Dengue in Brazil, Situation, transmission and control Research Paper

Dengue in Brazil, Situation, transmission and control - Research Paper Example The first reported incidences of dengue in Brazil were in 1923 in Sà £o Paulo and Niteroi in which 11000 people were infected. DENV-1 and DENV-4 were the strains reported, both of which came from the Caribbean and South America over the Venezuelan border (Teixeira, 2008). The Ae aegypti virus was new in Brazil hence was quickly eliminated. DENV1 reappeared in 1986 in Nova Iguaà §u and spread rapidly, with 35000 and 60000 reported incidences in 1986 and 19887 respectively (Marzochi, 1994). DENV-2 came about in Rio de Janeiro and Nova Iguaà §u, where 462 cases and eight deaths took place. Aedes aegypti extended the spread of DENV1 and DENV-2 all over Brazil. DENV-3 serotype was responsible for the 2001 outbreak of dengue in Brazil, with 800000 cases reported. In 2008, 700000 infections and 45000 hospitalizations were reported. Since 1990 to 2008, lethality of 7.4% has occurred due to dengue. Children are the most affected by dengue in Brazil as of 2008 (Teixeira & Barreto, 2008). Preventing and controlling the spread of dengue is a nightmare because of lack of a reliable vaccine and the high competence of the dengue viruses. Ae. aegypti especially is adapted to breeding in highly populated areas and is, therefore, hard to eliminate. Wet tropical conditions also aid these mosquitoes to breed. The control of dengue also involves means that are harmful to the environment since the insecticides used are poisonous, and there are insufficient funds to carry this task (Marzochi, 1994). America stressed on controlling the spread of dengue rather than its elimination since the latter was proving impossible. However, dengue has still been a problem because its strains can spread even in places with fewer vectors. Two projects have been carried out to control it spread but both proved futile due to financial and political limitations. To control its spread, Brazilians have been educated about it through corporate events (Dione &

Iconology, Image, art and people Essay Example | Topics and Well Written Essays - 4500 words

Iconology, Image, art and people - Essay Example As such, it is well known and universally accepted that art has played a profound role in shaping the modern society as it is today and continues to assert its influence. In the most earliest times, the expression through art was very primitive. Our ancient forefathers used to carve murals depicting scenes such as hunting and different wild animals by scratching out on rocks with the help of sharp and pointed stones. As man organized himself into an organized and civilize society, the mediums through which art began to be expressed started to take on numerous forms. It started to develop into a highly skillful and representational aspect of work and evolved into a study of its own. People now required to be highly trained in order to be able to produce pieces of art that could be considered as valuable to the society. As art evolved, it began to capture increasing aspects of our lives and the expression started to look increasingly expressive. it started to gain numerous perspectives in terms of anatomy, the kind of materials used, the combination of colors as well as in terms of the content. However, as newer movements began to rise over the centuries, they began to slowly deprive the expression of any meaning. Such social entropy was necessitated with the greed to make people happy. This required that true information be masked with content that seemed to depict something more appealing to the masses. The current paper aims to discuss the impacts of the history and evolution of art on society and aims to derive it further in the direction of Iconography, which is a broad domain of art history in its own sense. The next sections will discuss the growth and development in the interpretation of art over the ages and will discuss iconology and its evolution over the centuries. As has been mentioned above, the paper will attempt to discuss how we have come to

Disaster Recovery Plan Essay Example for Free

Disaster Recovery Plan Essay Disasters have become an inevitable part of businesses and organizations as well. They not only have a major effect on business and organizational continuity; they also result to an overhaul in organizational operational mechanisms (Awasthy, 2009). It is for this reason that many organizations and business resort to preparing business continuity plans and disaster recovery plans that will facilitate better disaster management in future. Effective disaster recovery plans are important to every business and organization (Thejendra, 2008). This is a disaster recovery plan is prepared for Bain Company. This plan establishes goals, objectives and programs for the handling threats and natural disasters. The plan will provide a framework for recovery by anticipating future threats and disasters within or around the organization. It will be aimed at considering the security and protection of the business staff and its clients. It will also ensure that there is a reduced amount of business intermission that disasters are usually associated with. Examples of disasters that may occur within the business are: natural disasters such as tsunamis, hurricanes, earthquakes, among others; terrorist threats, bomb attacks, strikes and civil riots, fires, among others (Thejendra, 2008). Bain Company Bain Company is a business consulting firm that works with many executives from different organizations to assist and aid them in making proficient decisions, actualize these decisions and enhance business sustainability. Its main objectives include enhancing business ideas into viable actions; to have a paradigm shift in business management and enhance innovations and technologies into business operations. With over 48 offices in 31 countries worldwide, it is a global entity with an edge over the rest. Disaster Recovery Plan for Bain Company The Disaster Recovery Plan that will give reference of how disaster recovery will be done, the responsibilities of each actor, and recovery measures that will be taken in case of occurrence of disasters. The plan will also include the safety measures or proposals for better safety techniques (Menken and Blokdjik, 2010). Confidentiality Statement This document will remain the property of Bain Company and shall not be duplicated or given out under any circumstance; reliant on the fact that the type of information in the plan is endemic to Bain Company. Document Distribution Every member of the management and planning team will keep copies of the manual plan. Distribution will be kept in track by the Disaster Management Board of Bain Company. Plan Objectives †¢ To ensure that the safety and protection of all the employees and customers of the firm is enhanced in case of disasters †¢ To ensure that business continuity of Bain Company is enhanced without much intermission. †¢ To ensure that information is well handled and controlled during the disaster recovery process. †¢ To consider alternative courses of action that will be used in the worst case scenario. Recovery Strategies These are the measures that Bain Company should implement in order to enhance business continuity and avoid rapid losses (Thejendra, 2008). It should have a computing system of business and firm records. This will ensure that data backup is enhanced and therefore during disasters business records of Bain Company still available. This will ensure that the business operations continue to run effectively. The firm should also consider establishing an external facility that will house them in case the building they were housed in previously is destroyed. This will also ensure that the operations of Bain Company continue to run smoothly without breaks (Thejendra, 2008). The management of Bain Company should ensure that the firm runs under insurance. Insuring the firm’s activities will ensure that the firm is able to make up for the lost equipment, furniture as well as data. Consequently, it will make sure that Bain Company does not run at a loss when trying to replace these items (Awasthy, 2009). Disaster Plan Declaration All efforts of the firm are aimed at establishing and developing an active and cyclic planning process and document that will foster innovation and technology and that will ensure that the disaster recovery process is participatory, up to date and timely to meet the objectives of Bain Company. Assessment of security Security measures to be input into the firm to boost disaster recovery process include establishing firm registry in bomb proof vaults that will shield the firm’s documents and data from disasters such as terrorist attacks. Such will ensure that the records of the firm are not tampered with and as such the company is able to run business without fundamental data loss (Menken and Blokdjik, 2010). The company can also ensure the installment of fire extinguishers and fire exit doors within the firm’s premises to create better channels of evacuation during fire outbreaks. In addition, smoke detectors and alarms should also be installed to signify and create warnings in case of such. Establishing access codes to data registries is another security measure that the firm can uphold. This will ensure that confidential data and information is only managed by a certain level of management. In addition, during threats such as civil unrests or riots data will be managed effectively (Thejendra, 2008). Potential disaster scenarios and methods of dealing with the disaster Potential disasters that Bain Company may be faced with include fire, bomb or terrorist attacks, dangerous and threatening situations such as riots or attacks, hurricane, tornadoes and earthquakes, among others (Awasthy, 2009). Fire preparedness In case of a fire the employees should report immediately to the nearest fire department office in the area; notify the Incident Commander or Departmental Manager available during that time. If it is a small fire, the person should try extinguishing it using the fire extinguishers available. If it is a large fire, the person should vacate the building and make no attempts to put it out. Once the Incident Commander is on scene, the decision on evacuation will be made. The alarms should be set on so that other employees can be notified of the events going on in the firm. Evacuation should then be made possible by security personnel or evacuation team present. The employees should be warned not to use the lifts or elevators during a fire incident. Employees should also assemble in areas designated for fire assembly (Menken and Blokdjik, 2010). Bomb/ Terrorist attack Preparedness In case of a notification of bomb or terrorist attack in the firm the first step should be to notify police departments immediately. The attack or threat should then be communicated to the Manager and Incident Commander who will organize for evacuation of the building premises. Other departmental heads and members of other firms within the same building should also be notified (Menken and Blokdjik, 2010). Dangerous Attacks and Threatening Situations These may include hostage situations, dealing with armed robbers and strikes and riots from employees. In such situations, one of the employees who is outside the building at such a time should be notified so that they can notify the police departments of the problem. The security personnel of the building where the firm exists should also be notified. If possible, an effort should be made to understand the motive of these people and thus come to an agreement with them (Menken and Blokdjik, 2010). Disaster Recovery Procedures These are the steps that will guide the whole plan and will be implemented in case a disaster occurs. This process will encompass setting and establishing of a set of laws and disciplines that will guarantee business operations to continue without intermissions (Awasthy, 2009). First, there will be need to set up a planning committee that will foresee the establishment of programs to be done in case of a disaster. The plan should be able to oversee all actions and implementary measures necessary. The next step is risk assessment. This is important so that the management of the firm is able to quantify risk levels against the firm from potential disasters. It will also guide the implementation of safety measur es in the firm (Thejendra, 2008). There would be need to establish and define recovery modes and strategies. These are the strategies that the firm would adopt in case a disaster such as a fire hit them. It would define who will be responsible for doing a particular activity, how they will do it and the time allocation for each activity. Furthermore, the preparation and documentation of the formulated plan of action will be done. This will be important because it will enable every member of staff to have the document, get accustomed to it and internalize it so that they are well prepared in case a disaster occurs. Plan documentation is also important for review it and alteration from time to time (Thejendra, 2008). Consequently, alternative courses of action and a verification criterion is developed. They are important because they give the firm other actions to carry out or work with in case the original plan doesn’t fit the needs of the firm at that moment. They will hence enable business continuity (Thejendra, 2008). Finally, plan implementation is the last step in the Disaster Recovery Procedure. This is where the planning team will be able to implement the proposals and courses of action that they have developed in the formulated plan. Incident Response Team This is a team of experts who will be included in the emergency response strategy prepared for the disaster recovery plan. They include: First aid teams, fire control teams, security personnel, supplies teams and service teams (Menken and Blokdjik, 2010). Mission Statement The Bain Company Incident Response Team will support the operations of the firm’s resources through the provision of quality, fast and effective response to disasters (natural and manmade) and threats that face the business and adequate response training through research and innovation. Declaration All human efforts will be geared towards ensuring that the safety, protection and security of all employees and data of the Bain Company are at peak during disaster recovery. It will be the priority of the Incident Response Team to ensure that the sustainability of business operations of Bain Company is enhanced. Organizational structure of the Incident Response Team The Incident Response Team shall have the following an incident command center, planning team, logistics team, operations team and finance team. [pic] Proposed Network Architecture The proposed network architecture will involve a computerized back up system for the company that will back up all the data. All the company data will be stored in a backup system that is rigid and devoid of any disaster in an area that is far from the normal company. The arrows in the above diagram show how data is collected from the branch offices of the company to the main office. The data is then collected and backed up in the facility for quick recovery. Roles and responsibilities The team manager is the person that is accountable of all the actions that the Incident Response Team is tasked to do. The manager is the administrator in general of all the personnel in the team. The Planning team is responsible for charting up a plan of how the incident team will operate. The Logistics team inclusive of Intrusion Analysts identifies the actual intrusion point of the disaster in the firm’s operations. In addition, business resource planners are responsible for mobilization of resources within the firm to ensure interruption of operations is minimal. The operations team will include security personnel responsible for raising awareness and warnings, maintaining order and evacuation supervision; fire control team is responsible for firefighting activities; First Aid team responsible for providing basic and advanced first aid to injured people, if any; supplies teams for providing sanitation and medical supplies, food, and blanket supplies; service teams offer transport, shelter and vital records management. The Public Advisory Manager is responsible for relaying information about the disaster within the firm and also to the press and general public Information flow and methods of communication Information flow within the Incident Response Team should be done through the Public Advisory Committee. They should also answer all general public concerns regarding the disaster that the business has encountered. Any information that is trickled out of the firm should be handled carefully to prevent creating unnecessary tension. It should also be handled through a solitary source to prevent distortion of information. The Public Advisory Committee will determine methods of communication such as hourly announcements via public address systems or through the media so that the general public can be aware as well. Services provided by the IRT The Incident Response Team provides the following services such as training the staff of the business to instill in them practicable and viable skills of coping with disasters when they occur. In addition it should offer drilling exercises that will improve awareness of how to act in case disasters such as fires happen to occur (Menken and Blokdjik, 2010). Authority and reporting procedures All authority runs back to the Team Manager or Incident Commander. He is responsible for relaying all commands regarding how activities and procedures will be done within the Incident Response Team. All procedures and administrative actions should have a top-down approach. Conclusion Disaster Recovery Plans are important because they help the organization chart out a way forward when encountering natural or manmade disasters. They should be effective, efficient and up to date to keep up with the organizational trends taking shape in the world today. References Awasthy, A. (2009). Disaster Management: Warning Response and Community Relocation. New Delhi: Global India Publications Menken, I. and Blokdijk, G. (2010). Disaster Recovery and Business Continuity It Planning, Implementation, Management and Testing of Solutions and Services Workbook Second Edition. Brisbane: Emereo Pty Limited Thejendra, B. S. (2008). Disaster Recovery and Business Continuity: A Quick Guide for Small Organizations and Busy Executives. London: IT Governance Ltd

Nutritional Considerations in Geriatric Care

Nutritional Considerations in Geriatric Care Title of the Topic: Nutritional Considerations in Geriatrics Running Title: Geriatric Nutrition List of Cotributors: Dr.Veena B. Benakatti, Post Graduate student, Department of Prosthodontics, KLEVK Institute of Dental Sciences, KLE University Belagavi Dr.Raghunath Patil, Professor and Head, Department of Prosthodontics, KLEVK Institute of Dental Sciences, KLE University Belagavi Dr Ulhas N Amasi , Professor, Department of Prosthodontics, KLEVK Institute of Dental Sciences, KLE University Belagavi Dr Veena Benakatti1, Dr Raghunanth Patil2, Dr Ulhas N Amasi3 Department of Prosthodontics, KLEVK Institute of Dental Sciences, KLE University Belgavi. Abstract: Human beings need a wide range of nutrients to lead a healthy and active life. The nutrients required for different physiological age groups can be derived only from a well balanced diet. One of the major challenges for the success of health sciences in present scenario is increasing elderly population in the society. Nutritional deficiency, particularly of proteins is very common in elderly people. Over 60% of elderly people are malnourished, and there are many causes for this malnutrition and it is not always easy to differentiate the age related from the pathological. We always need to remind the phrase that it is of great importance to add life to years and not years to life. Here is an article reviewing the basics of nutrition in elderly people and role of prosthodontist in the same. Key words: Diet Counseling, Geriatrics, Healthy, Nutrition, Prosthodontist, Recommended Dietary Allowance. Introduction Nutrition is the basic human need and a prerequisite for healthy life. A well proportionate diet is essential from the very early stages of life for proper growth, development and maintatinance of normal body functioning, physical activity and, health.1 The three basic prerequisites to sustain life are air, water, and food. Human being is supposed to consume air, water and food in pure and naturally occurring condition. However, assuming air and water is being consumed in pure form, food is the basic requisite for healthy life which is in control of human being but still the one most neglected. The overall improvement in economy at the macro level and subsequent improvements in purchasing power (though unevenly distributed) among households have not resulted in the expected levels of improvement in the nutritional status of Indians mainly because of ignorance. The major food issues of concern are insufficient and imbalanced intake of nutrients.1 One of the major challenges in field of health sciences is the increasing number of geriatric population in the society. Also, it is expected that by 2050, 20% of the total geriatric population of the world would be in India.2 Nutritional deficiencies particularly concerning protein is very common in elderly. Over 60% of elderly people are malnourished, and many causes may be traced for this malnutrition and it is not always easy to differentiate the age related factors from the pathological.3 We need to always remember the phrase that it is of great importance to add life to years and not years to life.2 Nutritional needs of the elderly Nutrition in geriatrics needs a special attention considering factors that affect nutritional status of an aging individual. Physiological changes that occur with age, like Body composition (Annual decline in lean body mass of 1-2% and decline in extracellular water) reduced and impaired organ function, therapeutic drugs affect nutritional status of elderly people. Apart from these, Emotional problems, Insufficient funds, inability to shop and food preparation problems, adherence to specific diet, alcohol, above all the individuals’ taste play a more important role for the selection of food than does the availability of nurients.4 The main sources of energy in Indian diets, which are mainly plant food based, are Carbohydrates, Fat, Protein considered to be macronutrients. Other nutrients are Vitamins and minerals, which are considered as micronutrients. The required nutrients for different physiological groups can only be derived from a well balanced diet.1 Water Water accounts for 70% of total human body weight. It is a constituent of blood and other vital body fluids. A normal healthy person will require 8 glasses (2 liters) of water per day. During very hot weather and when undertaking vigorous physical activity, the requirement of water increases as a considerable amount of water is lost through sweat. Water should be free from disease-causing agents like bacteria, viruses, parasites etc., and harmful chemical substances like pesticides, industrial wastes, and heavy metals, nitrates, arsenic and excess of fluoride. Boiling for 10-15 minutes is a satisfactory method of purifying the water. Tablets containing 0.5 g of chlorine can disinfect 20 liters of water.1 Energy Body needs energy, to maintain body temperature, metabolic activity and for supporting physical work and growth. The main source of energy in the Indian diet is carbohydrates which derived largely from cereals. These cereals constitute 80% of our diet and provide 50-80% of daily energy intake. Elderly Men need 46kcal/kg/day (average 2730kcal/kg/day). Elderly Women need 41kcal/kg/day (average 2230kcal/kg/day).1 Carbohydrates Carbohydrates provide energy of 4 Kcal/g (Table 1). The simple carbohydrates, glucose and fructose, are found in fruits, vegetables and honey, sucrose in sugar and lactose in milk, while the complex polysaccharides are starches in cereals, millets, pulses and root vegetables and glycogen in animal foods. The elderly consume a large proportion of their calories as carbohydrates, possibly at the expense of other nutrients like protein, because of their low cost, ability to be stored without refrigeration and ease of preparation. Denture patients preferring soft foods high in simple sugars fat should be advised importance of complex carbohydrates. Fiber component of complex carbohydrates promotes bowel function, lowers glycemic response, reduce serum cholesterol prevents diverticular disease. Most of the fruits and vegetables (except potatoes, watermelon, sweet corn) whole grains, beans, lentils are low glycemic index foods.1 Proteins Dietary proteins should provide eight essential amino acids in a proper proportion and in adequate quantities to synthesize tissue proteins in the body. Particularly Egg protein is used as a reference protein against which the quality of other proteins can be considered. Vegetable proteins, like cereals, legumes and vegetables are of poorer quality than animal proteins. Cereal proteins are generally deficient in lysine and pulses or legume proteins deficient in methionine. However, when both cereal and pulses (legumes) are consumed in the diet in proper proportions, the proteins from these two sources will supplement each other and overcome each other‘s deficiencies in lysine or methionine to a significant extent. Daily requirement of protein is .8g/kg body wt (60g for males 55g for females per day).1 Fat The maximum amount of fat that can be consumed in the diet should not exceed 30 %E (about 60g visible fat / day). Fat intake if exceeds 35% E may increase the risk of diet related non communicable diseases and should be avoided. However, daily fat intake in the diet can be between 20-30%E (20- 40 g/day). Low fat milk and dairy foods should be consumed. Processed, premixed, ready to eat and fast foods should be avoided. Beef and mutton should be consumed moderately. Use of butter/Ghee should be limited. Intake of saturated fat (butter, ghee and hydrogenated fats) and cholesterol (red meat, eggs, organ meat) should be restricted. Excess of these substances could lead to obesity, diabetes, cardiovascular disease and cancer. Use palm oil, sesame, rice bran, or cotton seed oils as they have higher thermal stability. For bakery items use coconut oil, palm oil, palm kernel oil or their blends/solid fractions.1 Dietary fiber Dietary fiber is the remnants of the edible part of plants and is similar to carbohydrates which are resistant to digestion and absorption in the human small intestine with complete or partial fermentation in the human large intestine. Dietary fiber includes polysaccharides, oligosaccharides, lignin and associated plant products. Dietary fiber exhibits one or more of either laxation (fecal bulking and softening; increased frequency; regularity), blood cholesterol attenuation, blood glucose attenuation. Animal foods do not contain fiber. Cereals, seeds, beans, many fruits and vegetables, bran and whole grain are sources of fiber. In Indian scenario fiber deficiency is rare as it is consumed adequately in daily Indian foods. However, a minimum intake of 20-35 g of fiber is recommended for long-term good health.1 Minerals Minerals are calorie free and essential nutrients which regulate many biological functions. Minerals such as iron, zinc and copper aids in collagen formation, Wound healing, and regulate inflammation.5 Calcium and Phosphorous Average need of calcium over 60yrs is 1500mg daily, and of phosphorous 1gm/day. Elemental Ca:P ratio of 1:1 has to be maintained. Sources include Milk and milk products, Egg, Meat, Fish, millet ragi, Green Leafy Vegetables. Milk is Rich source of bioavailable calcium. Milk fat serves as a vehicle for fat-soluble vitamins A, D and E. Since milk fat is of the saturated type, those who need to be on a low fat diet can consume skimmed/toned milk. For strict vegetarians, milk is the only source of vitamin B12. Milk is also rich in riboflavin. Only pasteurized or boiled milk should be consumed to ensure protection from disease-causing agents. Osteoporosis is the most common disease affecting aging person and postmenopausal women resulting from calcium deficiency.1 Iron, Zinc, Sodium, Magnesium and Potassium – (Table No 2) Vitamins These are essential organic and calorie free molecules necessary for human body. They are further classified as fat soluble and water soluble vitamins.5 (Table No 3) As a person grows older, he tends to become physiologically less active and therefore need lesser calories to maintain their weights. The daily intake of oil should not exceed 20 g. Use of ghee, butter, and coconut oil should be avoided. They need foods rich in protein such as pulses, toned milk, egg-white etc. Therefore, the elderly need nutrient-rich foods rich in calcium, micro-nutrients and fiber. Apart from cereals and pulses, they need daily at least 200-300 ml of milk and milk products and 400 g of vegetables and fruits to provide fiber, micro-nutrients and antioxidants. Inclusion of these items in the diet improves the quality of the diet and bowel function. Flesh foods and eggs add to the quality of diet. The diet needs to be well cooked, soft and less salty and spicy. Small quantities of food should be consumed at more frequent intervals and adequate water should be consumed to avoid dehydration hyponatraemia. 6 Food preparation Fermentation and germination (sprouting) are common Indian food practices which definitely improve digestibility and increase nutrients such as B-complex vitamins and vitamin C. Repeated washing of food grains like rice and pulses will lead to loss of minerals and vitamins. Cutting vegetables into smaller pieces will expose a greater surface area of the foodstuff to the atmosphere, resulting in loss of nutrients like vitamins due to oxidation. Cut vegetables should not be soaked in water for longer time, as water-soluble minerals and vitamins will get dissolved. Boiling being the most common method of cooking, will lead to loss of heat-labile and water-soluble vitamins like vitamins B-complex and C. excess water should not be used while cooking rice. Shallow frying uses much smaller amounts of oils than deep frying. Repeated heating of oils particularly PUFA-rich oils results in formation of peroxides and free radicals and, thus, should be avoided. Oils which have been repeatedly hea ted should not to be mixed with fresh oil. Microwave do not cook uniformly and leave some cold spots in the food by which harmful bacteria can enter into body, avoid large amounts and big pieces in the microwave oven otherwise mix the food in between for uniform heating or cooking.6 Natural fruit juices provide energy, vitamins (beta carotenes, vitamin C) and minerals (potassium, calcium). Fruit juices are potassium rich and are ideal for hypertension. Compared to natural fruit juices, synthetic drinks do not contain nutrients. Tea and coffee although relieve mental and muscular fatigue should be avoided at least one hour before and after meals due to presence of tannin that interfere with absorption of iron. Coffee known to increase Blood Pressure and abnormalities in heart beat, excess tea coffee is harmful to health as they contain caffeine. Decaffeinated coffee and tea can be consumed which are being marketed to obviate the adverse effects of caffeine.6 Role of Prosthodontist Teeth are not a prerequisite in healthy individuals for proper digestion. However edentulous subjects with poor masticatory function consume more medications than those with better masticatory function for their digestive problems. Impaired masticatory function may lead to adhesion to specific diet and an unbalanced diet in elderly individuals. Apart from masticatory efficiency several other oral conditions like painful mucosal disorders, oral dryness may also lead to nutritional problems.3 Adequate nutrition plays a vital role in maintaining health of aging oral tissues which in turn is going to influence the prognosis of prosthesis6. An adequate dentition either natural or artificial is not always essential for sufficient food intake for maintaining balanced nutrition in normal health, but is necessary to support extra demands of illness aging. Prosthodontist is in a strategic position to evaluate correct nutritional deficiencies that promote premature aging of oral tissues by providing a functional prosthesis. A prosthodontist need to understand aging patient his requirements provide prosthetic treatment to meet his demands helping him towards optimal health a happier life. Quality of denture wearing patient can definitely be improved by diet counseling. Creating nutrition awareness referral to physician or dietitian when required is of utmost importance. A careful screening, diet evaluation and regular follow ups will help to identify nutritional risk deal with it. Objective of diet counseling is to correct imbalance in nutrition that interfere with body as well as oral health.7 Older people with dry mouth are likely to prefer foods that are high in fats, oils and sugars due to ease of chewing and swallowing. Older people with altered taste and smell may consume more sugars as a way of making food palatable. Some people may not consume some foods that are good sources of dietary fiber due to problems with their teeth or dentures. For those with dry mouth, encourage frequent sipping of non-sugared, low acidic drinks such as water. The intake of sugar-containing medications should be limited. Ask the doctor for alternatives for the person in your care. Prepare chopped up vegetables or mashed vegetables for them. Avoid giving them stringy foods. Provide small bite-sized portions of fruit. Conclusion The geriatric population being a very important asset for our society, their experience and guidance in real life is indispensible. As a Prosthodontist, if we think what we can give back to the society? One of the answers could be obtaining detailed knowledge of diet and nutrition and guiding our patients during our long and repeated appointments. This way, Prosthodontist can bang a correct balance between profession and their responsibility towards society at a large and attain professional happiness.2The concluding principle is that proper nutrition is an important aid in preventive medicine in geriatric people in which the practicing Prosthodontist can play a vital role. References Recommended Dietary Allowances For Indians, Report Of Expert Group Of Indian Council Of Medical Research, National Institute Of Nutrition, Hyderabad. Palaskar J. Diet nutrition in geriatric patients- A matter of concern. J Dent Allied Sci 2012; 1(2):44. Philippie Mojon, Ejvind Budtz-Jorgensen, Charles-Henri Rrapin. Relationship between oral health and nutrition in very old people. Age and ageing 1999; 28:463-68 Nancy G sebring, Albert D Gluckes, Shou Hua, Mccarthy. Nutritional adequacy of reported intake of edentulous subjects treated with new conventional or implant-supported mandibular dentures. J Prosthet Dent oct 1995; 74(4):358-63 Snehal Sonarkar, Rucheet Purba, Shishir Singh, Rajesh Podar. â€Å"Components of diet and it relation to dental caries: A review†. Int J Contemp Dent Med Rev 2014 Dietary guidelines for Indians, National Institute Of Nutrition 2010 Zarb, Hobkirk, Eckert, Jacob. Prosthodontic Treatment for Edentulous Patients, 13th Ed. New Delhi, Mosby, Elsevier, 2013;28-33 Sheldon Winkler. Essentials of Complete Denture Prosthodontics, 2nd Ed. New Delhi, AITBS publishers, 2012,15-20 List of Tables: Table 1 Amount of energy derived from various macronutrients.1 Table 2 Recommended Daily Allowance and sources of micronutrients.1 Table 3 Recommended Daily Allowance and sources of vitamins.1 Table 1: Amount of energy derived from various macronutrients.1 Table 2: Recommended Daily Allowance and sources of micronutrients.1 Table 3: Recommended Daily Allowance and sources of vitamins.1

Is Social Security Reform Really Necessary? Essay -- Argumentative Per

Is Social Security Reform Really Necessary? For many years the social security program has been operating successfully. In recent times however, it is becoming apparent to some that social security is in need of reform. Their argument is that with the amount of people getting older in the next couple of decades, there will not be enough money left in the social security reserves to pay for everyone who needs it. That is why the idea of separating social security up into private funds has been brought to the attention of the American citizens. This idea of reform has been around for quite a long time; however it has been pushed on by pro reform supporters more in recent times because they think it is necessary for the future of the social security program. The idea of reforming the way that social security functions is a bad idea because the way it is set up right now will work in the future regardless of population changes. It also won’t be worth the time and money to reform something that is already working very well, which social security is. Furthermore, the current president’s plan of privatizing social security had many problems and will not work very well during future years. These problems will not only affect the way our seniors live their lives, but also it will put our country deeper and deeper into debt. Many things would change as a result of social security reform, not one of which is better. Most Americans do not enjoy unnecessary taxes and costs, and the privatizing of social security is one thing that is preventable and would not even save the American citizens money in the long run. This idea is very poor, and there are many reasons why it should be stopped. To understand what is wrong with privatizing social security, it is very important to first know how social security works in its current form. What social security is exactly is a way for older Americans and retired American citizens to have financial benefits after they become too old to be working. This includes money for prescription drugs, food, and other common living costs. It comes to the beneficiaries in the form of a check routinely. This money comes from a vast social security reserve that is paid for by the common American taxpayer. The idea behind this is that when you are making money and have a steady job, you will pay money toward social security so t... ...say I encountered many small problems. One of the major ones was finding the resources to write an 8-10 page paper. I have little experience with papers that are this length, so I had to work it out as I went along. In the end it was alright though because I got a chance to really reflect and expend on my ideas, which is something that I never got a chance to do before. Some of the strengths of this paper are the arguments that I presented about this topic. There were a few problems that I ran into along the way. One was trying to make sure I didn’t accidentally state the same idea twice. As unrealistic as it sounds, it can be a reality if the paper is a real long one. If I had more time in the working of this paper, I would probably add more hard facts from my sources, so that my arguments would become more concrete. I would have to say that I was fairly well prepared for this paper and I thought that I did a pretty good job on it. The only improvements that I could see a re if I were to add more citations and edit my arguments to be stronger. I would have to say that I had a fun time working on this paper and learned a whole lot about a subject that I knew nothing about before.

Ski Stories, Retold :: Personal Narrative Writing

Ski Stories, Retold My parents were avid amateur skiers. For years they have told me the stories of their attempts down the hills and across the countries of Germany, Austria, France, Italy, and Switzerland. My dad becomes animated, imitating the huffing and puffing of his trips and laughing until his belly bounces, a result of less physical activity since those adventures. My mom laughs more quietly and requires more questions to keep her stories going. But both remember the same highlights and downfalls. When they were both stationed in Bitburg, Germany they signed up for the USAFE (pronounced u-safe-y) ski team. USAFE is the United States Air Force – Europe, the American Air Forces in Europe and European Air Forces. â€Å"Some were very good. They had made the Junior Olympics [before joining the Air Force],† Mom said, â€Å"but we were just doing it for fun and a free vacation.† They had minimal ski practice beforehand, but couldn’t pass up the prospective of a free vacation. They got TDY (temporary duty elsewhere) for the ski competitions, so they didn’t have to take leave time. One competition lasted for a week in Berchtesgaden, Germany, a small village near Austria. Mom did the giant slalom and the downhill. The giant slalom is a downhill event with two parallel poles called gates spread apart from other gates all the way down the mountain. The object is to ski through the gates in a specified order as fast as possible. Mom can’t remember how well she did but she â€Å"maybe made it down.† She said, in reference to the downhill event, â€Å"I made extra turns to try to slow myself down. I was fourth place or something; there weren’t many in it. Dad did well in his cross-country event. He was tenth.† Dad said, â€Å"We were lousy.† He chickened out at the top of the downhill. â€Å"We had to stand up there, all cold and holding our poles close, and then just throw ourselves down. We got so stiff, and it hurt so bad.† Mom joined in, â€Å"The tension. Oh, we were so tense. Our neck muscles and shoulders. Because you’re up there and so scared. [Those nights] we filled up the hot tub several times.† Both remembered Harry Morse, the ENT (Ear-Nose-Throat doctor).

Business and Internet

What is the internet? The Internet is a worldwide collection of computer networks, cooperating with each other to exchange data using a common software standard. Through telephone wires and satellite links, Internet users can share information in a variety of forms. How does it work?Internet allows users to: connect easily through ordinary personal computers and local phone numbers, exchange electronic mail (E-mail) with friends and colleagues with accounts on the Internet, post information for others to access, and update it frequently, access multimedia information that includes sound, photographic images and even video, and access diverse perspectives from around the world. How does it provide business value? People search the Internet with some questions or concern in mind. That is the importance behind all the keywords being placed on your website through traditional Search Engine Optimization.However, once the person has found one of your pages on the search engine, what unique value does your website offer to prospective clients / customers? Websites allow for easy access anytime to your companies information. Explain how the domain name and IP addressing system work. If you've ever used the Internet, it's a good bet that you've used the domain even without realizing it. DNS is a protocol within the set of standards for how computers exchange data on the Internet and on many private networks. Its basic job is to turn a user-friendly domain name that computers use to identify each other on the network.It's like your computer's GPS for the Internet. Computers and other network devices on the Internet use an IP address to route your request to the site you're trying to reach. This is similar to dialing a phone number to connect to the person you're trying to call. List and describe the principal internet services. Internet services consist of communication, news, weather conditions, shopping and entertainment. You can do faxing, calling, surfing, browsing a nd marketing in internet and even crimes, etc. List and describe alternative ways of locating information on the web.Search engines- The search engines are the first place everyone heads to and they have become household names. Subject Directories If you have a specific piece of information you are looking for and it fits neatly into a particular category this is a good place to start. These sites include libraries, academic institutions, research facilities and usually include the ‘best of the best' as well as peer-reviewed publications for business and academics. Directories have even been created by both Google and Yahoo. Social NetworkingSocial Networking is the latest craze on the Internet and includes online communities of people who share certain interests, activities, etc. While many of them are just about connecting to other people, some can be used to glean new information from the web. Services such as StumbleUpon will give you recommendations on websites that might be of interest to you based on a set of interests and keywords. Other services like LinkedIn focus on connecting people in business but also give you a resource where you can ask for the opinions of others or to be pointed in the right direction. Social BookmarkingSocial Bookmarking sites like Reddit, Delicious and Digg all allow users to bookmark or share links of interest. They all contain categories and notifications so you needn't go searching, the information can even be brought to you to save time. All three have ways for users to increase (and possibly decrease) the popularity or relevant importance of some links that are dropped into the services. Not all links bookmarked at these sites will be useful but many could be interesting, informative or something you might use later. The peer-review means that others find the links useful and help them float to the top so to be more easily found.