Chemical Suicide: A Danger to First Responders Essay -- Social Issues,

As a first responder, police officers can often encounter many different cases where an individual is reported to be unconscious inside a vehicle. Usually upon arrival, the officer will try and make contact with the subject to investigate the situation. Often times, the officer will discover that the person has either a medical condition, is under the influence of drugs or alcohol, or just hasn’t gotten enough sleep (Randall, 2011). However, in recent years there has been a growing trend occurring in the United States that is affecting the safety of first responders. In this trend people are releasing chemicals within confined spaces, such as a vehicle, to commit suicide. Chemical suicides are very dangerous to anyone within the vicinity because the fumes are extremely toxic (Oreshan & Stevens, 2011). Individuals that attempt to rescue a suicidal subject could be putting themselves at risk of exposure, which can cause serious injury or death. Being a first responder, it is imp ortant to understand the increasing threat of chemical suicides and how they are typically performed, the warning signs and proper safety procedures to use, and the treatments to this type of chemical exposure. Chemical suicides are believed to have originated in Japan in 2007, and there have been counts of over 2000 cases having occurred within the country since then (Oreshan & Stevens, 2011). Slowly, this method of suicide has been steadily increasing in the United States since 2008, where there has been at least 72 known cases documented (Goode, 2011). Of these cases, 2 of them had taken place in 2008, 9 in 2009, 36 in 2010, and at least 27 cases by the middle of 2011 (Scoville, 2011). While these numbers are only a tiny fraction of the amount of suicid... ... 2010). When treating for hydrogen sulfide exposure, nitrite therapy may be included in order to aid recovery (Oreshan & Stevens, 2011). If exposure to hydrogen cyanide occurred, then the individual should also be given a specific cyanide antidote kit (Oreshan & Stevens, 2011). Overall chemical suicides are a threat that is unfortunately expected to continue rising throughout the United States. It is essential to keep training as well as communicating to first responders about the dangers that they impose. Every first responder needs to be made aware of how these suicides are being performed, as well as the warning signs, proper safety procedures, and what treatments to use if encountered. The more that this information is being circulated, the better chance there is at limiting the injuries and deaths associated with this type of second hand chemical exposure.

Dietary Manipulation For Arthritis

A rheumatic disease, or what is commonly called as arthritis is the inflammation of the joints and also affects the skeletal muscles, bones, ligaments, cartilages and tendons for both males and females (Smeltzer & Bare).The goals and strategies involved in the treatment of the disease consists of suppressing the inflammation and the autoimmune response of the patient through pharmacologic therapy, controlling the patient’s pain by joint protection and easing pain with splint use, thermal modalities and relaxation techniques, and maintenance or improvement of the joint’s mobility through the implementation of exercise programs for joint motion and strengthening the muscles and the patient’s overall health (Smeltzer & Bare).In addition, other goals and strategies include the maintenance or improvement of the patient’s functional status through utilization of adaptive techniques and devices, increasing the patient’s knowledge of the disease process by providing and reinforcing patient teaching, and promotion of self-management by the patient’s compatibility with the therapeutic regimen by emphasizing this compatibility (Smeltzer & Bare). Pharmacologic treatment for patients with this disease includes medications like salicylates, NSAIDS, and disease – modifying antirheumatic drugs (Kee, Hayes, and McCuistion).However, given that the patient does not want to take any pharmacologic measures, dietary manipulation will be utilized and this involves the exclusion of food items in the diet and the intake of specific minerals. However, dietary manipulation is not greatly acknowledged as one of the therapeutic management for arthritis, mainly because there are no enough researches that can prove its efficiency (Rayman and Pattison). However, some research show that around 30% to 40% of the rheumatoid patients can benefit from excluding foods individually identified during the reintroduction phase of an elimination diet.Albe it it might be mentioned in passing during a nurse’s health teaching on which food items to avoid, which to eat in moderation, and which to eat in great amounts, there is no wide acceptance of this strategy yet (Rayman and Pattison). Several therapeutic diets are available for use by patients with rheumatoid arthritis. The exclusion diet, the elemental diet, the fasting and vegan diet, and the Mediterranean diet, are among them.The exclusion diet is based on the evidence that the removal of certain food items in the patient’s diet can benefit the patient as evidenced by 36% of the patients claimed that they were much better after the food exclusions and 39% asserted feeling better, after the study that was conducted (Rayman and Pattison). These were supported with objective measurements that showed a decrease in pain and in the number of painful joints, a reduction in morning stiffness, a decrease in the time it took to walk 20 yards, improvement in grip strength, amon g many others (Rayman and Pattison).Some of the food items that cause worse symptoms are corn, wheat, bacon or pork, oranges, milk, eggs, and beef (Rayman and Pattison). The elemental diet requires the intake of monosaccharide and disaccharides, amino acids, and medium-chain triglycerides, with the addition of vitamin and mineral supplements (Rayman and Pattison). This diet has shown to stimulate enhancements in the subjective measures of arthritis symptoms and it was asserted that when weaned from the diet the usual symptoms return. However, the effectiveness of the diet is surpassed by the poor tolerance of the patients.The fasting and the vegan diet seems to have an anti-inflammatory effect and offers relief of pain during fasting and the presence of pain when eating is resumed (Rayman and Pattison). Hence, fasting is followed by a vegan diet as an alternative. The ‘Mediterranean diet’ is named as such because it reflects the certain patterns of eating that is employ ed by countries in the Mediterranean basin and it is comprised of plant foods like fruits, vegetables, wholegrain cereals, fish and poultry with the olive oil as the main source of lipid (Rayman and Pattison).Several reasons can explain why these diets can help alleviate symptoms in a patient with rheumatoid arthritis. The food items that are to be eliminated are those in which the patient is allergic or intolerant to and can reduce IgG antibody levels and moreover, reduction in food intake can help decrease gastrointestinal permeability to bacteria and other antigens (Rayman and Pattison). In addition, the change in the gut’s flora and the exclusion of lectins in legumes can also help alleviate the symptoms.The 50 year old patient suffering from rheumatoid arthritis can be given one of the aforementioned dietary manipulations if she chooses not to take anti-inflammatory, immunosuppressive medication. The diet that can best fit her would be the fasting or vegan diet because o f its anti-inflammatory effect that can serve as an alternative to the drugs that the patient is not taking. The patient would be advised to fast and to follow fasting by a pure vegetarian diet.This diet is to exclude all kinds of meat which includes fish and chicken meat, and all other products that are made from animals, like eggs, cheese, milk, and honey (Kovacs). It is first best to inform that patient of all the other dietary manipulations that are available for patients with rheumatoid arthritis and justify the selection chosen for the patient and how this will help alleviate her symptoms and can somehow be an alternate to taking drugs. However, the patient should be notified of the possible side effects of this diet and the consequences of not taking the recommended drugs to her illness.Given her vegan diet, it is still needed that the patient consume and have a balanced diet. The patient should be given a diet plan which consists of the proper balance of protein, carbohydrat es, fruits and vegetables. The most common vegan food that can be utilized for the patient’s diet are tofu, black-eyed peas, broccoli, soy yogurt or milk, Spinach and whole wheat bread, among many others (Kovacs). These can supply the adequate protein needs of the patient and hence, she can still receive a balanced diet in spite of having utilized the vegetarian diet.

The String Theory - 1019 Words

Sub-atomic particles, known as quarks, electrons, photons, and neutrinos were strewn across expanding space. Equal amounts of matter and antimatter particles began to collide and annihilate each other. Gravity, strong and weak nuclear forces, and electromagnetic forces soon came into play. As the universe started to cool, fundamental particles called quarks began to smash together forming protons and neutrons. They, in turn, merged to create the nuclei of simple elements, beginning with hydrogen, helium, and lithium. This primordial soup contained the building blocks for everything in the universe. Voilà  , the universe was born. Matter and energy continued to expand. Static electricity and gravity brought the expanding matter together.†¦show more content†¦Strings would also give rise to the forces of nature: gravity, strong and weak nuclear forces, and electromagnetism. Atoms contain protons that produce a positive charge, neutrons that produce a neutral charge, and electrons that produce a negative charge. According to the theory, electrons and quarks, which make up protons and neutrons, were produced by minuscule, one-dimensional, randomly behaving, vibrating strings of energy. A property of matter or force of nature would be the result when the strings vibrate and interact with each other. Not so fast, physicists filled blackboard after blackboard with mathematical equations to prove that the theory was consistent with the force of gravity. Did not happen. A theory had to be established that was compatible with the gravitational forces in the enormous universe and the microscopic world. The modified theory had to include quantum gravity, a high-frequency, string vibration that would produce a graviton. A graviton is responsible for curving surrounding space. The Super String Theory soon replaced the Not-so-super String Theory. 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