Friday, February 21, 2020

Neurocysticercosis Essay Example | Topics and Well Written Essays - 1500 words

Neurocysticercosis - Essay Example The pig is an intermediate host, which harbors the larvae after ingesting the ova, while the ultimate hosts are humans. (Dhawan, 2007) Neurocysticercosis is caused by the intake of food contaminated with the waste products of a T. solium tapeworm carrier. The adult T. solium inhabits itself in the small intestine of humans, where it attaches itself to the intestinal wall by its suckers and hooks. A few pregnant proglottids are detached from the distal end of the body of the worm every day and passed with the feces; every proglottid contains thousands of eggs, which are fully embryonated, and resistant to all sorts of harsh environments and infective. (Etiopathogenesis of Neurocysticercosis, 2002) If pig products infected with the larvae are ingested, the intestines are subject to a tapeworm infection; when these eggs are ingested and subjected to gastric acid found inside the human stomach, their protective capsule is dissolved and the eggs turn into larval cysts, called oncospheres. Oncospheres travel through the vascular system to the brain, muscle, eyes, and other organs and body parts. The ingested ova develop into larvae (cysticerci) and lodge in soft tissues, especially skin, muscle, and brain. Cysticerci are fluid-filled oval cysts, approximately 1-2 cm in diameter, with an internal scolex. Once in the brain, the larval cysts (cysticerci) initially generate a minimal immune response and may remain in the brain as functional cysts for years. A live cyst can remain in there undetected for as long as 5 years before dying or causing symptoms in the host and cause minor inflammation in the tissue around it. (Christopher M. DeGiorgio, 2004) Finally, Neurologic symptoms by the cyst arise when it dies and the human mounts an associated inflammatory response. (Dhawan, 2007) The symptoms include: Seizures, which are severe involuntary movements of the body, headaches, states of confusion, lack of attention with people around and other things in the surrounding, difficulty with balance, Hydrocephalus or the swelling of the brain in which the cerebral ventricle dilate and lastly, sudden death as a cause of heavy infections. The Stages There are basically four stages of cysts within the parenchyma of the brain: vesicular, colloidal, nodular/granular, and calcified granulomas. In the first stage, the viable cyst larva is known as a vesicular cyst and has a minimum amount of activity which is because of little or no host immune response. As time passes the cyst degenerates, fluid from the larval cyst leaks into the parenchyma, creating a noticeable immune response. An enhancing cyst, without a proper scolex, is called a colloidal cyst. During the colloidal this phase, the parasite begins to demonstrate degenerative changes, the vesicular fluid takes on a gelatinous colloidal form, and the wall thickens. The CT scan shows an annular enhancement bounded by perilesional edema. Performing an MRI, the capsule displays a higher signal than the surrounding brain. As the cyst deteriorates more, it forms a nodule. In the nodular phase, the vesicle usually decreases in size, and its contents turn semisolid, and are slowly repl aced by granulomatous tissue. After the parasite dies, a mineralization process takes place that ends up in a calcified nodule that inhibits

Wednesday, February 5, 2020

Management Development Essay Example | Topics and Well Written Essays - 2250 words

Management Development - Essay Example The field of human resource development is particularly related to organizational learning and transfer of learning, each of which is a significant objective. The last twenty years have yielded a large amount of research about which factors are key influential factors in the process of transfer of learning (Mailick, 1998, pp. 57-68). This has led to the practices of management training becoming highly popular over the past few decades, since its link to increasing aptitude and improved management practices for both middle managers and top managers. However, research (Mumford, 1994, pp. 20-33) shows that most of the substantial resources that companies are allocating to such management training will be wasted, since institutional learning and training hardly transfers into the organization’s workplace. For this reason, the programs have not had a significant impact yet, which leads researchers to further study into such features of human resource management (Ashton et al, 1975, pp. 1-9). The past few decades have been a misguiding era due to the conflicting management beliefs, findings, and practices in the global economy. While there is still much debate about the effectiveness, methodology, and validity of management development (Mumford, 2004, 71-84), companies are still investing millions in executive management education. This does not pertain only to academic training. The corporate training programs are innovatively designed to cater to several needs of the trainees, such as punctuality of delivery, profound information coverage and job relatedness. For this reason, these training sessions provide learning, which is presented in the context of an organizational workplace, administered at the appropriate time, and sized in small and effective doses, which are easy to comprehend. However, these programs have also failed to produce desired results of significant magnitude, which is why the true effectiveness of management development is still in quest ion. Discussion The operations of a business being international in the new global economy (ILO, 1998, pp. 10-28), further complicate the management and technique required for survival far beyond how they would be for a domestic firm. Research (Hill, 2007, pp. 28-51) shows how the strategy of the organization (what to do) is receiving more attention on an international scale than its own implementation (how to do it) or the training of international managers (the people who will do it). The shortage of qualified and capable international managers is a large reason why these companies cannot successfully practice such international strategies, even though the quantity of available research (Rothwell, 2006, pp. 66-79) on the IHRM policies that MNEs practice is insufficient to support this fact. This research is especially limited regarding international markets other than those of the west and their IHRM practices, thus constraining the validity of this discussion. One major criticism that the existing research (Garavan et al, 1999, pp. 191-207) on management development observes is that the core problems that affect the implementation of management have not received sufficient attention. This pertains especially to the academic perspective about management, which tends to restrict its scope particularly in the UK. This does not allow for room to