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The War Of The Cold War - 1244 Words

Boos echoed throughout the streets of Harlem, New York in great waves of disapproval. Hippies holding up signs supporting peace, and posters opposing the Vietnam War, otherwise known as the Cold War, greeted the tired and injured soldiers. The familiarity of their hometown created a sense of peace and warmth, despite the angry cries of protest from the enraged nonconformists. As loved ones embraced their fighters, chants of outrage broke out from the hippies, and the soldiers, relieved to be home, wondered why they were being jeered at. In their eyes, they were fighting for what was right, just like the hippies and everybody else in the world. Many of the soldiers thought back to the times when they fought for their lives and surrendered themselves to the harsh world of mother nature, a profuse amount of them wondering, â€Å"Was this all worth it?† The Cold War. A war that killed more than three million people and injured numerous others between November 1, 1955, and April 30 , 1975. It was a time where blood and gore surrounded the lives of countless innocent people and plagued jungles with the shouts of men in uniform, firing AK-47’s aimlessly. One of those men shooting a rifle at the targeted enemy was Colonel James Leroy Riverstead, one of the sole colonels still standing in the U.S Army and a soldier fighting to return safely to his family. â€Å"Alright men! Move out!† commanded Colonel James L. Riverstead. â€Å"Sir, yes sir!† Stepping over logs and ducking under low hangingShow MoreRelatedThe War Of The Cold War1644 Words   |  7 PagesThe Cold War was a state of political and military tension stemming from World War II fought primarily between the United States and the Soviet Union. Although the start and end dates of the Cold War are frequently disputed over, it is generally accepted that the conflict started at the conclusion of the Second World War and stemmed from the social climate and lingering tensions in Europe an d the increasing power struggles between the Soviet Union and the United States. Along with economic separationRead MoreThe War Of The Cold War Essay1525 Words   |  7 PagesOne major war ended and another to begin. The Cold war lasted about 45 years. There were no direct military campaigns between the United States and Soviet Union. However, billions of dollars and millions of lives were lost. The United States emerged as the greatest power from World War 2. (Give Me Liberty 896) The country boasted about having the most powerful navy and air force. The United states accounted for about half of the world’s manufacturing capacity, which it alone created the atomic bombRead MoreThe War Of The Cold War886 Words   |  4 Pagesin an infamous battle against ideologies: The Cold War. Even though war took place during this time, both powers were not involved in battle directly, hence the name cold war. The war mainly consisted of assumed and implied threats of nuclear attacks an d political control over states in Europe. Even before 1945, the beginning of the Cold War, tension brewed between the U.S and the U.S.S.R. Both sides had differing views on Europe s state after the war. For instance, programs like the Marshall PlanRead MoreThe War Of The Cold War757 Words   |  4 PagesAs tensions continued to augment profoundly throughout the latter half of the Cold War period, they brought forth a movement from a previous bipolar conflicting course, to one of a more multipolar nature. These tensions were now not only restricted to the Soviet Union and United states, but amongst multiple other nations of the globe. It became a general consensus that a notion of ‘peace’ was sought globally, hence, the emergence of dà ©tente. The nature of this idea in the short term conveyed itselfRead MoreThe War Of The Cold War961 Words   |  4 Pages1945, beginning year of the Cold War. The development of cold war just started after the end of world War ||. Th e cold war was the result of conflict between two powerful country Soviet Union and United State. The war was regarding to the lead the world after the World War ||. The Soviet Union wanted to emerge its power to the world and so do the United States too. The research paper mainly focused on various reasons of opposition of two great power of the world Soviets and United States of AmericaRead MoreThe War Of The Cold War1737 Words   |  7 Pages Cold War The Cold War, which is often dated from 1945 to 1989, was a constant state of political and military tension between powers in the West, dominated by the United States with NATO among its allies, and powers in the East, dominated by the Soviet Union along with the Warsaw Pact. The development of Nuclear Weapons and long range shooting missiles by the United States gave a lot of fear and caused mass destruction. The Cold War came about after World War II when America used their atomic bombsRead MoreThe War Of The Cold War1123 Words   |  5 PagesThe Cold War consist of tensions between the Soviets and the U.S. vying for dominance, and expansion throughout the world. Their complete different ideologies and vision of the postwar prevented them from working together. Stalin wants to punish Germany and make them pay outrageous sum of money for reparation. However, Truman has a different plan than Stalin. Truman believes that industrialization and democracy in Germany and throughout th e world would ensure postwar stability. Stalin also wantedRead MoreThe War Of The Cold War942 Words   |  4 PagesFeelings Do Matter At the close of World War Two in 1945, the United States entered another kind of war, the Cold War, which did not involve two adversaries in open battle fields using bullets against the Soviet Union. Throughout the Cold War, incidents fueled feelings of anxiety, mistrust and pride. Often pride is defined as â€Å"a feeling that you are more important or better than other people† (Pride). Mistrust on the other hand is the â€Å"feeling that someone is not honest and cannot be trusted†,Read MoreThe War Of The Cold War1636 Words   |  7 PagesThe U.S. learned greatly after having been declared the victor of the Cold War. Retired four-star U.S. Army general Colin Powell said, â€Å"The long bitter years of the Cold War are over. America and her allies have won; totally, decisively, and overwhelmingly† (Reed 343). The Cold War started after World War II in 1947 and ended in 1991. The U.S. underwent a political war with the Soviet Union in hopes of advancing more rapidly in certain fields, such as nuclear weapons and space crafts. Avoiding nuclearRead MoreThe War Of The Cold War Essay1075 Words   |  5 PagesDuring World War II, the United States, Britain, and Russia all worked together to take down Hitler. Although after the war, the coordi nation between the U.S. and Russia became extremely tense which inevitably lead to the Cold War. The U.S. was worried that Russia would spread communism after World War II. Russia was concerned with the U.S. arms increase and intervention in international affairs. The distrust between the two nations resulted in the Cold war which lasted until 1991. In 1946, Winston

Academy of Nutrition and Dietetics †Free Samples to Students

Question: Discuss about the Academy of Nutrition and Dietetics. Answer: Introduction: Patients in critical conditions are at higher risk of malnutrition, occurring in almost 40% of all patient cases. The patient's body, in response to stress, suffers metabolic changes that are the cause of the increase in protein catabolism. The ultimate outcome for such patients is a significant loss of body mass and subsequent higher risks of health complications. Such complications might be an infectious disease of increase in wound dehiscence. In either case, the outcomes are unfavourable. The strategy under such condition is to provide nutritional support for achieving optimal body functioning. Prevention of malnutrition and the related complications is the chief aim. The aim is to provide appropriate doses of micro and macro nutrients for meeting the body needs, avoid complications and reduce nitrogen deficits (McClave et al. 2016). Enteral nutrition is defined as the provision of a supply of nutrients through the gastrointestinal tract of the patient under conditions when the p atient is not able to ingest, chew or swallow food but is able to digest and absorb the same. Early enteral nutrition is the process of enteral nutrition commenced within 24-48 hours after admission of the patient to the critical care unit (Yu et al. 2014). The advantages presented by early nutritional support are continually being reported in a vast pool of literature. According to Boelens et a. (2014), intensive care unit patients presented with malnutrition during their hospital stay as well as those who are not supposed to be on the full oral diet within three days are to receive specialised enteral nutritional support. Malnutrition has been linked with morbidity, mortality and increased hospital stay length. Evidence points out that patients admitted to the critical care unit and having the gut in the functional state must be given nutrition through the enteral route. The rationale is that administration of nutrition through other routes of feeding is associated with increased chances of compilations due to infections. In case of early enteral nutritional support, the feeding is to commence on the very first day after admission to the care unit for facilitation of diet tolerance and reduction of risk of intestinal barrier dysfuncti on. The desirable outcomes are mechanical ventilation and reduced hospital stay length (Sun et al. 2013). As per the authors, favourable impacts of early enteral nutrition include prevention of mucosal atrophy, better substrate utilization, preservation of immunocompetence and preservation of the integrity of gut flora. Early enteral feeding has also been linked to the amelioration of oxidative stress after a patient has undergone surgery. The decrease in postoperative mortality in patients is also a benefit of such nutritional support. In modern times, healthcare professionals are focusing on feeding patients as soon as possible through such measures in order to sustain stable patient conditions. As highlighted by Blaser et al. (2017) early enteral nutrition is imperative is a crucial element of the management plan for patients who are in critical condition. Nutrition is important as it supplies antioxidants, vital cell substrates, minerals and vitamins that optimize recovery from heath complications in a speedy process. Specialized immune-enhancing nutritional formulations are into use at the present time that has been reported to decrease inflammation, and augment cell-mediated immunity. Early enteral nutrition is elementary for a decrease of organ failure, and in comparison to delayed enteral nutrition early enteral nutrition improves wound healing, nitrogen balance and immunity. Augmenting the cellular antioxidant systems is the mechanism of increasing the hypermetabolic response to tissue injury and preserving the intestinal mucosal integrity. The decrease in bacterial translocation and increase in mucosal permeability are the other possible mechanisms (Yang et al. 2014) . Shankar et al. (2015) reported that early enteral feeding protects the liver injury if there is endotoxemia or haemorrhage, and kidney damage if there is rhabdomyolysis. They further demonstrated that immediate enteral nutrition improves protein synthesis. In the present patient case study, 55-year-old Helen had been shifter from thee emergency department to the intensive care unit after suffering a high-speed motor vehicle injury at 22:30. The patient had suffered several high rib fractures and major lung contusion/ haemothorax. In addition, she had a fractured left humerus, left femur and a collapsed pelvis. While in the ICU, she was commenced on maintenance fluid and saline. Vital signs were observed for the next two days whose reports indicated that the patient was haemodynamically stable. Enteral nutrition was after that commenced for the patient. In this case, the patient was not given early enteral feeding since the definition for the same indicates that the feeding is to be given one the very first day of admission to the clinical setting. The observed feeding pattern was late enteral feeding as it was commenced after 48 hours of patient admission to the unit. Bakiner et al. (2013) have pointed out that late enteral feeding in case of patients who have suffered tissue and organ injury are linked to intestinal inflammation and other adverse outcomes. Under certain conditions, clinicians have the decision making process pertaining to enteral feeding in favour of late enteral nutrition. Delay in advancing enteral nutrition has been criticised widely. Compelling evidence indicates that there are certain drawbacks associated with such practices. Studies have shown that prolonged period of lack of adequate nutritional support delays mucosal atrophy, mucosal nutrition, and causes dysregulation of secretion of trophic hormones. Late enteral nutrition in case of patients suffering trauma augments the chances of mortality. Further, lack of early enteral feeding might lead to sepsis and increased chances of a systematic inflammatory response. Enteral nutrition is to be started soon after the injury to achieve haemodynamic stability and ensure that re suscitation is complete (Jeejeebhoy 2016). Post surgery, for fixing the pelvis and pinning the femur, the condition of the patient deteriorated considerably. The patient suffered circulatory and ventilation problems, demanding more detailed monitoring. She required blood products due to coagulation disorders, as well as inotrope support for peripheral oedema. While the albumin was 26 g/L, the blood glucose was 8.5 mmol/L. The normal range of albumin in adults is 35-55 g/L, while that of blood glucose is 3.95.5 mmol/L (Pocock, Richards and Richards 2013). The laboratory results indicated higher levels of creatinine and urea at 120 umol/L and 12 mmol/L respectively. The reference range for the same is 50-110 umol/L and 1.5-7 mmol/L respectively (Shier, Butler and Lewis 2015). The results indicated kidney damage and increased protein catabolism due to stress and major illness. Normal levels of Haemoglobin in adult females is 120-156 g/L while in the present case it was found to be low at 98 g/L. Further, the patient reported lac tic acidosis since the value of lactate was 2.6 mmol/L. The common causes of lactic acidosis are ischemia, respiratory failure, renal dysfunction and sepsis. On the sixth day, and after a percutaneous tracheometry, there was a rise in the patients body temperature with an increased count of WBC. This suggested that the patient had incurred an infection for which antibiotics had to be administered. An early enteral nutrition would have increased the immunity level of the patient and would have prevented infection through bacterial translocation. Laboratory reports indicated renal and liver function impairment. Further, a loose stool indicated complications in the digestive tract. On the tenth day, the patient suffered a circulatory collapse after complaining of nausea, vomiting and abdominal discomfort. Upon discharge, she was found to have lost body fat and reported of weakness. As opined by White, Guenter and Jensen (2017) late enteral nutrition often is unable to cope with the immediate nutritional requirements of a patient in case of severe trauma and injury. For preventing secondary infection, it is pivotal to deliver nutritional supp ort the moment possible. An early enteral nutrition would have better supported the patient in achieving optimal health outcomes. References Bakiner, O., Bozkirli, E., Giray, S., Arlier, Z., Kozanoglu, I., Sezgin, N., Sariturk, C. and Ertorer, E., 2013. Impact of early versus late enteral nutrition on cell mediated immunity and its relationship with glucagon like peptide-1 in intensive care unit patients: a prospective study.Critical Care,17(3), p.R123. Blaser, A.R., Starkopf, J., Alhazzani, W., Berger, M.M., Casaer, M.P., Deane, A.M., Fruhwald, S., Hiesmayr, M., Ichai, C., Jakob, S.M. and Loudet, C.I., 2017. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines.Intensive Care Medicine,43(3), pp.380-398. Boelens, P.G., Heesakkers, F.F., Luyer, M.D., van Barneveld, K.W., de Hingh, I.H., Nieuwenhuijzen, G.A., Roos, A.N. and Rutten, H.J., 2014. Reduction of postoperative ileus by early enteral nutrition in patients undergoing major rectal surgery: prospective, randomized, controlled trial.Annals of surgery,259(4), pp.649-655. Jeejeebhoy, K.N., 2016. Nutrition Needs Should Be Modified to Consider Nutrition Status and Acuity of Illness Lessons From the INTACT Trial.Journal of Parenteral and Enteral Nutrition,40(1), pp.10-11. McClave, S.A., Taylor, B.E., Martindale, R.G., Warren, M.M., Johnson, D.R., Braunschweig, C., McCarthy, M.S., Davanos, E., Rice, T.W., Cresci, G.A. and Gervasio, J.M., 2016. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN).Journal of Parenteral and Enteral Nutrition,40(2), pp.159-211. Pocock, G., Richards, C.D. and Richards, D., 2013.Human physiology. Oxford university press. Shankar, B., Daphnee, D.K., Ramakrishnan, N. and Venkataraman, R., 2015. Feasibility, safety, and outcome of very early enteral nutrition in critically ill patients: Results of an observational study.Journal of critical care,30(3), pp.473-475. Shier, D., Butler, J. and Lewis, R., 2015.Hole's essentials of human anatomy physiology. McGraw-Hill Education. Sun, J.K., Mu, X.W., Li, W.Q., Tong, Z.H., Li, J. and Zheng, S.Y., 2013. Effects of early enteral nutrition on immune function of severe acute pancreatitis patients.World journal of gastroenterology: WJG,19(6), p.917. White, J., Guenter, P. and Jensen, G., 2017. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition)(vol 36, pg 275, 2012).Journal of parenteral and enteral nutrition,41(3), pp.520-520. Yang, S., Wu, X., Yu, W. and Li, J., 2014. Early enteral nutrition in critically ill patients with hemodynamic instability: an evidence-based review and practical advice.Nutrition in Clinical Practice,29(1), pp.90-96. Yu, J.H., Cha, W., Wang, H.J., Liu, X.L., Chen, X.F., Yin, Q.H., Ye, G.S., Wang, J., Fang, Y. and Fu, S.N., 2014. The Effect of Tpf Enteral Nutrition on Nutritional Status and Prognosis in Elderly Stroke Patients.Journal of the American Geriatrics Society,62, pp.S360-S361.