The relationship between asthma medications and periodontal disease Essay

The relationship between asthma medications and periodontal disease - Essay Example Herein, the reasons asthmatic patients are more prone to gum disease will be discussed. As well, what asthmatics can do to help prevent tooth and gum decay will be a source of study. Periodontitis is a "condition characterized by inflammation of the periodontal tissues, leading to tissue destruction, bone resorption, attachment loss, and, in some cases, tooth loss" (Saver, Hujoel, Cunha-Cruz, and Maupome, 2007). Asthma, on the other hand, is a "common [breathing] disorder, especially in the industrialized part of the world" (Sulssa and Ernst, 2001). When asthma episodes, or "attacks" occur, many patients rely on the use of handheld inhalers, which deliver a corticosteroid medication from the mouth, into the airway. The inhalation of the corticosteroid causes a dilatation, allowing for more air to pass into the lungs. It would seem, then, that gum disease and asthma are unrelated, but the life-saving corticosteroid could, in fact, have a negative impact on oral health. Nebraska dentist Dan Peterson devotes a website to, in part, the link between asthma medication and periodontitis. In his section "Oral Health Changes in Individual with Asthma," it is written that asthmatic patients have an "increased rate of caries." Many things cause dental caries, or cavities, but asthma inhalers usually contain sugar, which is a culprit in tooth decay. The website also lists the problems of "reduced salivary flow due to inhaler use and increased prevalence of oral tissue changes" as other reasons that asthmatic face mouth trouble. Dry mouth, also called xerostomia, can be caused by inhaler use. It is problematic because it causes "tooth decay and gum disease and makes you more vulnerable to inflammation" (Schaaf and Higbee, 1993). An article in Harvard Women's Health Watch adds, "Persistent xerostomia is a serious and often uncomfortable condition that can jeopardize oral health. It makes eating and swallowing difficult, causes bad breath, and may irritate mouth tissues, leaving them more vulnerable to infection". The article goes on to explain that inhalers can cause a reduction in saliva. The moisture of saliva is absolutely necessary. Its decrease, which can also be caused by painkillers, blood pressure medications, antidepressants, etc., is cause for concern. Advice is offered to combat dry mouth. The article offers that over-the-counter products that increase saliva production are one way to go. It also suggests trying to drink lots of water, limiting sugar intake, and chewing sugar-free gum. Avoiding de hydrating habits like drinking alcohol, smoking, or consuming caffeine might also help when the use of inhalers make xerostomia a problem. Inhalers aren't perfect, but they are necessary. "Sustained use of inhaled corticosteroids reduces the risk of severe exacerbations requiring hospitalization as well as death from asthma and therefore provides a simple and effective tool by which to eliminate major adverse events for patients with this common disorder" (Suissa and Ernst, 2001). Since asthmatics can't ignore breathing problems for fear of gum disease, advice is offered for sustained good oral health. Peterson's website suggests frequent dental check-ups and cleanings. It also suggests fluoride treatments, a proper at-home routine, the

Interest groups and Political parties Essay Example | Topics and Well Written Essays - 500 words

Interest groups and Political parties - Essay Example Common good can be referred to as the goodness of an event or a phenomenon that is shared by all communities of a given society. Thus, keeping in view the roles played by interest groups and political parties, it can be stated that both the groups are conducive in working towards common good of a particular society and those elements which make up that society. However, this statement holds certain pre conditions, i.e. the interest groups are not self centered and political parties do not strive for gaining power only over all others. In other words, it is the intent behind the formation of these groups which comes into play and is considered extremely important. Motives, actions and desires yield goodness as long as the driving force behind them remains noble. Same is the case with interest groups and political parties. The reason of stating that the two set of groups are conducive in attaining or working towards the common good is that these groups provide a platform to the general public around through which people can raise their voices, share their opinions, take part in decision making process, highlight their concerns and problems and reach such decisions which are acceptable and beneficial for all. In this regard, work of Rousseau holds a special place. According to him, people should be "sovereign" and the government should only be there to implement laws. He believed that laws shall be enacted by direct democracy, which followed that each person should directly be involved in law making through a platform.

Success Factors in Supply Chain Management Essay Example for Free

Success Factors in Supply Chain Management Essay Supply chain management (SCM) works with the process flow of information as well as products from supply chain organizations. Development in technology facilitates organizations ability to coordinate activities for use of supply chain servicing. The Council of Supply Chain Management Professionals (CSCMP, 2011) defines supply chain management in the following way: Supply chain management encompasses the planning and management of all activities involved in sourcing and procurement, conversion, and all logistics management activities. Importantly, it also includes coordination and collaboration with channel partners, which can be suppliers, intermediaries, third-party service providers, and customers. In essence, supply chain management integrates supply and demand management within and across companies (p.1). There are four basic components within the supply chain management that are essential for SCM processes. First, ensure that to manage resource requirements, a strategy exists which the customers needs are met for services/products based on their strategic demands. Secondly, the appropriate business supply chain partners, in fact, are the ones that will provide the end product from materials, servicing requirements through payment processes, delivery of goods, pricing, and any other method by which the process will be measured. Third would ensure that operations is on board for ensuring the schedules take into consideration tasks for packaging, testing, process preparation, and delivery preparations. Lastly, logistics requirements are well thought-out, such as warehousing, orders, return processing, carrier/delivery service, and invoicing. SUPPLY CHAIN MANAGEMENT SOFTWARE PACKAGE COMPARISON For the SCM software package review, there were three companies in the comparison: SAP Supply Chain, PackManager, and IBS Enterprise. One area of concern was with PackManager whereby once installed technology support is not a provision. Daniels and Daniels (2012) indicate the areas of the five basic supply chain management activities which include plan, source, make, deliver and return. The comparison of the three SCM software packages above assist businesses in making an appropriate decision based on their specific needs. Each company had something that others may not have and, as a result, supports that one company may not be the viable solution for every industry. . To complete a comprehensive review of SCM software packages, the site which assisted with the compilation of data, FindTheBest.com (2014) CONCLUSION SCM is the dynamic managing of SC activities which take into consideration customers value as well as manage a viable benefit. The comparative review indicates that there are many choices in SCM software. Each of these will provide a †¦ supply chains in the most effective efficient ways possible (Handfield, P. 1, 2011). Wang et al (2009), further stated that the †¦problems, criteria, needs, alternatives and other variables will vary from one entity to the next, there is no universal solution (P. 95). In order to support the best choice for the appropriate SCM, then key factors should be quantified in the overall decision process. REFERENCES Council of Supply Chain Management Professionals (CSCMP). (2011). Logistics Management. Retrieved from http://cscmp.org/aboutcscmp/definitions.asp Daniels, P., Daniels, A. (2010). _Business Driven Technology_ (4th ed.). Retrieved from The University of Phoenix eBook Collection database Find the Best. (2014). Retrieved from http://FindTheBest.com Handfield, R. (2011). What is Supply Chain Management?. Retrieved from http://scm.ncsu.edu/scm-articles/article/what-is-supply-chain-management Wang, Z., Yan, R., Hollister, K., Xing, R. (2009). A Relative Comparison of Leading Supply Chain Management Software Packn mages. International Journal of InfDrmDtion Systems and Supply Cnagement (IJISSCM), 2(1), 81-96. doi:10.4018/jisscm.2009010106

The Great Expectations | The Bildungsroman Novel

The Great Expectations | The Bildungsroman Novel Charles Dickens bildungsroman, Great Expectations (..), cannot help but impress upon the reader an overwhelming sense of guilt which permeates the novel at various levels. As the plot unfolds, the characters develop, however the sense of guilt remains unchanging until the primary character completes his transformation. Intertwined as guilt is as a theme with the other themes of crime and punishment and the fallacy of human error, which for the central character Pip, translates into a form of self-imposed guilt, Dickens narrator recounts the journey of the youthful Pip from a focus on false values to self-awareness and moral fortitude. Evident from the onset of the novel, the character Pip implicitly finds himself involved in the act of criminal complicity as he steals in order to aid the convict, Magwitch, and this initial act creates in the young boy feelings of immense guilt: My state of mind regarding the pilfering from which I had been so unexpectedly exonerated, did not impel me to frank disclosure; But I loved Joe perhaps for no better reason in those early days than because the dear fellow let me love him and, as to him, my inner self was not so easily composed. It was much upon my mind (particularly when I first saw him looking about for his file) that I ought to tell Joe the whole truth. Yet I did not, and for the reason that I mistrusted that if I did, he would think me worse than I was. The fear of losing Joes confidence, and of thenceforth sitting in the chimney-corner at night staring drearily at my for ever lost companion and friend, tied up my tongue. (33; ch. 6) From the onset of the novel therefore, the young Pip becomes embroiled in a world of criminal behavior where his guilt torments him. Instead of dissipating with time, Pips sense of guilt appears to overwhelm his consciousness until it appears to become an integral part of his character. As Dickens develops this theme, he uses a great deal of the novels atmosphere and settings to achieve his objective. As a child the youthful Pips world is bounded by the long black marshes, the black beacon by which the sailors steered and a gibbet with some chains hanging to it, which had once held a pirate (6; ch1). On the water there are the hulks, the prison-ships, and on the shore, there looms the battery with the guns which warn of prisoners escapes. Pips immediate consciousness is, in effect, bound by the literal manifestations of the criminal world. The physical bondage created by Dickens use of this dark, foreboding imagery underscores for Dickens the influence of the prospect of criminality which chronicles the life-path of his principal character. Explicit bondage translates for Pip into an implicit bondage: legally, he is bound in trade to Joe, while emotionally he is bound to Joe by gratitude. As a direct result of his meeting with Estella, and the perpetuation of severa l false values in his mind, he no longer views the honourable blacksmiths profession as an admirable career. Rather, the forge becomes Pips figurative prison, binding him to a lifestyle which now dissatisfies him. His aspirations have changed, thus he feels held captive and this mental dilemma adds to his cerebral turmoil: He feels guilty because he aspires to a different path, and in effect signing his own death warrant, dooming himself to the scaffold as he binds himself in apprenticeship to Joe: Here, in a corner, my indentures were duly signed and attested, and I was bound; Mr. Pumblechook holding me all the while as if we had looked in on our way to the scaffold to have these little preliminaries disposed ofà ¢Ã¢â€š ¬Ã‚ ¦ Finally, I remember that when I got into my little bedroom I was truly wretched, and had a strong conviction on me that I should never like Joes trade. I had liked it once, but once was not now. (85-86; ch 13) In addition to the physical setting with which Dickens surrounds his principal character, many of Dickens other characters in the novel who interact with the principal character, serve the purpose of the thematic perpetuation of guilt and criminality. An interpretation of the text by Foucault, as a Panopticon, suggests that Pips guilt and criminality may be viewed through the actions of Orlick and Bentley Drummle: Orlick strikes Mrs. Joe with the leg iron (which Pip is guilty of providing and thus, to an extent making the crime possible), while Bentley Drummle becomes the tool through which Pip achieves gratification for Estellas treatment of him. Both characters by extension are physical representations of Pips secret desires for revenge upon the people who have wronged him. As they enact these crimes they also foster Pips guilt (Tambling, Bloom, à ¢Ã¢â€š ¬Ã‚ ¦).

Duplicitous Characters in Othello :: GCSE Coursework Shakespeare Othello

Duplicitous Characters in Othello Many of the characters in Shakespeare's tragedy, "Othello" are duplicitous to the extent that how they are perceived in public is not how they behave in private. This is not always intentional, although with a character such as Iago, it is difficult to encounter the real person as his entire life is an act. Othello is seen as a brave and loyal soldier, but is initially presented as dark and dangerous by Roderigo and Iago. To Brabantio, Othello appears to have black magical powers, but in fact, the private truth is that Othello won Desdemona with stories of "disastrous chances ... moving accidents [and] hair-breadth scapes". Othello is concerned with his reputation and upholds a strict code of honour both privately and publicly. He dismisses Cassio as soon as he discovers his officer's drunken actions. Similarly, as soon as he suspects Desdemona of adultery, Othello watches her like a hawk. Finally, the act of killing his wife is not an act of revenge for Othello, but of justice. He justifies his actions: "She must die, else she'll betray more men". Emilia initially believes that he killed Desdemona for no reason as Desdemona has appeared innocent to her throughout. It is difficult to judge Iago's private morality against his public face. Firstly, his public face varies depending with whom he is speaking. Secondly, analysing Iago's private morality is challenging when he appears to have no morals in the first place. Iago is jealous of many people for various, often unjustifiable, reasons, yet at the same time is known to most as "honest Iago" and is their apparent friend. He appears to be loyal to Othello, helping him to "discover" his wife's infidelity, but concurrently is plotting against Othello. It is again difficult to determine Iago's public face as he is always acting and his "face" depends on his company. He has no qualms about embroiling innocent parties in his plans. Iago can act as Desdemona's friend when Othello leaves her in his charge and then Iago turns around and plants seeds of suspicion in Othello's mind about her fidelity. While Desdemona appears to be all that is good to the audience, it must be remembered that she betrayed her father's trust when she married Othello and she later lied to her husband about the handkerchief which was to become so important. To Othello, Desdemona appears to be "that cunning whore of Venice".

economics :: essays research papers

Lesson 1 Project Economic Questions and Vision The two major economic systems in the world are the capitalist (free market) economic system and the socialist economic system. The many different countries of the world usually have an economic system in place that contains elements of both capitalism and socialism. Since the philosophies of capitalism and socialism are opposite, an individual country and its economic system will answer key economic questions differently. Regardless of how much that country or society supports either philosophy, the key questions their economic system must answer are the same. One question that must be answered is, what goods will be produced? Another question is how will these goods be produced? Also there is the question to be answered, for whom will these goods be produced? The location of the economies operation on the production possibilities frontier (PPF) is also very important to production. The PPF is related to what goods are produced which depends on whether the economic system is based on capitalism or whether it is based on socialism. What goods will be produced in a capitalist economic system Is determined by what the market wants. As an example if the buyers and sellers want more computers, televisions, automobiles. houses, and entertainment or food to be produced, then the production of these products will take place. (pages 56, 57, 58, and 59 of Economics 6th edition by Roger A. Arnold) In the capitalist economic system the sellers usually respond to the buyers changes in wants or preferences also. Goods and services are produced when enough buyers exist that desire to buy those goods and services. If buyers start wanting more of a certain product than another, production usually shifts to meet the need. Capitalism is based on the concept of free enterprise and the principle of individual rights. This means freedom from private and government coercion. Production and trade help to increase the wealth that people need to support their life. In the capitalism system the person who creates the wealth is the owner of that wealth. (http://www.capitalism.org) What goods will be produced in a socialist economic system Is decided by the government in control. The government may or may not be responsive to the wants of the ordinary citizen. Some economist believe that one of the reasons for the fall of communism in the Soviet Union as well as in Eastern Europe was a decline in economic growth.

Martial Law Essay

There were lots of insights, points of view and arguments to whether martial law had negative or positive effects to politics, economy, society and culture of the Philippines. Some may say that martial law was the darkest episodes in the country’s very recent past and some may applauded Marcos for imposing such system that results to a more â€Å"disciplined Filipinos †. But most of them who experienced martial law, considered it as one of the horrible memory of the past. Impressive at first, but on the latter part caused pain in way that a leader betrayed his fellowmen. Politically speaking, Marcos’ dictatorship and â€Å"crony capitalism† had a great impact and it contributed to a less competitive and an incompetent government. Marcos appointed his friends, families and to people that he has an â€Å"utang na loob† even though these are not qualified and cannot fulfill their duties well. This closed the door for those who are much competent and the one that the Filipino people needed, for 20 years Marcos and his cronies owned Filipino people which gave a hard time attaining stability. Although he has nice visions for the future, programs for economic development, concerning farmers, the tourist sector, and even improvement in infrastructures were not properly planned that resulted to the Philippines to have debt-driven-growth. Masagana 99’s outcome was rice production dramatically increased from 4.4 million tons to 5.5 million tons in the first year of the program and by 1978; the Philippines became self-sufficient in rice. In fact, it even began exporting rice. Marcos created the Department of Tourism to intensify the tourism industry in the country. This industry did not only generate employment but earned foreign exchange for the country from tourist receipts. World-class hotels, convention and cultural centers and tourist amenities were constructed. Public beaches, resorts, gardens and parks, golf courses were developed. Historical and cultural sites were, likewise, preserved. With all these plus, the world-renowned Filipino hospitality, tourism became the fourth largest dollar-earning industry in the country. In fact, in 1980 tourist arrivals reached more than one million which generated an approximately $450 Million of tourist receipts. Marcos established science education system, accelerated manpower skills training to respond to regional industrial needs; a regional agricultural education programs; emphasis on work-oriented programs; a policy of bilingualism; the National College Entrance Examination which classifies students by profession or vocation; and a â€Å"Study Now, Pay Later† plan which is intended to help poor but deserving students and n 1985, President Marcos implemented the National Service Law (Presidential Decree No. 1706, dated 8 August 1980). It provided for the training of students not only for military service but also for civic welfare and law enforcement under the direction of the Ministry of National Defense. But because of his close relationship to the U.S. he tends to borrow a lot of money that amounted to $28 billion during his term which is far from a less than billion dollar before his term. Despite having such achievement during his term, lasting effects became superior among them all, on the latter part Philippine suffered from a large amount of debt that until now government is still paying for this. I believe there’s a much lasting effects when we talk about â€Å"culture†, people suffered, they were torture and forced to shut up. That’s why when we attain democracy; we’re like hungry for freedom, starving for a more comfortable way of living. Martial law was not just about suffering, let us accept the fact that Marcos also done such good things in improving Philippines, but the wrong thing there is that the way he governed and implemented Martial Law. There’s no such perfect government or leader, what is important today is that we don’t waste the lessons that we learned from our past so that the tendency to repeat it will be avoided. And with this, we can appreciate the kind of freedom we have right now, Martial Law may be painful but the thing is WE LEARNED TO APPRECIATE AND UNDERSTAND THAT FREEDOM IS NOT ABSOLUTE. REFERENCES: http://joseangelito-angeles.tripod.com/marcos.htm http://politikalon.blogspot.com/2011/05/martial-law-in-philippines-legacy-and. html http://www.wsws.org/articles/2009/dec2009/pers-d14.shtml http://ph.news.yahoo.com/chilling-effects-martial-law-still-felt-now-010230357.html