The critical analysis of the role of MLD in clinical practice Essay

The critical analysis of the role of MLD in clinical practice - Essay Example Lymphoedema: It usually occurs due to the damage to the lymphatic system and as a result proteins keep entering the tissues from the smaller blood vessels called capillaries and the resulting effect is the buildup of fluid in the tissues whose draining lymphatic are blocked. The excessive accumulation of proteins in the tissue result in the retention of increased amount of fluid within the tissues and causes them to swell. Lymphoedema also hampers the ability of the vessels to oxygenate the tissues and their normal functionality is impaired and the healing is also delayed. If the accumulation of the lymph in the tissues is mild then the resulting proteins in the tissues can be removed by the tissue macrophages but if the accumulation of proteins is more resulting into Lymphoedema then the macrophages cease to work If the protein content in the tissues is increased then it stimulate the process of chronic inflammation and as a result fibrosis starts to develop in the affected area, ne w blood vessels are formed due to inflammation and these vessels are dilated resulting in the rubor effects of the inflammation due to which the temperature of limb is felt high. This increased temperature along with the protein stasis favors the bacterial growth which can result in acute inflammation. Such patients can present with repeated infections and may need hospitalization. These patients also suffer from frequent fungal infections and these are quite difficult to treat and these also put load on the lymphatics resulting in the worsening of the Lymphoedema. If the process is rapid then the sudden increase in the size of tissues can result in severe pain owing to the tissue damage by the pressure effects. The areas adjoining the edematous areas also feel painful but otherwise the pain is not present usually in case of primary Lymphoedema until and unless there is superadded infection. It is usually thought that the arms and the legs are the only sites of Lymphoedema but any o rgan of the body can be affected like genitals, the gut, the lungs or the liver. Other consequences of Lymphoedema can be decreased mobility and the swelling can cause embarrassment leading to depression in the patient and results in the worse quality of life of the patient. The edematous limb becomes heavy and is difficult to move which makes it more vulnerable to injury and resulting bacterial infection. The drainage of lymphatic from lower limb is less efficient as compared to upper limb, so the walking of such patients gets troublesome which further severe the condition, so the Lymphoedema of the leg is worse than of the upper limb. Initially Lymphoedema is of pitting type but with increasing severity the edema becomes non-pitting. If Lymphoedema remains for extended period of time like years then the overlying skin’s color changes along with loss of hairs and change in the texture of the nails is seen in the affected arm. The skin becomes very thick with large folds and warts resulting in the appearance called Elephantiasis. If the Lymphoedema is left untreated then it can lead to a malignant condition called Angiosarcoma. The symptoms of Lymphoedema include; a. Limbs become heavier and felt tighter. b. Pain which is severe in intensity and

Italy Too Big to Fail and Too Big to Bail Essay

Italy Too Big to Fail and Too Big to Bail - Essay Example The huge economic deficit resulted in the restructuring of their debts. .The deficit could have reduced by austerity measures in former years, without considerably affecting the GDP. Lack of such foresight in fiscal matters has brought about the present crisis in countries like Greece, Ireland and Portugal. -Italy is a developed industrial country that arose rose from a sound agricultural background prevalent in the earlier years. Over the years,it had emerged into a developed industrial economy that was enviable even to superpowers like Germany and Greece. The debt crisis prevalent in in countries like Greece, Italy and Portugal the proved to be contagious to Italy also. During the second week of September 2011, Italy the third largest economy in the Euro zone plunged in to a debt crisis of slow growth in GDP and high debt. Italy has more than $1 trillion government debt which is in a high proportion compared to the total national output of $1.2 trillion. In this article, the author explores the present trend of higher rate of yielding of bonds that put the economy in such a serious condition necessitating to raise new bonds or to approach other financial institutions for a bail . The investors found it too risky to maintain their deposit in such a state of fiscal affairs. There was clear evidence of illiquidity in the financial market causing threat to investors. Italy’s economy is in a risky position now. In a regular circumstance, during the period of financial crisis in Eurozone countries, it is European Central Bank that takes the emergency measures to help the countries to overcome the crisis. crisis. However, with Italy, it is a very though task for both European central bank and for International monetary fund to bail out Italy. Very vigilant and highly expertise fiscal management is the need of the time. Prime concern is to be given to maintain faith in the investorsA budget management plan that does not affect the growth rate of the economy and restructure the debt is necessary. Italy is a huge economy and hence, any calamity can worsen the condition of its surrounding economies in the European Union. In Europe, economies of most of the other nations are also not in an enviable condition. Such a situation will also affect world economy. In this context, it will be helpful to examine the successful measures taken by governments such as Canada, Sweden, and Brazil etc where such negative signs of financial recession appeared in the earlier years. Italy can definitely overcome this situation, but once the control is destroyed a coming back will not be possible because the entire Eurozone as a whole would have been put into such a serious situation that is too difficult to manage. The author of the article tries to view the situation from the US perspective and the critical question that he raises is whether the US financial authorities have seriously taken into account the European experience in the debt crisis. However, recent developments in US economy have revealed that the US Treasury Department and White House has been paying rapt attention over economies all over the globe. The United States stands ready to help Europe with its debt crisis. Recently, in a meeting at white house, President Obama expressed his readiness to help the European Union in the present financial crisis. However, he has not put f orward any definite measures in