Friday, February 21, 2020

COPD Essay Example | Topics and Well Written Essays - 250 words

COPD - Essay Example The diagnosis of the last visit was emphysema that was ruled out from the X-Ray report that indicated an increased AP diameter and hyperinflation of both lungs. However, the patient rejected the endorsed pulmonary function trials and did not want to be admitted in the hospital. She was discharged, and the doctor prescribed antibiotics and inhaler as treatment to enhance her condition. To conclude that the patient suffered from emphysema, it was necessary to carry out the chest X-ray (Cohn & Brower, 2012). The results showed hyperinflation of both lungs that had an enlarged AP diameter. Based on the patient’s complaints the diagnosis of dyspnea and cough is made. For further analysis, pneumonia is a likely illness because of the high fevers of 101 degrees, hence a need to carry out the appropriate tests. In addition, on percussion of her chest a dullness sound was heard which is an indication of pneumonia. In order to confirm the COPD diagnosis and measure the severity of the obstruction, other diagnostic trial, for instance, spirometry is critical (Lam, 2014). On the other hand, the laboratory tests include ÃŽ ±l-antitrypsin and hemoglobin/hematocrit levels. Lack of ÃŽ ±l-antitrypsin is a risk factor for OCPD and the hemoglobin/hematocrit levels determine the extent of hypoxemia. It is also crucial to consider sleeplessness as a diagnosis since the patient suffers from orthopnea. I gained further understanding that COPD consists of emphysema and bronchitis. I also gained insight on the difference between COPD, asthma and pneumonia. In addition, I gained knowledge on the significance of adherence to recommended treatment and physical exercise to limit the continuation of COPD. I also comprehended the different levels of COPD and that taking a balanced diet is paramount in minimizing exacerbations. Moreover, it is important to receive pneumonia vaccines in every five years as well as influenza vaccine annually to avoid

Wednesday, February 5, 2020

Securing the US Border Term Paper Example | Topics and Well Written Essays - 2500 words

Securing the US Border - Term Paper Example A lot of other technological measures were also taken to enhance border security. On September 11, 2001, two towers fell, but a nation of millions rose as one. The aftermath of the terrorist attacks was massive. It defied the whole foundation of US border security. People were left feeling unsafe in their own homes. The terrorist attacks cut a huge swath across the US policy landscape, ranging from major military and foreign policy actions to the biggest reorganization of the federal government since shortly after the end of World War II. Since the hijackers entered the country through legally issued visas, immigration was automatically linked with terrorism and border security. As a result, the structures of the federal immigration bureaucracy and immigration policies at the borders and within the US interior have been dramatically reshaped, along with other border security measures and economic policies. 9/11 was an attack on the democracy and the open economy of the US. US and Canada share a border that stretches across 8,893 kilometers of land and three oceans, and the US and Mexico share a border that is extended for 3141 km(Universalium,2010). It is the general consensus of the American population that the Mexican-US border needs to be more secure as to stop the smuggling of drugs and illegal immigrants but Senator Lieberman, in a report emphasized that the Canadian border should be more secure as there are more extremist Islamist families living in Canada. Border patrolling dates back to as early as 1904, when mounted watchmen patrolled the border to prevent illegal Chinese immigrants. Now, border security is just not limited to patrolling watchmen, but also includes biometric scans, lasers, virtual fence, cameras, motion detectors, and sensors.