West Nile Virus
Life History
West Nile Virus, WNV, was first isolated in 1937 in the West Nile section of Uganda. It was the found in Egypt in the 1950's. It was first found to cause meningitis and encephalitis during an outbreak amongst elderly people in Israel in 1957. It was first found to infect other vertebrates (equine species) in France in the early 1960's. It did not cross over to the US until 1999 and has now spread to 44 states. There have been 8219 cases in the US since then with 182 deaths. Connecticut has had 12 cases without a death.
Microbial Characteristics
WNV belongs to the virus family arboviruses, so called because they are arthropod-borne. The virion is about 40 nm in size. WNV is a +ssRNA virus. It is also an enveloped, icosahedral virus. Incubation period is about 3-14 days.
Transmission
WNV is transmitted by the female mosquito of the Culex species and can be transmitted to many vertebrates including birds, horses, dogs, cats, and humans. WNV has not been found to be transmitted through person-to-person contact or between any of the secondary carriers (i.e. birds to humans, etc.). It can be spread through blood transfusion, but this has only happened twice in the US.
Symptoms
Most people who are infected with West Nile virus either have no symptoms or experience mild illness such as fever, headache and body aches before fully recovering. Some persons may also develop a mild rash or swollen lymph glands. In some individuals, particularly the elderly, West Nile virus can cause serious disease that affects brain and spinal tissue. Severe illness may include encephalitis, meningitis, and acute flaccid paralysis. Symptoms may include: headache, high fever, stiff neck, confusion, coma, tremors, convulsions, and muscle weakness or paralysis. At its most serious, West Nile virus cancause permanent neurological damage or death. The fatality rate is 10-15% of t he only 1% that develop the more severe condition.
Diagnosis
Diagnostic testing is usually only done on patients that acquire the more severe meningitis or encephalitis. A MAC-ELISA test is performed on the CSF to detect any virus specific IgM. A MAC-ELISA can also be done on serum samples to confirm viremia. Like many other new viral diseases, this test is done when all other infections, bacterial or otherwise, are ruled out as the causitive agent. Diagnosis is based highly on clinical suspicion.
Euthanasia is one of the most complicated issues in the medical field due to the debate of whether or not it is morally right. Today, the lives of many patients can be saved with the latest discoveries in medicine and technology. But we are still unable to find cures to all illnesses, and patients have to go through extremely painful treatments only to live a little bit longer. These patients struggle with physical and psychological pain. Dr. Martin Luther King Jr. discusses the topic of just and unjust laws in his “Letter from Birmingham Jail” which brings into question whether it is just to kill a patient who is suffering or unjust to take that person’s life even if that person is suffering. In my opinion people should have the right, with certain restrictions, to end their lives in the way they see fit if they are suffering from endless pain.
[1, 4, 5, 9, 13] There have been no documented cases where a human has contracted the disease from another human. [4] It appears, based on field and lab data, that infection requires direct contact with the virus through means such as contact with infective bodily secretions, urine, or tissues. [12] It is unknown to scientists how the virus can be maintained in the bat populations and avoids extinction as the host species becomes immune to its presence. [14] The incubation period from time of infection to the onset of symptoms is about 5-14 days in experimentally induced animals [4] and 8-14 days in natural field cases.
...e his wife tearing the yellow paper like manic and creeping over him to tear the yellow wallpaper symbolizes the power now Jane has over her husband shifting the traditional gender roles even though it temporary .The tearing of the yellow wallpaper symbolizes Jane’s traditional gender role of being an obedient wife was a imprison to her l health .Jane felt trapped without a voice and not being able to do anything but to obey reflects her imprisonment to the woman trapped in the yellow wallpaper and the need to be free. In which in her own way she escapes her traditional gender role by letting the woman out and taking control of her husband when she locks the door and he faints.
...le pain to both the patient and to their families. One procedure, known as Physician-Assisted suicide, alleviates suffering by having a physician provide a patient the means to painlessly kill him or herself. This procedure however, remains controversial and illegal in many states. This is unfair to patients who wish to be assisted in seeking death and escaping their terminal illness. Despite all of the benefits that are brought about because of Physician-Assisted suicide, people across America still seek to ban the practice because it clashes with personal moral and ethical beliefs. Although many people disagree with the procedure of Physician-Assisted suicide, it should still become legal because it alleviates suffering, allows patients to die in a dignified manner, and allows people to take control of the ultimate choice, death, away from their terminal illness.
West Nile Virus has been determined to be a flavivirus. Flavivirus has been defined as, "a type of arbovirus that causes a wide range of diseases in humans,including yellow fever, dengue, and West Nile fever. It is spread by ticks or mosquitoes". (flavi...
Terminally ill patients should have the legal option of physician-assisted suicide. Terminally ill patients deserve the right to control their own death. Legalizing assisted suicide would relive families of the burdens of caring for a terminally ill relative. Doctors should not be prosecuted for assisting in the suicide of a terminally ill patient. We as a society must protect life, but we must also recognize the right to a humane death. When a person is near death, in unbearable pain, they have the right to ask a physician to assist in ending their lives.
The Ebola virus is a member of a family of RNA viruses know as Filoviruses, because they resemble thread. Filoviruses are among the most mysterious viruses in the world because their natural history remain unknown and their pathogenesis poorly understood. The family consists of Ebola and Marburg viruses. Marburg and Ebola both cause hemorrhagic fevers (www.encyclopedia.com).
The Ebola virus and Marburg virus are the two known members of the Filovirus family. Marburg is a relative of the Ebola virus. The four strains of Ebola are Ebola Zaire, Ebola Sudan, Ebola Reston, and Ebola Tai. Each one is named after the location where it was discovered. These filoviruses cause hemorrhagic fever, which is actually what kills victims of the Ebola virus. Hemorrhagic fever is defined as a group of viral aerosol infections, characterized by fever, chills, headache, fatigue, and respiratory symptoms. This is followed by capillary hemorrhages, and, in severe infection, kidney failure, hypotension, and, possibly, death. The incubation period for Ebola Hemorrhagic Fever ranges from 2-21 days. The blood fails to clot and patients may bleed from injection sites and into the gastrointestinal tract, skin and internal organs. Massive destruction of the liver is one distinct symptom of Ebola. This virus does in ten days what it takes AIDS ten years to do. It also requires bio-safety level four containment, the highest and most dangerous level. HIV the virus that causes AIDS requires only a bio-safety level of two. In reported outbreaks, 50%-90% of cases have been fatal.
The Ebola Haemorrahagic Fever, or Ebola for short, was first recognized as a virus in 1967. The first breakout that caused the Ebola virus to be recognized was in Zaire with 318 people infected and 280 killed. There are five subtypes of the Ebola virus, but only four of them affect humans. There are the Ebola-Zaire, Ebola-Sudan, Ebola-Ivory Coast and the Ebola-Bundibugyo. The fifth one, the Ebola-Reston, only affects nonhuman primates. The Ebola-Zaire was recognized on August 26, 1976 with a 44 year old schoolteacher as the first reported case. The Ebola-Sudan virus was also recognized in 1976 and was thought to be that same as Ebola-Zaire and it is thought to have broken out in a cotton factory in the Sudan. The Ebola-Ivory Coast was first discovered in 1994 in chimpanzees in the Tia Forest in Africa. On November 24, 2007, the Ebola-Bundibugyo branch was discovered with an approximate total of 116 people infected in the first outbreak and 39 deaths. The Ebola-Reston is the only one of the five subtypes to not affect humans, only nonhuman primates. It first broke out in Reston, Virginia in 1989 among crab eating macaques.
The right to assisted suicide is a significant topic that concerns people all over the United States. The debates go back and forth about whether a dying patient has the right to die with the assistance of a physician. Some are against it because of religious and moral reasons. Others are for it because of their compassion and respect for the dying. Physicians are also divided on the issue. They differ where they place the line that separates relief from dying--and killing. For many the main concern with assisted suicide lies with the competence of the terminally ill. Many terminally ill patients who are in the final stages of their lives have requested doctors to aid them in exercising active euthanasia. It is sad to realize that these people are in great agony and that to them the only hope of bringing that agony to a halt is through assisted suicide.When people see the word euthanasia, they see the meaning of the word in two different lights. Euthanasia for some carries a negative connotation; it is the same as murder. For others, however, euthanasia is the act of putting someone to death painlessly, or allowing a person suffering from an incurable and painful disease or condition to die by withholding extreme medical measures. But after studying both sides of the issue, a compassionate individual must conclude that competent terminal patients should be given the right to assisted suicide in order to end their suffering, reduce the damaging financial effects of hospital care on their families, and preserve the individual right of people to determine their own fate.
...d the common card suits, Hearts, Clubs, Diamonds, and Spades and the cards within that suit from the aces and court to the generic cards from two to ten. Today’s trick playing games are also derived from the methods that were developed for the original Tarot cards with games such as Bridge and Setback and many more mirroring the gameplay of a typical Tarot game. There is even evidence that the Joker card included in every set is a remnant from the Tarot’s Fool card. Finally, the images for each of the face cards are very old links to the original Tarot cards in Italy. While the images have changed drastically and are no longer very similar to the original images, Tarot cards provided a very strong basis for the typical modern card deck. Tarot birthed and developed many different forms of entertainment which have more than served their purpose through the years.
Thesis Statement: The deadly virus Ebola is killing thousands of innocent people world wide, but there are some simple steps that are being taken to prevent this coming tide of death.
To address these fears, many people attempt to control when and how they end their lives. Naturally, they turn to their physicians for assistance because the physicians know what amounts of drugs are lethal and how to administer such drugs to ensure death and prevent pain. However, in recent decades, when a patient feels that his or her life is no longer worth living for, they will commonly ask for their physicians’ assistance in suicide. Many people feel that it is the physician’s moral responsibility to end the suffering of the patient, while others feel that it is unethical to interfere with a natural process of death. Physicians exist to save the lives of patients. Assisted suicide puts them in the position of ending lives and naturally creates arguments of ethicality and legality.
What exactly is Euthanasia and physician-assisted suicide? Euthanasia is the practice of ending a human being’s life with the support of a physician or other third party in response to an untreatable patient suffering from severe pain and exhaustion over a course of time. Euthanasia is sometimes known as, mercy killing or assisted suicide. However, there are many classifications of Euthanasia and it has been legal in five states of the U.S, as of 2017; Washington, Oregon, Montana, Colorado, Vermont, and California. It has also been legalized in Canada, The Netherlands, Belgium, and Luxembourg. Japan and Columbia have too, legalized this practice, but under strict and defined circumstances. Although physician-assisted suicide seems like the definitive answer for patients that are heavily suffering from terminal illnesses, it is morally wrong and ethically erroneous. The topic of Euthanasia has always been a controversial one because it holds both, moral as well as ethical claims. So, in other words, should Euthanasia be legalized? Should people have the option to end their lives and basically play God? This essay will focus on the claims against Euthanasia and
The applied ethical issue of euthanasia, or mercy killing, concerns whether it is morally permissible for a third party, such as a physician, to end the life of a terminally ill patient who is in intense pain. The word euthanasia comes from the Greek words eu (‘well’) and thanatos (‘death’). It means a painless and gentle death. But in modern usage, it has come to imply that someone’s life is ended for compassionate reasons by some passive or active steps taken by another person. The euthanasia controversy is part of a larger issue concerning the right to die. Staunch defenders of personal liberty argue that all of us are morally entitled to end our lives when we see fit. Thus, according to these people, euthanasia is in principle morally permissible. Two additional concepts are relevant to the discussion of euthanasia. First, voluntary euthanasia refers to mercy killing that takes place with the explicit and voluntary consent of the patient, either verbally or in a written document such as a living will. Second, non-voluntary euthanasia refers to the mercy killing of a patient who is unconscious, comatose, or otherwise unable to explicitly make his intentions known. (Downing 1969) In these cases it is often family members who make the request. It is important not to confuse non-voluntary mercy killing with involuntary mercy killing. The latter would be done against the wishes of the patient and would clearly count as murder.