Boston: Houghton Mifflin Company, 1989. Print. Williams, Dr. David R. â€Å"The Apollo Program (1963 – 1972). † Welcome to the NSSDC!. N. p. , 24 Nov. 2008. Web. 17 May 2012.. Emerson, Ralph Waldo. Self reliance. Hoboken, N. J. : BiblioBytes, 199. Print.

Know Your Place Essay - 1879 Words

Jane Austen’s Pride and Prejudice is a Victorian era novel that chronicles the relationship of social status and love during early nineteenth century England. This gives readers a sense of how social structure during the eighteenth hundreds was shifting from heirs to earners with people vying to stay relevant and included in the upper class. Historically, the novel was hardly influenced by what was occurring during the time it was written which included the French Revolution and Napoleonic wars. â€Å"In the world of Pride and Prejudice, the soldiers are present only to give the younger Bennet daughters men in uniforms to chase after. Their world is limited to their own home, those of their friends and neighbors, a few major resort towns, and,†¦show more content†¦The middle class which was about fifteen percent of the population in 1837 and twenty-five percent in 1901 encompassed the broadest spectrum of income levels and types of work. At one end, it embraced indus trialists and wealthy bankers; the other end was composed of low paid teachers and clerks. Physicians, clergymen, engineers, military officers, shopkeepers, and land-owning farmers were in the middle of the spectrum. The upper classes consisted of the landed gentry and aristocracy which was six to fifteen percent of the population. The gentry came by wealth and land through their own efforts, while the aristocracy inherited their lands and wealth from their fathers. At the beginning of the Victorian age, the aristocracy and the gentry held most of England’s wealth as well as holding all seats in Parliament. As the middle class grew in numbers and affluence, it also rose in social status and political power, making them a threat to upper class. â€Å" ‘Know your place’ was the widely accepted attitude at every level of English society.† (Damon 1-2 ) â€Å"One great interest of the Victorian age was the time when a new social order was being built up, and e ntirely new problems were being solved. The nineteenth century has been called the age of hope;† (Inge 9) Victoria was crowned on June 28, 1838 in London’s Westminster Abbey and had a reign that lasted for sixty-fourShow MoreRelatedAppointed Place of Duty 11203 Words   |  5 Pagesbeing at your Appointed Place of Duty It is always important to be where you are supposed to be. In the Army, every leader stresses the fact on being on time or being at the right place or being in the right uniform. So if you have to ask yourself is it important to be where you are told to be? 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