Thursday, February 20, 2020

Opportunistic Microbial Infections Essay Example | Topics and Well Written Essays - 1000 words

Opportunistic Microbial Infections - Essay Example Opportunistic Infections Immmunocompromised patients are vulnerable to opportunistic infections caused by organisms of lower pathogenecity, besides being also susceptible to primary pathogens causing disease among immunocompetent hosts resistant to opportunistic infections. â€Å"Many opportunistic infections arise from the individual’s own flora or local environment†2, at or near the microbes’ normal sites of colonization. Hence, some normal flora species are associated with particular opportunistic infections. For example, Bacteroides fragilis is associated with abdominal infections, Staphylococcus epidermidis with catheter infections, and Escherichia coli with urinary tract infections3. Bacterial Opportunistic Infection Staphylococcus aureus causes the greatest number of pyodermas and soft tissue infections. It is not one of the cutaneous resident flora, however â€Å"it colonizes the anterior nares in up to 25% of healthy individuals at any one time and more than 50% of chronically ill individuals†4. ... Once established in the skin, S. aureus invades more deeply into the soft tissue resulting in erysipelas or horizontal spread in lymphatics, and cellulitis or vertical spread into subcutaneous fat. Further, â€Å"S. aureus is the most common cause of wound infections†5. Risk factors for surgical wound infections include host factors such as immune status, diabetes mellitus; surgical factors such as foreign body use and disruption of tissue perfusion accompanying surgical procedure; and staphylococcal factors such as substances that mediate tissue adherence and invasion, or that facilitate staphylococci surviving host defenses and antibiotics in tissues, and antimicrobial prophylaxis. Bacteremia can lead to deposition of S. aureus in the skin, resulting in â€Å"petechiae, hemorrhages, subcutaneous nodules, soft tissue infections, and pyomyositis†6. Parasitic Opportunistic Infection Some chronic parasitic infections that are reactivated in immunocomprised patients includ e those caused by Strongyloides stercoralis. Weakened cell-mediated immunity in pregnancy, during chemotherapy with corticosteroids, and in organ transplantation, may enable reactivation of toxoplasmosis and congenital infection7. Further, â€Å"S. stercoralis is able to cause autoinfection giving rise to chronic infestations in the immunocompetent†8. Strongyloides stercoralis is an intestinal parasite, and causes strongyloidiasis. The parasite uniquely carries out its entire life cycle within the human body. Hence, in immunocompromised patients, â€Å"strongyloidiasis can lead to a hyper infection syndrome with high morbidity and mortality due to the accelerated endogenous autoinfection†9. Strongyloidiasis that

Tuesday, February 4, 2020

Uae Assignment Example | Topics and Well Written Essays - 750 words

Uae - Assignment Example A service industry comprises of various companies which basically earn income by providing intangible services and products. They are involved in transport, food services, retail, distribution and other service-dominated enterprises. At times, they are called tertiary sectors or service sectors. Strengths Economic strengths The steady oil prices in the country has boosted transport sector to highest levels. Most of the economy revenue comes from the oil industries. For the past few years, according to the country’s statistics, the world market has remained stable favoring service mobility. Transport industry has benefited most from this global market. As a result of this, non-oil sectors have been stimulated thus escalating the disposal revenue of the less performing segments of the entire population. Generally, the country produces up to 22 million barrels of crude oil for export daily. This boosts the country’s economy (Gorgenlnder, 2011). The country also has steady and convertible currency which is pegged to the US dollar with minimal foreign exchange controls. This facilitates easy movement of services from one part to the other. If the global financial crises arise, it has survival tactics to make it productive in the market. Furthermore, UAE has been known for very competitive labour costs and real estates. The country has experienced and readily available work force that provide cheap and quality labor. Most of the work is done by these locals thus low cost of productions. The country’s permissive policies and healthy balance of payments allow free trade movements within and without the country. This allows free flow of services/goods thus boosting the economy (Group, 2008). Geographical strengths The country is strategically located at the Middle East, with very easy contact to not only to Eastern and Middle Eastern markets, but also to South Asia, Philippines, Malaysia, Indonesia and other markets in the Asian countries. This impl ies that there are ready markets for the manufactured goods and services. Furthermore, the country has well established ports that can access to main sea routes. Most of the trading countries use these ports for exit and entry in transacting businesses. This has made the country to be seen as a pacesetter and a regional leader for development. Commercial strengths According to Gorgenlnder (2011) and Group (2008), the country has open trade zones favorable for business start-ups. Most of the enterprising people can easily nature their talents and explore market opportunities easily. Interestingly, the country has no corporate and personal taxation. Any business start-up has no personal/corporate intimidation in form of taxes. More often than not, most businesses fail due to high taxation and unfavorable work environment. This favor has been extended to other countries; there is no taxation for information exchange. Infrastructural strengths UAE has sophisticated and ultramodern banki ng sectors that provide various services for its rich expatriate clientele. Most financial institutions are furnished with modern facilities which accommodate the needs of the clients. In fact, the banking sector has been privatized to enable quality delivery of services. Also, the country is equipped with IT infrastructure and