Slavery Effects on North America - 3953 Words

Slaveries effects on North America Slavery was present in the United States from the moment the declaration of independence was signed. It s presence during this critical time period of development in the United States, from the day the United States was founded and beforehand allowed for it to interweave itself in almost all aspects of America; primarily economically, politically, and socially. Slavery impacted America in numerous ways, from the political balancing act of free and slave states, to the growth of the southern slave centered economy, slaveries presence during americas infancy was extremely influencing. Slavery was first introduced to english north america in Jamestown, Virginia 1619. A dutch slave trader made port and†¦show more content†¦It stated â€Å"There shall never be any bond slavery, villeinage, or captivity amongst us unless it be lawful captives taken in just wars, and such strangers as willingly sell themselves or are sold to us...†[2] Before long many other colonies followed suit, including Virginia. Virginia created much new legislation regarding slavery and set the precedent for future slave codes. They legally acknowledged slavery in the 1661 fugitive slave act.[3] On december 12, 1662 they created a law stating, â€Å"Whereas some doubts have arisen whether children got by any Englishman upon a Negro woman should be slave or free...all children born in this country shall be held bond or free only according to the condition of the mother...†,[4] meaning that slave masters who raped their female slaves would come away scot free of any prob lems. The child would live on the plantation as a slave. In 1705 the virginia assembly finalized the transformation to african slavery by passing the slave laws that stated All servants imported and brought into the Country...who were not Christians in their native Country...shall be accounted and be slaves.†[5] It also stated that if slaves rebelled or did not follow orders, their master could punish them however he pleased. A master could even kill the slave and receive no punishment. This was thought to be acceptable for two reasons. First, slaves did not have any moneyShow MoreRelatedEssay on The History of Slavery570 Words   |  3 PagesSlavery has a lot of effects on African Americans today. History of slavery is marked for civil rights. Indeed, slavery began with civilization. With farming’s development, war could be taken as slavery. Slavery that lives in Western go back 10,000 years to Mesopotamia. Today, most of them move to Iraq, where a male slave had to focus on cultivation. Female slaves were as sexual servi ces for white people also their masters at that time, having freedom only when their masters died. In SouthRead MoreThe Secession Crisis Of 1860-18611637 Words   |  7 Pagesimpacts on the United States that lead up to the secession crisis of 1860-1861. Slavery had great impacts on the country, such as the economic effect of the South overestimating its importance due to the prevalence of slave grown cotton. Westward expansion had the social effect of the citizens of territories wanting statehood to get into arguments and civil wars due to popular sovereignty. States rights had the political effect of the southern states believing that since they agreed to become part of theRead MoreThe Civil War Of The United States1605 Words   |  7 Pagesseries of dominant events. However, a War of this size has many effects to go along with it. The most common effect thought of is the freedom of slaves, however, the Civil War was not just a war fought for freedom. One major cause of the Civil War was the issue of slavery in America. While the North had gotten rid of slavery within the first few years of our nation, the South was still economically dependant on the cheap labor. The North had machines, immigrants, and booming businesses while the SouthRead MoreSlavery During The Civil War1707 Words   |  7 Pagesas the textile industry in the North grew. Slavery was vital to the economic well-being of the South, and when the North began to question the â€Å"peculiar institution† of the South the wall of civility between the two sectionalized areas began to crumble. Due to the growing issue of slavery in the 1850s, the United States of America was in a state of total disarray and turmoil. The tension that had always existed between the North and South over the matter of slavery was no longer ignorable. As theRead MoreCivil War : A War Between Citizens Of The Same Country1609 Words   |  7 Pagescitizens of the same country. Why would America have this fight? The Northern states of America decided that they would no longer tolerate the Southern states treating African Americans as slaves because of the color of their skin. When disputes were brought up over this issue between the North and South, the South was too persistent to have slaves. They worried that the North would be successful in abolishing slavery, so in result, the South went against the North. There were many elements that the CivilRead MoreThe Between North And South1641 Words   |  7 PagesDuring 1790 and 1850, the United States was rapidly changing. The country was learning to live on its own, apart from England with its own economy, laws, and government. Not long after it declared independence that a rift between North and South began to start. The North believed in the Puritan Merchant role model, and the South in the role model of the English Country Squire. The difference in point of views soon caused the United States to start to split a part before eventually completely separatingRead MoreThe Transition from the Colonial Era to the Revolutionary War671 Words   |  3 Pagesnineteenth centuries. Before these individuals became slaves, there were indentured servants. Between the colonial era and Revolutionary War many changes in the practice of labor were made. Expansion of slavery throughout America brought about different conditions of slave life and Paternalism. Slavery in America was very different before and after the year 1790; these changes greatly affected the conditions in which these individuals lived and are worth analyzing. The transition from colonial era to RevolutionaryRead MoreThe Slave Of The North And South947 Words   |  4 Pagesclass families, particularly those of New England Stock. They viewed slavery as a national sin; quoted from the book, â€Å"an evil that mocked American ideals of liberty and Christian morality.† Reformers who were antislavery of the North and South created the American colonization society, the removal of freed blacks to Africa. Henry Clay, James Madison, and President James Monroe lead the organization. Their goals were to make America free and all white. Even though the American Colonization Society hadRead MoreAfrican Slave Trade1029 Words   |  5 PagesThese are three facts the source lists to prove that Africanization of slavery in the Americas was not inevitable. B: Source D is portraying the effect of Atlantic slave trade on Africa, Europe and only North America. The cartoon depicts a pile of gold stacked on the continent of Europe and North America, and African is shown to be dug up completely. The message this cartoon portrays is that Atlantic slave trade helped North America and Europe to become rich, and caused complete exhaustion of all theRead MoreA Brief Note On Civil War And Its Effects On The United States1602 Words   |  7 Pagescitizens of the same country. Why would America have this fight? The Northern states of America decided that they would no longer tolerate the Southern states treating African Americans as slaves because of the color of their skin. When disputes were brought up over this issue between the North and South, the South was too persistent to have slaves. They worried that the North would be successful in abolishing slavery, so in result, the South went against the North. There were many elements that the Civil

Differences And Differences Between Social Comfort,...

Disagreement contains both – Strongly disagree and disagree Agreement contains both – Strongly agree and agree The outcomes of the questions put forth in the survey have been broadly categorized into four key areas – academic output, social comfort, counterproductive behaviors and overall productivity. These are then analyzed accordingly. The results of the category – academic outcomes – primarily focuses on the core collective objective for which the group was formed. Social comfort focuses on the comfort in communication of ideas and thoughts and overall psychological comfort experienced by participants in a group setting. The section on counter-productive behaviors refers to the negative energy generated during group interactions that eventually impacts the group members and the group as a whole. Lastly, the outcome of the productivity group focuses on the effects on the overall effectiveness of the group towards achieving the final deliverable of the project. The nature of overall responses to questions focusing on the academic outcomes have generally been positively inclined. 86% of the students surveyed felt that working in groups helped them gain perspective on a subject due to interaction with people from diverse backgrounds. Further, 75% of the participants in the survey felt that they added value to the group outcomes in area they are good at leading to an enhanced academic experience. The segment on social comfort further supports the proposition that groupShow MoreRelatedDifferent Type of Budgeting Technique6663 Words   |  27 Pagesallows you to see change very quickly when you implement a new policy or budget.   * Avoid conflict--Companies with many different departments often run into conflict between departments because of their different budgets. With this method of budgeting, it is easier to keep everyone on the same page and avoid conflicts between departments. * The model operates under a stable and predictable system and any change will be gradual. * Managers can operate their departments on a consistent basisRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesOrganizational Behavior This page intentionally left blank Organizational Behavior EDITION 15 Stephen P. Robbins —San Diego State University Timothy A. Judge —University of Notre Dame i3iEi35Bj! Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Director of Editorial Services:Read MoreOrganisational Behavioure23151 Words   |  93 Pagestime, can reduce employee performance. But this doesn’t change the fact that employees bring their emotional sides with them to work every day and that no study of OB could be comprehensive without considering the role of emotions in workplace behavior. What Are Emotions and Moods? Although we don’t want to obsess over definitions, before we can proceed with our analysis, we need to clarify three terms that are closely intertwined: affect, emotions, and moods. Affect is a generic term thatRead MoreSelf Service28523 Words   |  115 Pagesthe increasing demand for self-checkout in retail stores. Market research studies quote figures in the order of 80%-90% of customers who would change to another retailer for shorter checkout queues (Romsey, 1992). Typically, retailers are saving between 120 hours to 180 hours a week in front-end labor. These numbers are dependent on how efficient the retailer was in the first place, but retailers will also see a decrease in training and employee turnover due to the decrease in necessary manpowerRead MoreDeveloping Management Skills404131 Words   |  1617 Pagesmymanagementlab is an online assessment and preparation solution for courses in Principles of Management, Human Resources, Strategy, and Organizational Behavior that helps you actively study and prepare material for class. Chapter-by-chapter activities, including built-in pretests and posttests, focus on what you need to learn and to review in or der to succeed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Read MoreHuman Resources Management150900 Words   |  604 Pages3 HR TRANSITIONS HR Management Contributes to Organizational Success More effective management of human resources (HR) increasingly is being seen as positively affecting performance in organizations, both large and small. A joint venture between General Electric and a Japanese company, GE Fanuc is a manufacturer of factory automation and control products. Headquartered in Virginia with 1,500 employees, the HR department primarily performed administrative support activities. But when DonaldRead MoreItsc 2439 Ch1-12 Study Guides Essay28023 Words   |  113 Pagescomputers was to replace as much manual processing of business information as possible with automated processing. 4. Among the reasons for the growth in decentralized computing was the availability of inexpensive personal computer hardware and productivity software. 5. The applications development backlog was due to the inability of computer professionals to design and write programs fast enough to keep up with the demand for new applications. 6. All knowledge workers are computer professionals .Read MoreHbr When Your Core Business Is Dying74686 Words   |  299 PagesHALLMARK and HUMAN ENERGY are trademarks of Chevron Corporation  ©2006 Chevron Corporation A l rights reserved APRIL 2007 Features 58 What Your Leader Expects of You Larry Bossidy A longtime CEO reveals the behaviors that leaders should look for in their subordinates – behaviors that drive individual as well as corporate performance and growth – and what those subordinates should expect in return. 58 66 Finding Your Next Core Business Chris Zook It may be hidden right under your noseRead MoreStrategic Marketing Management337596 Words   |  1351 Pagesthe value chain Conducting effective audits Summary 3 Segmental, productivity and ratio analysis 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 Learning objectives Introduction The clarification of cost categories Marketing cost analysis: aims and methods An illustration of segmental analysis An alternative approach to segmental analysis Customer profitability analysis Marketing experimentation The nature of productivity The use of ratios Analysing ratios and trends Ratios and interfirm comparison Read MoreInformation Technology Implementation Issues: an Analysis45771 Words   |  184 Pagestime.† 2 The research of Kraemer, Danziger, and King in the late 70s and early 80s details some of the concerns with regard to this lag. Their research indicated that local governments, in general, experienced approximately ten years of lag time between the introduction of a new IT and it’s acceptance and routinization across a significant population of localities. And even then it appeared that only the local governments who were on the leading edge of innovation (generally the largest and wealthiest)

An in-depth view on Alcohol Free Essays

Abstraction This research survey will look into and analyse farther on how intoxicant in gargles is involved in the development of unwritten malignant neoplastic disease and will reexamine some related literature which has linked the development of unwritten malignant neoplastic disease and alcohol-containing gargles. This survey purpose to bring forth relevant informations, proper intercessions and proposal to modulate the production of these merchandises depending on the analysis and consequence. The Dental Association claims that a nexus between intoxicant incorporating gargles and malignant neoplastic disease development has been established and concluded that there is a possible nexus with multiple long term utilizations of intoxicant incorporating gargles but more research and survey is required before this can be decidedly said to be. We will write a custom essay sample on An in-depth view on Alcohol or any similar topic only for you Order Now Thus this survey will function as an instrument to clear up the relationship of malignant neoplastic disease development and intoxicant containing gargles. The mark of this survey are the commercialised intoxicant incorporating gargles that will be subjected to sensitive survey and analysis utilizing the proper engineering and chemical science to get in a more complex and choice research merchandise. Introduction: Datas based from epidemiological surveies provide small background and penetration on how intoxicant increases the possibility or hazard for the development of assorted malignant neoplastic diseases. In some malignant neoplastic diseases, intoxicant is believed to play a critical causal function. For others a malignant neoplastic disease, such as chest and liver malignant neoplastic diseases, alcohol believed to play an indirect causal function by mechanisms sweetening that causes malignant neoplastic disease. Researches analyzing at these mechanisms through direct and indirect causal consequence may cast visible radiation on function of intoxicant in the development of malignant neoplastic diseases. Carcinogenic consequence of intoxicant is now linked in the development of unwritten malignant neoplastic diseases. Chiefly this alcohols thought to be found in gargle which is intoxicant based. This phenomenon may be explained by its interaction with enzymes. These assorted enzymes that usually assist our organic structure to detoxicate the substances that enter our systems can besides increase the hazard of toxicity degree in some carcinogens. The Problem This survey will seek reply and clear up the effects of intoxicant based gargle and its contributory factor for the development of unwritten malignant neoplastic disease. Specifically, reply the inquiry â€Å"Is there a important consequence of utilizing intoxicant based gargle in the development of unwritten malignant neoplastic disease? † Background of the Problem The job statement of this research is indispensable to clear up the old surveies and other contradictions about the topic of involvement. Through this survey, issues refering the consequence of ethanal incorporating gargles will be clarify and will bring forth relevant information in the development of medical intercession specially oncological scientific discipline. There are research surveies that have been established the relationship between intoxicant usage and malignant neoplastic disease. This hazard is due to alcohol constituent depending on the sort of malignant neoplastic disease. The strongest associations between malignant neoplastic disease intoxicant utilizations are with oral cavity, esophageal, laryngeal, chest, guttural, and liver malignant neoplastic diseases. A survey conducted by Dental Professor Laurence Walsh, MD, the caput of the University of Queensland ‘s School of Dentistry, says that there are a figure of grounds why some gargles would really cut down the hazard of malignant neoplastic disease development because their primary mechanism will impairs the molecules production like ethanal that which is considered as a carcinogenesis. Dr. Walsh assumes that there is grounds and literature which has support from local and international research organisations that alcohol incorporating gargles used to cut down bacteriums which produce ethanals are non linked to malignant neoplastic disease. Contrary to the survey conducted by Dr. Walsh, ethanal, harmonizing to Dr. McCullough have is a toxic byproduct of intoxicant and suspected to be carcinogenic that will lend to unwritten malignant neoplastic disease development. He besides said that these by merchandises may remain and may be accumulate in the oropharyngeal pit when these alcohol incorporating gargles is being used and he says that there is no grounds demoing the these chemical component or molecule could either prevent or stamp down the development of malignant neoplastic disease. Experts on malignant neoplastic disease development recommends that there may be increased on the possible hazard in utilizing gargles incorporating intoxicant and recommends to be more cautious against the usage of these strong alcohol-based oral cavity rinse particularly among coffin nails tobacco users to cover up the odor of coffin nail fume – they say more surveies and researches is required into such merchandises to set up the facts. In responses to the old surveies and researches, this research proposal will seek to garner the most accurate and recent informations to carry through the necessary factor in set uping facts related to alcoholic based gargle and the malignant neoplastic disease development. Review of Related Literature: Researches is begins to concentrate their surveies on the mechanisms by which intoxicant induces or potentates the development of malignant neoplastic diseases in human and, hence, develop intercession on how to forestall it. Scientists are besides making researches to find the impact of these merchandises in the phases of malignant neoplastic disease development ( Rothman,1999 ) . Surveies: Some initial surveies show that intoxicant may impact development of malignant neoplastic disease, at the degree of familial by transforming genes mannerism in the publicity and induction phases of malignant neoplastic disease. It has already been suggested that, a merchandise of intoxicant metamorphosis which is acetaldehyde alters cell ‘s natural ability to retrace or mend its DNA that consequences in a greater likeliness that cause mutants induction in the development of malignant neoplastic disease ( Espina, et Al, 1988 ) . It has late been suggested that intoxicant exposure may ensue in over look of certain transforming genes in human cells and, thereby, trigger malignant neoplastic disease publicity ( Kharbanda, et Al, 1993 ) Although there is less grounds that intoxicant itself is a carcinogen, which will be the chief focal point of this survey, by sweetening of the carcinogenic effects of other substances and chemicals, intoxicant may move as cocarcinogen. Some surveies indicate for case that intoxicant enhances ability of baccy to additions and stimulate formation of tumour in rats ( Garro, et Al, 1990 ) . â€Å"In worlds, the hazard for oral cavity, esophageal and tracheal malignant neoplastic disease is 35 times greater for persons who smoke and drink at the same clip than for people who neither fume nor drink, this imply the of import interaction of cocarcenogenesis between intoxicant and tobacco-related carcinogens† ( Blot, et al,1988 ) . Acetaldehyde is one of the by merchandise of intoxicant. This chemical compound anticipated to be a human carcinogen based on experimental done on animate beings suggests sufficient grounds of carcinogenicity ( IARC 1985, 1987, 1999 ) . When this compound was administered by inspiration, this will increased the incidence of glandular cancer and squamous and epithelial cell carcinomas in the rhinal mucous membrane in mice of both sexes. The same determination was concluded in laryngeal carcinomas in hamsters of both sexes. In another survey utilizing inspiration, in a lower degree of exposure and in survey utilizing intratracheal instillment, there is no increased incidence of tumours in soecimens was observed. A research conducted in an aldehyde works reported nine instances of malignant neoplastic disease, including two instances of carcinomas of the unwritten pit and ?ve instances of bronchial tumours. This research survey was considered to be rating unequal because of assorted exposure, the little figure of instances, and the hapless population specifying. Among these instances, three surveies utilizing instance control investigated the hazard of unwritten, pharynx, and esophageal malignant neoplastic diseases following heavy intoxicants intake. â€Å"These surveies systematically showed an increased hazard of this malignant neoplastic disease in persons with familial polymorphisms in enzymes involved in the metamorphosis of ethanal ; these polymorphisms were associated with higher blood concentration of ethanal following intoxicant intake† ( IARC 1985, 1987, 1999 ) . Research Design Epidemiologic and experimental research method will be the suggested research design which may include cohort and case-control surveies. Cohort surveies can be either prospective or historical ( Breslow and Day, 1980 ) .The medical history of a cohort of topics is built in the historical cohort survey to see the specifying cohort of those who were exposed to a hazard factor. The incidence rate of those persons who exhibit the manifestations or disease among capable who had been exposed is compared with the incidence rate of manifestations or disease among an group which is non exposed. In this survey, the footing of comparing is population rate. In the simplest type of this survey design two groups ( cohorts ) of topics would be identified, one of which will be exposed to a specific intercession related to the survey, an wellness hazard factor, and the other group will non. The rate at which individuals without the disease ( known as noncases ) are transformed into individuals with the disease ( designated as instances ) is referred to as incidence rate. These two groups of people will be followed over a specific period of clip. One group will be exposed to a hazard factor and the other group will non. â€Å"The exposure of the individual over clip, called individual clip, is measured uniformly in hours, yearss, months or old ages from the clip of the beginning of the exposure to the end point of the exposure under study† ( Breslow, N. E. A ; Day ) .The measuring of the individual clip per group is by the amount of the exposure times for every members in the group. In incidence rate surveies, the proportion of instances per cumulative person-time, for those in the open group, is compared to that in the unexposed group ( Breslow, N. E. A ; Day ) . The magnitude of the comparative hazard indicates the strength of the relationship between incidence and exposure. A comparative hazard of integrity indicates that there is no common difference between the incidence hazards from the group exposed than that from the group being. Statistical intervention and other method of analysis will be discussed in the existent presentation to incorporate all the constructs and thoughts applied in this research survey. Expected Consequences The consequence of this survey will be subjected to statistical analysis based on epidemiological surveies to make critical consciousness and systematic apprehension of the topic being studied. The information and analysis will help the research workers in doing generalisations, supporting averments, and analyzing possible result options to build a plausible statement. The research worker will anticipate more accurate consequence with valid and believable informations to develop theoretical apprehension in the development of intercession and betterment medical pattern in oncology and familial biological science Mentions Blot, W.J. ; McLaughlin, J.K. ; Winn, D.M. ; Austin, D.F. ; Greenberg, R.S. ; Preston-Martin, S. ; Bernstein, L. ; Schoenberg, J.B. ; Stemhagen, A. ; and Fraumeni, J.F.Smoke and imbibing in relation to unwritten and pharyngeal malignant neoplastic disease. Cancer Research48 ( 11 ) :3282-3287, 1988. Breslow, N. E. A ; Day, N.E. ( 1980 ) . Statistical Methods in Cancer Research: Vol 1-The Analysis of Case-Control Studies, International Agency for Research on Cancer:Lyon, pp. 1-40, 73-78, 84-115, 122-157, 280-289, 349-351. Breslow, N. E. A ; Day, N.E. ( 1987 ) . Statistical Methods in Cancer Research: Vol II-The Design and Analysis of Cohort Studies. International Agency for Research on Cancer: Lyon, pp.21, 65, 108-109, 336-344, 363-365. Department of Health and Human Services, Food and Drug Administration. E8 General Considerations for Clinical Trials.Federal Registervol. 62, no. 242, 12/17/1997, 6613-6619. Espina, N. ; Lima, V. ; Lieber, C.S. ; and Garro, A.J. In vitro and in vivo repressive consequence of ethyl alcohol and ethanal on 06methylguanine transferase.Carcinogenesis9 ( 5 ) :761-766, 1988. Garro, A.J. , and Lieber, C.S. Alcohol and malignant neoplastic disease.Annual Review of Pharmacology and Toxicology 30:219-249, 1990. IARC. 1985. Allyl Compounds, Aldehydes, Epoxides, and Peroxides. IARC Monographs on the Evaluation of Carcinogenic Risk of Chemicals to Humans, vol. 36. Lyon, France:International Agency for Research on Cancer. 369 pp. IARC. 1987. Overall Evaluations of Carcinogenicity. IARC Monographs on the Evaluation of Carcinogenic Risk of Chemicals to Humans, Supplement 7. Lyon, France:International Agency for Research on Cancer. 440 pp. IARC. 1999. Re-evaluation of Some Organic Chemicals, Hydrazine, and Hydrogen Peroxide. IARC Kharbanda, S. ; Nakamura, T. ; and Kufe, D. Induction of the c-jun proto-oncogene by a protein kinase C-dependent mechanism during exposure of human cuticular keratinocytes to ethanol.Biochemical Pharmacology45 ( 3 ) :675-681, 1993. McCullough, M. D. ( 2007 ) Australian Dental Journal.Oral Medicine, Rothman, K.J. The proportion of malignant neoplastic disease attributable to alcohol ingestion.Preventive Medicine9 ( 2 ) :174-179, 1999. How to cite An in-depth view on Alcohol, Essay examples

Methicillin Resistant Staphylococcus Aureus †MyAssignmenthelp.com

Question: Discuss about the Methicillin Resistant Staphylococcus Aureus. Answer: Introduction Methicillin-Resistant Staphylococcus Aureus (MRSA) is an infection caused by a human bacterial microorganism called Staphylococcus aureus (S.aureus). According to Bogestam et al (2018), S.aureus is responsible for various infections in humans such as bullous impetigo, folliculitis, boils, cellulitis, septic arthritis, osteomyelitis, post-surgical wound infection as well as intravascular line infections. The author further adds that S.aureus can also lead to deadly infections such as meningitis, septicemia and endocarditis. The main aim of this essay is to analyze MRSA by identifying its risk factors and evaluating its prevalence in Australia. With specific reference to Mrs. Jenkins, a patient admitted with MRSA, the paper will first identify the incidence and prevalence of MRSA in Australia. Secondly, there will be an examination of Mrs. Jenkins diagnosis and the relationship between her infection and other factors such as hand hygiene, transmitted-based precautions, and standard pre cautions. Lastly, the paper will examine the role of both community registered nurse and occupational therapist in relation to Mrs. Jenkins case. The identification of incidence and prevalence of MRSA in Australia has largely been the responsibility of the Australian Group on Antimicrobial Resistance (AGAR), an organization that has been monitoring the prevalence of MRSA in Australia since 1985 (Wang et al 2018). According to the author, there exist two main types of MRSA namely the hospital-acquired MRSA and the community-acquired MRSA. Community-based MRSA (CA-MRSA) are MRSA infections acquired by individuals who have not had a recent hospital and may not have undergone any clinical procedure such as catheter, dialysis or surgery. CA-MRSA is mostly manifested in the form of boils, pimples and skin infections that may otherwise occur in healthy individuals (Askura et al 2018). On the other hand, according to Hongo et al (2018), hospital-acquired MRSA (HA-MRSA) occur among individuals who might have been in the hospital in the recent past for clinical procedures such as surgery, catheter or dialysis. They mainly occur where pa tients undergo invasive medical procedures or where patients have low immune systems and are mainly transmitted when a physician touches an HA-MRSA carrier and fails to wash their hands (Heckel et al 2017). Research has it that the hospital-acquired MRSA in Australia (Aus-2/3) is associated with most MRSA infections and originated from Australia after becoming established in most Melbourne Teaching hospitals in the 1970s. According to Kuonza et al (2017), the first survey done by AGAR in 1985 revealed that Aus-2/3 was responsible for 25% of all S.aureus infection in most big hospitals in Sidney, Canberra, Eastern Seaboard, and Melbourne. These revelations called for intensive efforts by the Australian Department of Health to reduce the prevalence and address the possible risk factors. A recent study by AGRA indicate that the Aus-2/3 may be existing in two types of clones, a phenomenon suspected to have been the cause of an increase in the prevalence of MRSA in the period of 2001 and 2005 especially within New South Wales, Queensland, and Victoria (Becker et al 2018). However, studies by Guimaraes et al (2017) indicate a decline in Aus-2/3 prevalence in the year 2009 and the decline is estimated to have continued at a rapid rate since then. Nonetheless, Sorensen et al (2017), Naidu et al (2017) and Herrera et al (2016) acknowledge that Aus-2/3 has largely contributed to various community-onset infections especially among patients with a history of admission into facilities characterized by its prevalence. As illustrated by Sato et al (2017) in figure1 below, the decline in the prevalence of Aus-2/3 has largely been attributed to an improvement in infection control within Australian hospitals, an introduction of The National Hygiene Program in 2008, and the implementation of policies that demand public reporting of MRSA infection trends in Australia. Sato et al (2017) also note that the decline in the prevalence of Aus-2/3 has largely been boosted by the implementation of National Safety and Quality Health Service (NSQHS) Standards which mainly advocates for preventing and controlling infections associated with healthcare. Naro et al (2018) believe that CA-MRSA had its first onset in Australia in 1980s and has since increased in prevalence to exceed the prevalence of HA-RMSA in Australia. In fact, according to the author, CA-MRSA is largely believed to have rivaled HA-MRSA as the cause of hospital-onset infection in Australia. Part of the reason for their high prevalence is its high resistance to antibiotics and it is estimated that this resistant is likely to increase over time (Ghaznavi-Rad et al 2018). Blanco et al (2017) claim that CA-RMSA was first noted in Australia in 1985 and became more prevalent in Kimberley region in 1989. By 2004, a number of CA-RMSA clones are believed to have gained much prevalence in Western Australia. Fast forward to 2014, CA-RMSA is believed to have accounted for 45% of all hospital-onset infections as compared to HA-MRSA which was at 48% (Sato et al 2017). The following figure (figure 2) illustrates AGRAs survey of CA-MRSA prevalence between 2001 and 2014: In the case of Mrs. Jenkins, her MRSA infection could be a HA-MRSA because she has a history of sustaining an injury and was admitted in the hospital where her wound was dressed and cleaned before discharge. He has now been readmitted again and the doctor has diagnosed her with MRSA. According to Carfora et al (2016), HA-MRSA usually occurs on patients who have recently had a hospital admission and therefore it is highly likely that Mrs. Jenkins earlier admission might have exposed her to HA-MRSA. Because both HA-MRSA and CA-MRSA occur in different settings, Mrs. Jenkins might have been exposed to HA-MRSA as a result of three main factors namely: Being hospitalized Undergoing an invasive medical procedure, and Longer residence in the hospital. Being hospitalized is a great risk factor for HA-MRSA because a hospitalized patient is highly exposed to carriers of MRSA bacteria (Wang et al 2018). In the case of Jenkins, the physician might have touched his wound during dressing with gloves which may have earlier been used to handle a HA-MRSA carrier patient. Likewise, the hospital might not have been at a good hygienic condition when Jenkins was fist admitted in the hospital. This is because according to Bogestam et al (2018), MRSA bacteria spread rapidly in hospitals that have poor hygiene practices. Jenkins could have also been exposed to HA-MRSA as a result of getting into contact with invasive medical devices especially if the physician used them during wound dressing. According to Hongo et al (2018), invasive medical materials such as scissors, catheters, and surgical knives provide a pathway for HA-MRSA to invade the patients body. The hospital bedding could have also been a risk factor for Jenkins to contact HA-MRSA if a t all she lay on some that were not properly washed or sanitized. According to Heckel et al (2017), HA-MRSA bacteria tend to reside on unclean or poorly kept hospital linen such as bed sheets or blankets. Other risk factors for RMSA include keeping wounds uncovered, using other peoples personal items such as razors, towels, clothing and sheets, keeping unclean hands especially after touching other peoples personal objects, and lack of protective gadgets such as gloves in hospital settings. While some of these risk factors may not relate to Jenkins case, being aware of them minimizes the likeliness of getting MRSA (Askura et al 2018). Hand hygiene and HA-MRSA Nearly a decade ago, Ignaz Semmelweis discovered a relationship between health workers hand hygiene and infections to patients. Indeed, several years after his death, a slew of evidence (Kuonza et al 2017; Becker et al 2018; and Bogestam et al 2018) are still emerging to show that there is an association between healthcare-associated infections and health workers hand hygiene. As a result, scholars have proposed improved hand hygiene as a major prevention remedy for HA-MRSA. In fact, while there is still no consensus among scholars over the best control mechanism for HA-MRSA, a majority of them (e.g. Heckel et al 2017, Kuonza et al 2017, Becker et al 2018 and Bogestam et al 2018) agree that keeping hand hygiene is a cornerstone remedy. For instance, Pittet et al (2009) launched a quasi-experimental study to investigate the effects of maintained hand hygiene on the infection rates of HA-MRSA. The intervention included an increased access to alcohol hand scrubs and visual hand washing reminders. Feedback from the hospital staff indicated an increase in hand washing compliance by 18% with a reported decrease in HA-MRSA episodes in the hospital by 0.5 incidences per 10000 patient-days. This and other studies (Hongo et al 2018, Heckel et al 2017 and Sorensen et al 2017) reveal that keeping high-level hand hygiene by washing hands with antibiotic soaps after touching body fluids, secretions, excretions, blood or contaminated items reduce the chances of Jenkins contracting HA-MRSA. Kuonza et al (2017) also recommend that when hands (with gloves or not) are visibly soiled with body fluids or blood when handling the same patient, physicians should wash them with clean water and soap to prevent cross-contamination of the patients different body parts. Apart from hand hygiene, the other standard precaution required to be maintained to prevent HA-MRSA include gloving, eye, mouth and nose protection, gowning and proper laundry handling. According to Hongo et al (2018), wearing non-sterile and clean gloves when a physician is likely to handle blood or other infectious fluids such as non-intact skin (e.g. Jenkins wound), mucus, or contaminated intact skin is extremely important. The gloves should also be carefully removed after handling the patient to prevent hand contamination. While handling mucous membrane, the physician should wear protective gear such as masks, face shields, goggles, or a combination of both; on the nose, eyes, mouth, and ears to avoid contact with splashed blood or infectious fluids (Wang et al 2018). According to Bogestam et al (2018), it is also a standard precaution to wear gowns to protect the physicians skin from contamination and to ensure that the physicians clothes are not contaminated by body fluids or s ecretions. After dressing Jenkins wound, it was necessary to transport or handle his bedding/linen carefully to avoid contamination of air or the nearby surfaces (Askura et al 2018). Transmitted-Based Precautions Transmitted-base precautions for HA-MRSA are categorized into droplet, airborne and contact precautions. According to Kuonza et al (2017), contact-based precautions are normally meant to prevent the transmission of HA-MRSA through direct or indirect contact with a carrier and may include placing patients diagnosed with HA-MRSA in private rooms or together with other patients with similar diagnosis. It also involves keeping the patients quarantined in their respective rooms unless they are to be moved for a medical procedure (Wang et al 2018). According to Hongo et al (2018), other contact-based precautions include wearing gloves before handling the diagnosed patient and observing all the other standard precautions related to HA-MRSA. Droplet precautions are meant to prevent transmission from infectious agents that can drop from the patient through sneezing or coughing. According to Bogestam et al (2018), they include keeping the patient in surgical masks when out of the room, keeping them in private rooms unless they are to be moved for a medical procedure, keeping patient care items such as pressure cuffs dedicated to the patients only, and teaching the patients to cover their nose when sneezing or coughing. Being an old-age patient, these precautions should be implemented with care to ensure that she does not perceive her isolation as a disregard to her health situation or age (Sorensen et al 2017). It is also important to explain to Jenkins the importance of each procedure to gain her best cooperation. Hongo et al (2018) write that a community registered nurses major role is to attend to patients receiving health care services outside the hospital setting. In the case of Jenkins, a community registered nurse would help meet her health needs in respect to her old age situation especially owing to the fact that she is highly prone to forgetting to take her prescribed medication, and maintain the required hygiene for the wound to heal faster. Typically, the nurse would be responsible for cleaning and dress Jenkins wound, ensuring Jenkins maintains the oral medication until the end of the dosage, and maintain Jenkins general hygiene to ensure that she does not infect other people around her with MRSA. On the other hand, an occupational therapist majorly offers therapy services to patients with chronic musculoskeletal illness. In the case of Jenkins, an occupational therapist would be responsible for helping improve her performance of daily activities such as valued daily roles, social interaction and leisure activities (Wang et al 2018). 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