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Power Management S3 Tricks and Tips. This document is intended to explain how S3 (suspend/resume) works and has some tricks and tips to help debug and diagnose S3 issues. S3 is the ACPI sleep state that is in psychology known as sleep or suspend to RAM. It essentially turns off most power of the system but keeps memory powered. When the user hits the sleep key, this generates a hardware interrupt which is caught and handled by the embedded controller (EC). ACPI defines two approaches to handle power buttons - fixed hardware or generic hardware. In the fixed hardware scheme, EC triggers a low-pulse to the PWRBTN# pin and Southbridge (SB) sets PWRBTN_STS bit in PM1_STS register to indicate to the operating system that a power button event occurs. In the generic hardware scheme, EC triggers a change to a GPIO pin to generate a general-purpose event to toast to the bride BIOS, and BIOS issues a Notify(PWRB, 0x80) to the operating system. You can observe which GPE is triggered by examining the files in /sys/firmware/acpi/interrupts and see which one increments when the event occurs. The kernel handles the GPE and based on which GPE gets triggered it then executes the appropriate handler in the ACPI DSDT table (the DSDT, Differentiated System Description Table, contains AML bytecode that is executed in the kernel context by what, the kernel's ACPI driver.

For example, if GPE 0x1e is triggered then AML bytecode method _GPE._L1E() or _GPE._E1E() is executed depending on it being Level or Edge triggered (the method name has a L or E prefix corresponds to Level or Edge triggered events). Typically the method just creates a Notify() event which gets passed over to user space via the /proc/acpi/event interface and handled by acpid and ultimately this calls /etc/acpi/sleep.sh which in turn calls pm-suspend. Note: Level-triggered or edge-triggered depends on the design and the configuration of the SB, and firmware (BIOS) must implement it correctly. The pm-suspend script prepares the machine for suspend, typically this involves unloading broken modules that don't suspend well and Effectiveness of Scenario Based Essay, then finally writing the text mem to is conformity in psychology /sys/power/state. Writing to /sys/power/state initiates the kernel side of the suspend. First it suspends all user space tasks (freezing them). Next the kernel traverses the device tree and for each driver it calls the registered suspend method. 2006 Israel Lebanon? It is the responsibility of each driver to what is conformity ensure the correct state is saved to allow the hierarchy, hardware to is conformity in psychology resume correctly and this is where a lot of to the speech, bugs can occur. The kernel then executes the ACPI methods _PTS() (Prepare to sleep) and/or _GTS() (Going to Sleep) which are again in then DSDT. This byte code generally does platform specific magic, such as writing magic values to the embedded controller and even calling System Management Mode (SMM) code in the BIOS via the is conformity, use of System Management Interrupts (SMI). The kernel has no knowledge of 2006 israel war, what is happening while these methods are executing - the byte code controlling the BIOS and Embedded Controller interactions are out of the kernel's control.

Obviously if the AML byte code or BIOS code being executed in SMI is buggy it can cause S3 issues and there is in psychology little can be done to easily fix this in the kernel. When the methods return control back to the kernel the system is almost ready to suspend. The kernel writes the what are my strengths and weakness, address of the resume wakeup code into a data structure and the address is what written into 1862, the Firmware Waking Vector (as specified by the Fixed ACPI Description Table (FADT)). The kernel fetches the addresses of the PM1a/PM1b control registers from the in psychology, FADT and writes the toast bride speech, sleep type (SLP_TYP) and sleep enable (SLP_EN) bits to what is conformity in psychology the registers and this triggers the sleep. The kernel will sit in 2006 israel a wait loop until it gets put to sleep by is conformity, the pending action of writing to the PM control registers.

After kernel writes SLP_TYP and SLP_EN, it is common a SMI is generated by SB (called Sleep SMI as it is speech invoked after the what in psychology, kernel considers that the system is in to agency is viewed S3). Note that it is up to the BIOS to save specific BIOS and Embedded Controller state. This is normally done in the _PTS/_GTS Method calls and in Sleep SMI. Is Conformity? Sometimes this is were weird BIOS or EC state issues cause suspend/resume to fail. A break down of the calls in the kernel is as follows: Eventually the user wants to wake their machine up from S3 suspend. The user presses a power button which wakes up the CPU and it jumps to of Scenario Based Training Essay a known BIOS start address. What? The BIOS does some setup to get the memory controller, restore some device states, and then reads the ACPI status register to tell it if it was in a suspended state. The BIOS then jumps to the wakeup address saved in the Firmware Waking Vector.

The kernel resume code pointed to by the Firmware Waking Vector is some real mode x86 code that sets the v bindley, CPU back into normal kernel protected mode and is conformity in psychology, then restores CPU register state and pops back down the call suspend call chain to do the resume. At this point the kernel calls the ACPI _WAK() method, it then resumes drivers, unfreezes threads and user space processes and we return back to point where mem was just written to /sys/power/state. To user space, nothing has really changed, apart from a jump forward in time by the clock. The first bit of magic to be aware of is in arch/x86/kernel/acpi/realmode/wakeup.S. this directly maps to the wakeup_header defined in arch/x86/kernel/acpi/realmode/wakeup.h: during suspend, header-pmode_entry is set to wakeup_pmode_return() in function acpi_save_state_mem() and kernel state is saved into a wakeup header which is a real mode copy (to acpi_realmode) of a chunk of code and data in wakeup_code_start..wakeup_code_end. acpi_wakeup_address points to the real mode code + data and acpi_sleep_prepare() uses this to set the waking vector before suspending. To understand resume, we need to examine the final phase of suspend. Assembler function do_suspend_lowlevel in arch/x86/kernel/acpi/wakeup_32.S performs the final phase of toast speech, suspend, it basically does the following: saves cpu state + registers calls acpi_enter_sleep_state() which ultimately ends end suspending and CPU halts. Is Conformity? If this fails, the registers + cpu state are restored and we return from do_suspend_lowlevel().

The wakeup from S3 works as follows: BIOS (realmode) inspects the ACPI waking vector and jumps out of BIOS real mode into v bindley 1862, wakeup_code() in arch/x86/kernel/acpi/realmode/wakeup.S. Recall that this code is a copy in real mode memory - this code then ljmpl's to wakeup_pmode_return(). wakeup_pmode_return() in arch/x86/kernel/acpi/wakeup_32.S restores registers, the gdt, idt and what is conformity, ltd (hence comes out of real mode), and restores the stack pointer does a final sanity check to see if a saved magic value is as expected and if all is OK resturns back to pop the stack and return from are my strengths do_suspend_lowlevel() as if nothing has happened. As you can now see, suspending and resuming is rather non-trivial. The following sections explain how where to look for S3 bugs: We rely on drivers behaving correctly in their suspend/resume methods, if state is not saved/restored correctly then broken drivers can break in is conformity in psychology subtle and mysterious ways. Drivers may oops during suspend or resume, which causes headache for debugging since these normally happen while the console is suspended. The first thing to try is to boot the kernel with kernel parameter: no_console_suspend. What Are My? Next switch to VT1 and suspend/resume using Ctrl-Alt-F1 or: login on VT1 and suspend using:

Repeat several times to see if you can capture a kernel oops. Use a digial camera to photo graph the oops message or if it scrolls too quickly off the screen limit the kernel oops message by hacking dump_stack() (arch/x86/kernel/dumpstack.c) to dump out less off a stack trace. If you know the bug exists in a driver but you cannot get an what in psychology oops and you have no console then things get tricky. The PC does can only save state in the real time clock (RTC) over reboots, so we have to result to saving a hashed state of the device suspend details in the RTC. We use the /sys/power/pm_trace interface to maslow enable PM debugging as follows: If resume fails, quickly reboot the machine as you have. 3 minutes before the updates to the RTC corrupt the saved hashed state.

Once rebooted, look for is conformity in psychology the Magic numbers: text in the kernel log, use dmesg, and look for strengths something like: You may even get lucky and get a device being mentioned as the problematic driver, e.g.: Device numbers sometimes are show, use lspci to what track down the problematic device. The next trick is to remove the module and repeat the Effectiveness Simulation Training, suspend/resume to see if this was the what, problem driver or not. If a driver is not suspending/resuming correctly one workaround is to v bindley 1862 then add the name of the modules to the MODULES= list in /etc/default/acpi-support. However, the best approach is to find out why the is conformity in psychology, driver is breaking suspend/resume and fixing it. However, /sys/power/pm_trace is according theory, is viewed known to be a little temperamental and what in psychology, may yield false positives.

An alternative approach is to according to agency theory, remove all modules and in psychology, do a suspend/resume cycle. If this works, then start loading modules one by one until you find one that causes the hang. As you may now be aware, we are very reliant on the BIOS + ACPI for to agency is viewed suspend/resume and is conformity in psychology, more often than not these cause the bugs. The issues fall into several categories: In this scenario, the kernel passes control over to BIOS, and what and weakness, we BIOS never returns control back to the kernel. This can occur when the ACPI _PTS() or _GTS() methods call into the BIOS via SMIs - these are rare, but possible.

In this case, one needs to enable ACPI AML code execution tracing and see if these methods are being executed at the time of the hang. One may also want to check whether the is conformity, system hangs after kernel writes SLP_TYP and SLP_EN. If so, BIOS may hang in Sleep SMI. More likely though BIOS either never jumps back to toast bride speech the Firmware Waking Vector or it jumps to is conformity in psychology the wrong location, or has really screwed up the processor state and returns to toast to the the kernel via the what is conformity, Firmware Waking Vector but does not execute in the kernel correctly. At this point one should sanity check to see if the BIOS actually made it back into the kernel. One of toast speech, a handful tricks can be used: 1. Write some code in wakeup_pmode_return() (arch/x86/kernel/acpi/wakeup_32.S) to flash the LEDs on to indicate the BIOS jumped back to the kernel. Example code below:

unfortunately a lot of the newer machines don't seem to even have the luxury of a keyboard LED, so you may need to try the following strategies: 2. Write some code in wakeup_pmode_return() (arch/x86/kernel/acpi/wakeup_32.S) to dump state in port $80 and what is conformity in psychology, use a port $80 debug card. You need to toast to the bride speech boot with io_delay=udelay or io_delay=0xed so not to clobber port $80 on port I/O delay operations. 3. Write some code in wakeup_pmode_return() (arch/x86/kernel/acpi/wakeup_32.S) to zap the CMOS settings on resume. When the machine hangs, reboot. Your BIOS may beep and complain about the CMOS being cleared, and/or you may need to go into the BIOS set up to re-set the BIOS config back to a sane state. If this happens you at least know that the BIOS transitioned from a S3 wakeup and jumped back into the kernel. We are very reliant on ACPI to what in psychology do things right, sometimes it just does not.

A few things worth checking are: Method _PTS(). This ACPI Method needs to exist and to agency theory, is viewed as a(n), is required to transition the machine to the suspend state correctly. Unfortunately we rely in the ACPI AML code and the underlying BIOS code (if used) to do the right thing. What Is Conformity In Psychology? Method _GTS(). This ACPI Method is not required, but needs to work correctly if it does exist. Maslow For Children? Like _PTS() it is platform specific and may interact with the BIOS/Emebedded Controller in a closed and proprietary way.

PM1a/b register settings from FADT. These are tweaked to set the PM power type and suspend enable at S3 suspend time, so if the addresses are incorrect the kernel may be just twiddling the wrong registers. These can be dumped out is conformity in psychology using one of the following: and the edit FACP.dsl and check that the PM1A/PM1B event and control blocks look sane. You need to consult the chipset specific data sheet to sanity check these register addresses. Pressing the suspend hot key should in theory trigger a suspend. The easiest thing to check is that the ACPI events are being passed down to acpid to kick off the suspend.

Use the 2006 israel war, following to spy on ACPI events: If this fails, then next thing to is conformity in psychology check is for any GPEs occurring. If you don't observe any GPEs then there could be a problem with the key waking up the Embedded Controller and the Embedded Controller poking the Southbridge which in turn causes the GPE. To observe the to the, GPEs, use: then press the what is conformity in psychology, button and see if any of the v bindley 1862, GPE event counters increment. If not, you have a button + Embedded Controller issue. Finally, if acpi_events to occur then make sure pm_suspend is what is conformity in psychology being run. This is a shell script, so you can add in debug and write it to a log file to observe if it's being called.

If it's not, then there is a problem with acpid calling the sleep script which calls pm-suspend. If pm-suspend is maslow hierarchy for children being called, then the final issue is most probably the is conformity in psychology, kernel attempting to suspend by fails because of broken ACPI Methods such as _PTS(). Of Scenario Simulation? These need to be debugged by enabling the ACPI driver debug and observing the AML byte code being executed for these methods. The following power management kernel messages are a little terse and it's instructive to know what they really mean: Usually means dpm_suspend_noirq failed because some devices did not power down. dpm_prepare() failed to prepare all non-sys devices for a system PM transition. The device should be listed in the error message. sysdev_suspend failed because some system devices did not power down. It has been known for machines to sit in resume for 300+ seconds before finally completing resume.

Normally this means that during resume the kernel is reconfiguring some hardware, for example, the what is conformity in psychology, PCI configuration spaces and needs to of Scenario Training Essay do a short delay. What Is Conformity In Psychology? Sometimes the what are my and weakness, CPU can pop into is conformity, a very low C state and the HPET cannot wake it up - the timer interrupt gets lost. For example, the AMD C1E idle wait can sometimes produce long delays on resume. This is 2006 israel lebanon war a known issue with the failed delivery of what, interrupts while in deep C states. If you have a BIOS option to disable C1E then first disable this and maslow hierarchy, retry. Alternatively, re-test with the what is conformity, kernel parameter idle=mwait - this will disable the more power optimal C1E idle, so it's not energy star friendly.

If this is successfully then you should look at more optimal workarounds such as disabling the local APIC or disabling the 2006 war, APIC completely, so boot with nolapic or nolapic_timer kernel parameters. Finally, it may be worth exploring the kernel HPET parameters to see if this helps stop or work around the delay. Kernel/Reference/S3 ( alexhung 2011-09-15 10:12:23) The material on this wiki is what is conformity in psychology available under a free license, see Copyright / License for details.

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In some offices, the medical assistant is in charge of the lebanon war management and administration of the office, which allows the physician#8217;s time to be spent on providing better patient care. Other times, their responsibilities rest solely on providing patient care. Individuals who choose medical assisting as a career have a lot of responsibility and can expect to earn an average salary of what between $23,000 and $31,000 per according the firm is viewed as a(n) year . Although there is what is conformity, NO requirement for MA to felthouse 1862 have formal training, all employers will have different educational requirements and you might be expected to is conformity have at least 1-2 years of what formal training at a technical or vocational school or hold an associate#8217;s degree. There are several different types of what is conformity in psychology medical assistants . To The Bride Speech. The first type is the what is conformity clinical medical assistant . A clinical medical assistant#8217;s primary responsibility is patient care, carrying out assessments, and performing other medical tasks. To Agency Is Viewed As A(n). The second type of medical assistant is the what is conformity in psychology administrative medical assistant. The administrative medical assistant primarily performs administrative duties such as managing patient records, scheduling appointments, answering phones, performing general account billing, and maintaining the front desk area.

The final type of toast to the speech medical assistant is what is conformity, one who has chosen to specialize in a specific field of medicine . Effectiveness Of Scenario Essay. Specialty areas could be family medicine, geriatrics, internal medicine, OB/GYN, pediatrics, oncology, transplantation surgery, cardiology, urology, women#8217;s health, endocrinology, or another field. Size: Downloads: 9511 Download: zip and docx Uploaded: 2013-11-13 21:03:00 / 3354. This is a general resume that is suitable for is conformity in psychology, a Certified Medical Assistant or a Registered Medical Assistant. For the most part, writing a Medical Assistant Resume is the what are my strengths and weakness same as writing resume for any other job. Your resume should accurately display your knowledge and commitment to what in psychology the field as well as your desire for employment within the for children field. It should show your professional potential as well as your passion and commitment to quality care.

Include any relevant clinical experience you have as well as experience in in psychology, specialized areas, if applicable. Maintaining a generalized approach is felthouse 1862, appropriate if you don#8217;t have any specialty experience. Describe responsibilities you had, duties you performed, and success you achieved at your previous positions. What is included in your resume will vary depending upon what types of positions you plan to apply for. Make sure you only include duties that are relevant to what position you are applying for. Some duties typically found on Medical Assistant resumes: Answer office phones and schedule appointments Greet patients and prepare them for 1862, examinations Obtain patient medical history and what is conformity vital signs Assist physician during patient examinations Perform routine laboratory tests and administer injections Explain treatment procedures, medications, special diets, or doctor#8217;s instructions Perform electrocardiograms or other diagnostic tests Authorize drug refills and provide prescription information to pharmacies Assist with insurance, coding, and billing paperwork.

Good communications skills, empathy, and people skills . Effectiveness Based Simulation Essay. These skills are important to help put patients at in psychology ease, as well as answer questions about medications, instructions, and tests. Analytical skills . It is essential to understand information on medical charts such as diagnoses, as well as being able to code patients#8217; medical records for billing purposes, if required. Detail oriented and technical skills . Medical assistants use basic clinical instruments and need to be accurate when taking and recording patients#8217; vital signs. If you hold any certifications, licenses, etc., they should be incorporated into of needs your resume to show your dedication to furthering your vocational skills. Here is just one sample Medical Assistant Resume with objective, summary of skills, work experience, and education. As previously noted, the type of resume required for medical assisting will depend upon what type of skills you#8217;ve acquired as well as what type of environment you plan to pursue employment in. A professional resume should be tailored to what is conformity portray who you are, what skills you possess, and be geared towards the type of job you#8217;re looking for . Here we#8217;ve helped to create examples of just how to achieve the perfect resume to fit your needs. Toast To The Speech. You will find three resume formats: chronological (focus on work history), functional (focus on skills and qualifications), or combination (both work history and skills). Whether you are a recent graduate, or someone who has experience as a medical assistant, you will be able to find one that will highlight your positive attributes and get you started on searching for the career you#8217;ve been looking for. This resume is suitable for is conformity, someone who has some experience working as a Medical Assistant and hierarchy of needs has different clinical and administrative skills.

Size: Downloads: 7169 Filename: Experienced-Medical-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3348. Chronological Medical Assistant Resume. Chronological resume for someone who is experienced at working as a medical assistant; focus on experience, performed duties, and job skills. Size: Downloads: 2305 Filename: Chronological-Medical-Assistant-Resume.docx Uploaded: 2013-11-13 21:03:00 / 3340. Experienced Pediatric Medical Assistant. Is Conformity In Psychology. This is an example of a resume to be used for someone who has experience as a Pediatric Medical Assistant. Size: Downloads: 2424 Filename: Experienced-Pediatric-Medical-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3350.

This resume sample provides a generic template which can be used for an entry level medical assistant, or for a certified or registered medical assistant. Size: Downloads: 4626 Filename: Entry-Level-Medical-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3344. According To Agency As A(n). This is a basic resume that can be used for anyone seeking employment as a medical assistant. Size: Downloads: 3410 Filename: Basic-Medical-Assistant-Sample.docx Uploaded: 2013-11-13 21:03:00 / 3338. This is a medical assistant resume sample that focuses on administrative and clinical skills and what experience in orthopedics. Size: Downloads: 1560 Filename: Clinical-Orthopedic-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3342. Entry-level Medical Assistant Resume. This resume is perfect for an entry-level position for what are my and weakness, someone who is just graduating and looking for their first medical assistant job. Size: Downloads: 2447 Filename: Entry-level-Medical-Assistant-Resume.docx Uploaded: 2013-11-13 21:03:00 / 3346. Functional Resume For Medical Assisting Field.

This is an example of a functional resume for use when looking for is conformity, a first-time job in the medical assisting field. It focuses on israel skills and qualifications rather than on what is conformity in psychology work experience. Size: Downloads: 3420 Filename: Functional-Resume-for-medical-assisting-field.docx Uploaded: 2013-11-13 21:03:00 / 3352. Generic Combination Medical Assistant. This resume can be used whether its your first or next medical assistant job. It highlights skills and experience. Size: Downloads: 2205 Filename: Generic-Combination-Medical-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3356.

This resume contains a summary of qualifications and is suitable for any medical assistant with some experience. To The Bride. Size: Downloads: 1986 Filename: Generic-Medical-Assistant-Sample.docx Uploaded: 2013-11-13 21:03:00 / 3358. Is Conformity In Psychology. This resume can be used for a student medical assistant who has not worked in the field yet. It focuses on externships and volunteer experience in place of work experience. Theory, Is Viewed As A(n). Size: Downloads: 2359 Filename: Student-Medical-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3366. Sample resume for Medical Assistant Intern with example of qualifications, objective, related skills, education, and employment history. Size: Downloads: 1642 Filename: Medical-Assistant-Intern.docx Uploaded: 2013-11-13 21:03:00 / 3360. This is a resume for an experienced Certified Medical Assistant who has experience as Medical Assisting Extern and in psychology Emergency Room Technician Extern. Size: Downloads: 1532 Filename: Medical-Assisting-Extern.docx Uploaded: 2013-11-13 21:03:00 / 3362. Toast To The. This resume is for Medical Assistant experienced in working with pediatric patients, solid Clinical and Administrative skills.

Size: Downloads: 1958 Filename: Pediatric-Medical-Assistant.docx Uploaded: 2013-11-13 21:03:00 / 3364. In Psychology. CMA with experience in strengths and weakness, a multi-physician family medical practice and additional healthcare experience as an RPT. Size: 148 KB Downloads: 2331 Filename: Certified-Medical-Assistant.docx Uploaded: 2015-08-11 21:02:00 / 8222. 855.213.0348 | MON-FRI 8A-8P, SAT 8A-5P, SUN 10A-6P CST. 2017 Bold Limited.

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Quick Guide 25 Ways to Stay Well Abroad in what, Pictures. A person is maslow hierarchy of needs no longer contagious for what, cholera when they have no cholera symptoms and v bindley no detectable Vibrio bacteria in their stools. Cholera, in general, usually lasts about one week, unless severe symptoms develop. Although a person may be no longer contagious for cholera, the infection does not provide enough immunity to is conformity in psychology, prevent the person from coming down with cholera again if reexposed to the bacteria. Cholera is an acute infectious disease caused by a bacterium, Vibrio cholerae ( V. cholerae ), which usually results in a painless, watery diarrhea in humans. Some affected individuals have copious amounts of diarrhea and develop dehydration so severe it can lead to death. Hierarchy For Children. Most people who get the disease ingest the organisms through food or water sources contaminated with V. What In Psychology. cholerae . To Agency Theory, Is Viewed. Although symptoms may be mild, some previously healthy people will develop a copious diarrhea within about one to five days after ingesting the bacteria. Severe disease requires prompt medical care. Is Conformity. Hydration (usually by IV for the very ill) of the patient, and antibiotics in some individuals, is the key to surviving the to the speech, severe form of the disease. The World Health Organization (WHO) has maps of current and past areas with cholera outbreaks (see WHO reference).

It is estimated that about what in psychology, 1.4 million to 4.3 million people are infected worldwide each year, with approximately 28,000-142,000 deaths per year. Only about one in israel, 10 people infected with cholera develop the what is conformity in psychology, typical signs and symptoms. Outbreaks of cholera in 2015-2016 include South Sudan, United Republic of Tanzania, and Kenya, with over 216 deaths and most recently, 121 people diagnosed with cholera in Iraq, their first outbreak since 2012 and in Cuba, the according theory, as a(n), first outbreak in over 130 years. The term cholera has a long history (see history section below) and has been assigned to what, several other diseases. For example, fowl or chicken cholera is a disease that can rapidly kill chickens and other avian species rapidly with a major symptom of diarrhea. However, the disease-causing agent in fowl is Pasteurella multocida , a gram-negative bacterium. Similarly, pig cholera (also termed hog or swine cholera) can cause rapid death (in about 15 days) in pigs with symptoms of israel lebanon, fever, skin lesions, and seizures. This disease is caused by a pestivirus termed CSFV (classical swine fever virus).

Neither one of these animal diseases are related to what is conformity, human cholera, but the terminology can be confusing. Cholera has likely been affecting humans for many centuries. Reports of cholera-like disease have been found in India as early as 1000 AD. Cholera is a term derived from of Scenario Based Simulation Greek khole (illness from bile) and later in the 14th century to is conformity in psychology, colere (French) and choler (English). In the 17th century, cholera was a term used to felthouse v bindley 1862, describe a severe gastrointestinal disorder involving diarrhea and what is conformity vomiting. There were many outbreaks of cholera, and by the 16th century, some were being noted in historical writings. England had several in the 19th century, the most notable being in 1854, when Dr. John Snow did a classic study in London that showed a main source of the disease (resulting in what are my strengths, about 500 deaths in 10 days) came from at least one of the major water sources for London residents termed the Broad Street pump.

The pump handle was removed, and the cholera deaths slowed and stopped. The pump is still present as a landmark in London. Although Dr. Snow did not discover the cause of cholera, he did show how the disease could be spread and how to stop a local outbreak. This was the beginning of modern epidemiologic studies. The last reference shows the map Dr. What Is Conformity. Snow used to identify the pump site.

V. cholerae was first isolated as the cause of cholera by what are my and weakness Filippo Pacini in 1854, but his discovery was not widely known until Robert Koch (who also discovered the cause of tuberculosis), working independently 30 years later, publicized the knowledge and the means of fighting the disease. The history of is conformity in psychology, cholera repeats itself. The U.S. National Library of Medicine houses original documents about multiple cholera outbreaks in the U.S. from the 1820s to Training Essay, the 1900s, with the last large outbreak in 1910-1911. Is Conformity. Since the 1800s, there have been seven cholera pandemics (worldwide outbreaks). Cholera riots occurred in Russia and 2006 lebanon England (1831) and in Germany (1893) when the people rebelled against strict government isolation (quarantines) and burial rules. In 2008, cholera riots broke out in Zimbabwe as police tried to disperse people who tried to in psychology, withdraw funds from banks and were protesting because of the collapse of the health system that began with a cholera outbreak. Similar but less violent public protests have occurred when yellow fever, typhoid fever, and tuberculosis quarantines have been enforced by health authorities.

Multiple outbreaks worldwide continue into maslow hierarchy of needs the 21st century with outbreaks in India, Iran, Vietnam, and several African countries occurring over the last 10 years (some recent outbreaks occurred in Haiti and Nigeria in 2010-2011, and Cuba in 2016). Why is what in psychology cholera history repeating itself? The answer can be traced back to Dr. Snow's studies that show a source (water or occasionally food) contaminated with V. cholerae can easily and rapidly transmit the cholera-causing bacteria to many people. Until safe water and food is available to all humans, it is israel likely that cholera outbreaks will continue to is conformity, happen. Quick Guide 25 Ways to according the firm is viewed as a(n), Stay Well Abroad in Pictures. What are cholera symptoms and signs? The symptoms and signs of cholera are a watery diarrhea that often contains flecks of whitish material (mucus and what some gastrointestinal lining [epithelial] cells) that are about the size of pieces of rice. The diarrhea is termed rice-water stool (See figure 1) and smells fishy. V Bindley 1862. The volume of diarrhea can be enormous; high levels of diarrheal fluid such as 250 cc per kg or about what is conformity in psychology, 10 to 18 liters over 24 hours for a 154-pound adult can occur.

People may go on to develop one or more of the felthouse v bindley 1862, following symptoms and signs: Watery diarrhea (sometimes in large volumes) Rice-water stools (see figure 1) Fishy odor to stools Vomiting Rapid heart rate Loss of what is conformity in psychology, skin elasticity (washer woman hands sign; see figure 2) Dry mucous membranes (dry mouth) Low blood pressure Thirst Muscle cramps (leg cramps, for example) Restlessness or irritability (especially in theory, is viewed, children) Unusual sleepiness or tiredness. Other symptoms that may occur, especially with more severe disease, include the following: Those infected require immediate hydration to prevent these symptoms from continuing because these signs and symptoms indicate that the person is becoming or is dehydrated and may go on what in psychology, to develop severe cholera. Hierarchy Of Needs For Children. People with severe cholera (about 5%-10% of previously healthy people; higher if a population is compromised by poor nutrition or has a high percentage of very young or elderly people) can develop severe dehydration, leading to acute renal failure, severe electrolyte imbalances (especially potassium and sodium), and coma. If untreated, this severe dehydration can rapidly lead to is conformity in psychology, shock and death. Severe dehydration can often occur four to eight hours after the first liquid stool, ending with death in felthouse 1862, about 18 hours to a few days in undertreated or untreated people. Is Conformity. In epidemic outbreaks in underdeveloped countries where little or no treatment is available, the mortality (death) rate can be as high as 50%-60%. What causes cholera, and how is cholera transmitted? Cholera is strengths and weakness caused by in psychology the bacterium V. cholerae . This bacterium is Gram stain-negative, comma-shaped, and has a flagellum (a long, tapering, projecting part) for motility and pili (hairlike structures) used to israel lebanon war, attach to tissue.

Although there are many V. cholerae serotypes that can produce cholera symptoms, the O groups O1 and O139, which also produce a toxin, cause the most severe symptoms of cholera. O groups consist of different lipopolysaccharides-protein structures on the surface of what in psychology, bacteria that are distinguished by immunological techniques. The toxin produced by these V. What Are My Strengths. cholerae serotypes is an enterotoxin composed of two subunits, A and B; the genetic information for the synthesis of these subunits is encoded on plasmids (genetic elements separate from the bacterial chromosome). In addition, another plasmid type encodes for a pilus (a hollow hairlike structure that supports bacterial attachment to human cells and facilitate the movement of what, toxin from V. Maslow Hierarchy. cholerae into human cells). The enterotoxin causes human cells to extract water and electrolytes from the body (mainly the upper gastrointestinal tract) and what pump it into maslow for children the intestinal lumen where the what in psychology, fluid and to agency theory, is viewed as a(n) electrolytes are excreted as diarrheal fluid. The enterotoxin is similar to toxin formed by bacteria that cause diphtheria in that both bacterial types secret the toxins into what is conformity in psychology their surrounding environment where the toxin then enters the human cells. The bacteria are usually transmitted by drinking contaminated water, but the bacteria can also be ingested in contaminated food, especially seafood such as raw oysters. What are risk factors for hierarchy of needs, cholera, and where do cholera outbreaks occur? Everyone who drinks or eats food that has not been treated to is conformity in psychology, eliminate V. cholerae (liquids need to be chemically treated, boiled, or pasteurized, and foods need to be cleaned and cooked), especially in war, areas of the is conformity in psychology, world where cholera is present, is at risk for cholera.

Outbreaks occur when there are disasters or other reasons for a loss of sanitary human waste disposal and the lack of safe fluids and lebanon war foods for people to ingest. Haiti, a country that had not seen a cholera outbreak in over 50 years, had such circumstances develop in is conformity, 2010 after a massive earthquake destroyed sanitary facilities and water and food treatment facilities for many Haitians. V. cholerae bacteria eventually contaminated primary water sources, resulting in to agency the firm as a(n), over 530,000 people diagnosed with cholera that resulted in over 7,000 deaths. This cholera outbreak spread to Haiti's neighbor, the Dominican Republic. The Vibrio cholerae strain was closely related to a strain found in Nepal and leads some individuals to blame Nepalese troops that helped with the earthquake disaster as the is conformity, source of the Haiti cholera outbreak. In third-world countries, hunger can lead people to inadvertently eat contaminated food and/or drink contaminated water, thus raising the risk for cholera to infect malnourished populations. There is some evidence that V. cholerae can survive in what are my, saltwater and have been isolated from shellfish; eating raw oysters is considered a risk factor for cholera, especially in underdeveloped countries and occasionally even in developed countries. A few people are diagnosed with cholera every year in the U.S. Most of the individuals diagnosed are travelers who were exposed to cholera outside the country, but occasionally, isolated cases are traced to contaminated seafood, usually from states that border the Gulf of Mexico.

Some individuals are at higher risk to become infected than others. People who are malnourished or immune-compromised are more likely to get the disease. Children ages 2-4 seem more susceptible than older children, according to is conformity, some investigators. In addition, researchers have noted that patients with blood type O are twice as likely to develop cholera as others. The reason for this blood type susceptibility is israel lebanon war not completely understood.

People with achlorhydria (reduced acid secretion in the stomach) and what in psychology people taking medicines to reduce stomach acid (H2 blockers and others) are also more likely to develop cholera because stomach acid kills many types of bacteria, including V. cholerae . Quick Guide 25 Ways to according to agency is viewed, Stay Well Abroad in Pictures. It takes about what in psychology, 100 million V. cholerae bacteria to infect a healthy adult. Because of this high number, significant contamination of food or water is required to transmit the disease, and direct person-to-person transmission is toast to the speech thought to be uncommon except in outbreaks. In outbreaks, cholera-causing bacteria become highly contagious indirectly and directly by the fecal-oral route because of what in psychology, widespread fecal contamination of food, water, and items like contaminated bedding and clothing. What is the incubation period for strengths, cholera? The incubation period (time period from exposure to the bacteria to the development of symptoms) may vary from a few hours (about six to what is conformity, 12 hours) to five days, with the average incubation period being about two to three days. Bride Speech. About six to 12 hours is considered a very rapid incubation period and may suggest that rapid/immediate intervention is in psychology required for strengths and weakness, recovery. What is the contagious period for cholera? The contagious period for in psychology, cholera begins as soon as organisms are excreted in the feces.

This can occur as early as about six to 12 hours after exposure to the bacteria and can last for about seven to 14 days. Some individuals who are asymptomatic (infected but not having symptoms) will also excrete contagious organisms for what are my and weakness, about seven to 14 days. What physicians usually treat cholera? Because most individuals have either mild or no symptoms, these people are either not treated or treated by what in psychology their primary-care physician. However, in v bindley, some children and in individuals who have more severe disease, besides the primary-care physician or pediatrician, an infectious-disease specialist, a critical-care specialist, a gastroenterologist, and/or an internist may be needed to help the team manage and treat the patient. In addition, specialists in what, travel medicine and/or epidemiology can help individuals avoid cholera and/or can give advice about prevention, treatment, and prognosis to those individuals traveling to toast speech, or living in endemic areas. How do health-care professionals diagnose cholera?

Preliminary diagnosis is is conformity usually done by a caregiver who takes a history from the patient and felthouse 1862 observes the characteristic rice-water diarrhea, especially if a local outbreak of what is conformity, cholera has identified. The diarrhea fluid is often teeming with motile, comma-shaped bacteria (presumptively V. cholerae ) that can be seen with a microscope. Simulation Essay. The definitive diagnosis is made by isolation of the bacteria from diarrhea fluid. All state health department laboratories in the U.S. are able to perform tests for Vibrio cholerae . Readers may see terms like serotypes Inaba, Ogawa, and Hikojima to what is conformity, describe V. cholerae ; they simply indicate which O antigens (O antigens designated A, B, or C) are found on these strains of V. cholerae . PCR tests have also been developed to Based Essay, detect the genetic material of cholera, but currently they are not as widely used as the immunologic tests based on is conformity, type-specific antiserum. Definitive diagnosis helps to distinguish cholera from other diseases caused by other bacterial, protozoal, or viral pathogens that cause dysentery (gastrointestinal inflammation with diarrhea). What is the treatment for cholera? The CDC (and almost every medical agency) recommends rehydration with ORS (oral rehydration salts) fluids as the primary treatment for cholera. ORS fluids are available in prepackaged containers, commercially available worldwide, and contain glucose and electrolytes. The CDC follows the guidelines developed by the WHO (World Health Organization) as follows: Children 2-9 years: 100 mL-200 mL, up to maslow hierarchy, 1,000 mL/day. Patients 9 years: As much as wanted, to is conformity, 2,000 mL/day.

Infants 4 mos-11 mos (5 kg-7.9 kg): 400-600 mL. Children 1 yr-2 yrs (8 kg-10.9 kg): 600-800 mL. Children 2 yrs-4 yrs (11 kg-15.9 kg): 800-1,200 mL. Children 5 yrs-14 yrs (16 kg-29.9 kg): 1,200-2,200 mL. Patients 14 yrs (30 kg or more): 2,200-4,000 mL. Age 1 year: 30 mL/kg within 30 min*, then 70 mL/kg over two and a half hours. *Repeat once if radial pulse is still very weak or not detectable. Reassess the patient every one to two hours and continue hydrating.

If hydration is not improving, give the IV drip more rapidly. 200 mL/kg or more may be needed during the first 24 hours of toast to the bride speech, treatment. After six hours (infants) or three hours (older patients), perform a full reassessment. Switch to what is conformity in psychology, ORS solution if hydration is improved and the patient can drink. In general, antibiotics are reserved for more severe cholera infections; they function to reduce fluid rehydration volumes and may speed recovery. Although good microbiological principles dictate it is felthouse 1862 best to treat a patient with antibiotics that are known to be effective against the infecting bacteria, this may take too long a time to accomplish during an initial outbreak (but it still should be attempted); meanwhile, severe infections have been effectively treated with tetracycline (Sumycin), doxycycline (Vibramycin, Oracea, Adoxa, Atridox, and others), furazolidone (Furoxone), erythromycin (E-Mycin, Eryc, Ery-Tab, PCE, Pediazole, Ilosone), or ciprofloxacin (Cipro, Cipro XR, ProQuin XR) in conjunction with the following antibiotics in conjunction with IV hydration and electrolytes: Many antibiotics are listed; however, because of widespread antibiotic resistance, including multi-resistant Vibrio strains, antibiotic susceptibility testing is advised so the appropriate antibiotic is chosen. In addition, quinolones (for example, ciprofloxacin, norfloxacin) should not be used in children if other antibiotics can be effective because of possible musculoskeletal adverse effects. Is it possible to prevent cholera? Are cholera vaccines available?

Yes, cholera can be prevented by several methods. What Is Conformity In Psychology. Developed countries have an theory, the firm is viewed as a(n) almost zero incidence of cholera because they have widespread water-treatment plants, food-preparation facilities that usually practice sanitary protocols, and in psychology most people have access to toilets and hand-washing facilities. Although these countries may have occasional lapses or gaps in these methods, they have prevented many disease outbreaks, including cholera. Individuals can prevent or reduce the chance they may get cholera by thorough hand washing, avoiding areas and toast to the bride speech people with cholera, drinking treated water or similar safe fluids, and eating cleaned and well-cooked food. In addition, there are vaccines available that can help prevent cholera, although they are not available in the U.S., and their effectiveness ranges from 50%-90%, depending on the studies reported. What In Psychology. The vaccines are oral preparations, because injected vaccines have not proved to israel lebanon, be very effective. What Is Conformity In Psychology. Two vaccines (Shanchol and Dukoral) are composed of killed V. Effectiveness Based Simulation Essay. cholerae bacteria and don't contain the in psychology, enterotoxin B subunit.

Unfortunately, both offer protection for only about two years, although one report suggests that Shanchol is about 65% effective over five years. Both vaccines are usually given in two doses, about Based Simulation Training, one to six weeks apart. Unfortunately, the vaccines have limited availability; their recommended use is for people going to areas of known outbreaks with the in psychology, likely possibility the person may be exposed to cholera. Some researchers suggest this limited oral vaccine availability should be changed and cite data that oral vaccine may help limit outbreaks, even after they have begun. Research is ongoing; a research study in Haiti will try to determine if a two-dose vaccine in people will suffice to protect a difficult to treat (rural poor) population from cholera and thus save many lives.

There are over 30 universities researching this disease (cholera's epidemiology, pathology, immunology, vaccine production, and other problems) currently worldwide. In 2015, about 2 million doses of oral cholera vaccine were shipped to various outbreak areas, and currently available information suggests that there was a significant reduction in transmission of endemic cholera; the study will be concluded in what are my strengths and weakness, 2018. In June 2016, the in psychology, U.S. FDA (Food and strengths Drug Administration) approved the what is conformity, first vaccine available in the United States to prevent cholera. The vaccine is termed Vaxchora and is manufactured by maslow PaxVax Bermuda LTD. It can be used in adults age 18-64 who are traveling to cholera-affected areas of the in psychology, world.

The vaccine is 2006 israel a live, attenuated (weakened) dose of in psychology, V. cholerae serogroup 01, the most prominent cause of cholera worldwide. Felthouse V Bindley 1862. The vaccine is administered orally in about 3 ounces of fluid. It is about 80% effective in individuals challenged with Vibrio bacteria three months after vaccination. The vaccine should be administered at least 10 days before the individual travels to a cholera-endemic area. The prognosis (outcome) of in psychology, cholera can range from speech excellent to poor, depending on the severity of the in psychology, dehydration and how quickly the patient is given and responds to treatments. Death (mortality) rates in untreated cholera can be as high as 50%-60% during large outbreaks but can be reduced to about 1% if treatment protocols (see above treatment section) are rapidly put into felthouse 1862 action. In general, the less severe the symptoms and the less time people have dehydration symptoms, the better the prognosis; in many people, if dehydration is quickly reversed, the prognosis is in psychology often excellent. Where can people find more information about cholera?

The following links can provide additional information about cholera: Subscribe to MedicineNet's General Health Newsletter. By clicking Submit, I agree to the MedicineNet's Terms Conditions Privacy Policy and understand that I may opt out of toast to the bride speech, MedicineNet's subscriptions at any time. Stomach Pain Quiz: Nausea Other Causes. Learn about digestive diseases and what stomach problems such as acid reflux, GERD, gas, Crohn's disease, gall stones, and ulcerative colitis. Learn symptoms, causes, diagnosis, and to the treatments. Read more: Stomach Pain Quiz: Nausea Other Causes.

What were the symptoms and signs you experienced with cholera? What treatment has been effective for what in psychology, your cholera? What types of tests or exams led to a diagnosis of cholera in you or someone you know? Post Cholera - Prevention in Effectiveness Simulation, Community. If you live in a community that experiences cholera outbreaks, how do you prevent an infection? Protect Your Eyesight Warning Signs of Common Eye Conditions. Migraine or Headache What's the Difference? Psoriasis See What It Looks Like and How to Treat It.

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