Danger of Blood Borne Pathogens Contaminations!

Blood borne pathogens are microorganisms such as viruses or bacterias that are carried in blood or body fluid and can cause disease in people, including, Hepatitis B (HBV), AIDS and the Human Immunodeficiency Virus (HIV), Blood borne pathogens can be transmitted through contact with infected human blood and other potentially infectious body fluids.

Occupation Exposure can occur through :

1. Accidental puncture from contaminated needles, broken glass, or other sharps.

2. Contact between broken or damaged skin and infected skin and infected body fluids.

3. Contact between mucous membranes and infected body fluid.

In an emergency situation involving blood or potentially infectious materials, always use Universal Precautions and try to to minimize your exposure by wearing gloves, splash goggles, pocket mouth to mouth resuscitation masks, and other barrier devices.

If you are exposed:

1. Wash the exposed area thoroughly with soap and running water. Use non-abrasive, anti-bacterial soap if possible. If the blood is splashed in the eye or mucous membrane, flush the affected area with running water for at least 15 minutes.

2. Take a blood test and Hepatitis B vaccination.

3. Tell your doctor the source individual. Try to get the individual blood tested as soon as possible for HIV or HBV after consent is obtained.

Anytime there is blood-to-blood contact with infected blood or body fluids, there is slight potential for transmission.

Unbroken skin forms an impervious barrier against blood borne pathogens. However, infected blood can enter your system through:

Open sores, cuts, abrasions, acne, and any sort of damaged skin such as sun burns or blisters, damaged or open wounds.

Always take precaution and treat all human body fluids and items soiled with human body fluids as contaminated. With contaminated, always first thing to do is to disinfect all spills of body fluid and pre-soak all contaminated clothing.

Auto Mechanics Curriculum – Preparing for the Job of the Future

While taking driver’s education class in high school, for part of the curriculum, a man insisted his daughter take a basic auto mechanics class. They fought for weeks about this class. It was unnecessary. It was ridiculous. After all, she was a girl. After much verbal sparring, she took the class and enjoyed it, using her knowledge many times.

Years later, it became clear why the man wanted his daughter to take this class. Someday, her car would break down. The auto club would not always be able to come to her aid. Roadside assistance is not always available. Especially when the breakdown occurs in the middle of the desert. A person could wait hours for help. That could be dangerous. It was important to know how to fix the basics on her own.

When she became a parent, and her teenage daughter was ready to learn to drive, it was their turn to fight about taking the class. The mother insisted and her daughter relented. As it turns out, after much arguing, the student really enjoyed it. Since she did not have a “head” for business, or fashion, or mathematics, or English, or any other subject for that matter, it seems the one thing she excelled at was fixing cars.

After taking all of the basic classes the school had to offer, the student’s instructor suggested a transfer to the local high school that offered full vocational technical programs. The transfer took place, and for the next two years she took a number of classes like basic tune-ups and trouble-shooting, tire rotation and balancing, transmission repair, engine repair, fluid transfers for oil changes and transmission fluid, and air conditioning, among others. Upon graduation from high school, the student became a licensed auto mechanic.

For this young lady, that was not enough. She wanted to specialize in foreign cars. That required a whole new set of classes. Thus began her enrollment in the local college vo-tech. Another two years and she earned her A.S. Degree in Auto Mechanics. She was able to fix anything on wheels. However, as with any industry, evolution takes place. The new hybrid vehicles are already on the market, and the electric car is just around the corner. She continues with her education to maintain the high level of expertise necessary for the cars of the future.

Auto mechanic classes can help a student with their future. To become a mechanic, one must learn problem-solving skills. Mechanics is a process. So is life. One cannot put gas in a car that has no engine. Such is the same with life. One step at a time.

For students that struggle in school, vo-tech classes and auto mechanic classes have historically been extremely challenging. Their opportunities for success were once unlike the mother and daughter that both took auto mechanics classes and flourished.

Sex Education: Its Importance and Need in the Society

Sex Education, as the term clearly indicates, refers to education which is based on human sexual behavior. Parents, schools or caretakers offer it in some parts of the world to educate the children, who are stepping into their adolescence. If formally received, sex education is either taught as a full course at high school or junior high school level or in biology, health, home economics classes. Teaching sex education is rather a controversial issue; debates have been going on for several decades discussing if it should be taught formally in schools or not. Sex education in schools should exist without any doubts and apprehensions as it offers many benefits.

Adolescence is called the “age of storm and stress”. The young teenagers, during this phase of life are under deep psychological pressure. Mainly, this psychological pressure is the result of one’s growing sexual needs and the biological changes and hormonal effects on the individuals. During this time, most of the children are observed to become easily irritable. They find it difficult in most situations to deal with the family members. They might not want to talk to them about the natural changes taking place in their body and mind. In such circumstances, one highly suitable option is that of the teachers who are able to teach them to control their urges until a proper age. In schools, trained teachers would help the students to know how to deal with their sexual impulses. This role can not be replaced by parents or other entities. A classroom discussion and lesson would make them feel it is natural, and they would also feel that they are being understood by someone. However, taking them individually to psychologists or other trained educators would not help. In such a situation they might consider themselves to be different and misunderstood by family and people around them. Therefore, it becomes crystal clear that the best way to offer sex education is always in school.

It is a psychological phenomenon that children at young age are under an immense peer pressure. Something that they learn in the class with their peer group is what makes a better impression on their minds than otherwise. They are more focused in the lessons that teachers offer and are more eager asking question to clear their ambiguities. They might feel embarrassed and uneasy questioning their parents about it, but it always differs in case of the teacher in the class. This is because everyone in the class is going through the same stage. A class discussion becomes healthy source of learning as it helps in enhancing the knowledge on the subject.

Many people advocate that sex education should only be restricted to families, that is, that parents should personally educate their children. This view is totally illogical and holds complications and questions. The first point is that not all the parents would be willing to do it or would be able to do it. Secondly, this education needs a proper channel through which it should reach its required learners. There could be many possible problems in the families so they might not be able to take the role of a teacher in educating their children regarding sex. The demand of annulment of sex education from the schools is highly conservative.

Most importantly, there are many single parents, how would they take up this challenge of educating their children on their own? Parents can not properly educate their children about sex also because they lack details that qualified sex educators convey in schools. Thus, the stance of abolishing sex education in school is not a favorable thought. In many observed cases where parents or children are embarrassed about talking over sexual matters with each other, it is most likely to be uneasy situation at both the ends. This keeps the children from learning the answers to the questions they might have in their minds. This can be a great flaw of shifting the duty of sexual education from teachers to the parents. It will leave the children only half or less educated about the issue and as they say “Little knowledge is a dangerous thing”, this might end up in grave situations.

According to research, most of the parents also feel uneasy because they know that they are not equipped to provide the apt sexual information to their children. They also fail to comprehend what details and information should be concealed and what should be revealed, keeping in mind their children’s age. On the other hand, there might also be parents who would feel comfortable talking to their children about sexual matters, but only when the children bring the matter up.

Most parents, around the world, may also lack role models to look up to as they would not have talked over sexual issues with their own parents in their adolescent. This makes them inefficient to trigger their roles of educating their children in an effective way as the assigned teachers are able to do in schools.

Sex education is not limited to only a single branch of knowledge. This education focuses on a number of significant sexual matters that are offered with especially designed courses and programs. Sex education covers the education of relationships, sexual abstinence at a certain level and teaching to practice safe sex to the level of children who are thought to be sexually active. Therefore, its claim for being appropriate and guiding holds strong base.

At a certain age of adolescence, growing children have problems facing relationships and controlling their personal emotions. Conflicts related to such matters persuade many youngsters to commit suicides or take part in other immoral activities. Proper sex education in schools also concentrates in making the youngsters emotionally stronger and in educating ways to cope with relationship problems. This argument strongly shows the immense benefit of sex education in schools.

Sex education is an important health strategy and this cannot be denied. AIDS and other sexually transmitted diseases can only be controlled if people are aware of precautions and have a vast knowledge in this case. This knowledge is conveyed through sex education, and if sex education is banned in schools and if parents have to educate their children, then it would not be as beneficial to the individuals and the society on the whole as teaching in school could be.

Sex education does not exist in all parts of the world. Asians are commonly regarded conservative when compared to westerners. It is not a part of their course in schools; this does not in any way mean that their teenage pregnancy rate is any lower if they are not exposed to sexual matters openly. In fact, this is one way how peers can mislead most of the youngsters and persuade them to bask in young age sexual relationships without any attempts for safety. This has resulted in serious problems such as the spread of fatal diseases like AIDS and has also increased rate of illegitimate births.

Researches have shown that the cause for ramification of STDs (sexually transmitted diseases) in the eras of 80s and 90s in the US and the UK is the lack of knowledge and information provided about sex in schools or home. Home and family has never and will never play an integral part in conveying sex education to teenagers, therefore to rely on the option of home, is to deceive your own self from the expected exigency in the future.

Some conservative groups assert that to discuss sexual issues openly is to devalue religion. No religion in the world abstain its followers from spreading the information that is so essential for human lives. Sexual behavior is natural and takes place through biological changes and this cannot be questioned as this is a part of human life. Thus people who take refuge under the religious shelter, to make their arguments strong, are misinterpreting religious ideas and laws.

Modern time is the time of internet and powerful media. Teenagers are exposed to Hollywood, TV and internet. These sources offer demonstration of sex which is highly thoughtless and casual; in this situation it is almost illogical to leave the teenagers on their sexual choices. They are young and fully excited; therefore they can not make a favorable choice. Sex education in school offers the information and knowledge they need to understand to know the responsibility that is accompanied by sexual relationships. The teacher in school helps the students to know the difference between a thoughtless and thoughtful sex. Having an urge for sex is not a problem; it is a natural process showing that the young people are developing to become adults; however the problem is having unsafe sex and hurting people through sexual choices.

People who claim that sex education in schools have more cons than pros, often come up with the statements suggesting that sex education in classroom should be avoided because the most effective tool for offering sex education, according to them is TV, films, magazines and media. Such people fail to understand that trained sex educators under especially designed programs teach sex education to children in schools. They are thus able to handle children’s problems and clear their ambiguities in the best possible way, whereas magazines, films, TV and other channels and mediums of providing sex education are be reliable. They are most of the times urging the young people by encouraging their sexual promiscuity rather than effectively teaching and educating them. This wrong approach damages the society and the individuals in disguise of ameliorating them.

People contradicting the notion insist that sex education always makes the learners have sex and experience it personally, once they learn about it in school. The reality is that sexual urge for any human being is a natural occurrence. When children reach to a certain age, whether they find people to educated them about sex or not, they do have natural instincts about it, and therefore if provided a chance they would surely want to satisfy their urge. This natural reaction can not in any way be related to the outcome of sex education in schools. In fact, the best time for letting sex education play its role is when the sexual urge increases and the teenagers want to find a source for its satisfaction. It offers individuals with the required knowledge so that they are careful. It is only then that they understand the consequences of sex leading to child birth as well as sexually transmitted diseases. Thus sex education is basically a warning and a caution for such children who are stepping into the phase of life where they would need to know all this.

Some people who go against the topic also argue that even though sex education exists, it has still not decreased the rate of teenage pregnancies. I would rather not go deep in to the moral issue of the topic, but it is important here to discuss and point out the shortcomings of our society. Social values that insist that being single, pregnant and teenagers is fine, is what has to be changed. Through educating the children and making them aware that it is just not ‘cool’ to be pregnant when single or teenager, and just because ‘others are also doing it’ does not in any way justify their actions, this change can be achieved. There are many sexual education programs that teach the learners about the grave consequences that can result in having early sex. This type of sex education in schools is helpful and makes the learners responsible and mature enough to understand the difference between morality and immorality.

People, who are against the notion, repeatedly state the question that why sex education is given so much importance when there are also many other issues connected with juvenile delinquencies such as drugs, drinking and aggressive bullying. No doubt, there are also many other issues to consider important enough to be taught in school for awareness but psychological researches show that behind most of the juvenile behavioral problems, one main reason is always the active sexual urge which drives the young people to indulge themselves in harmful activities like drug abuse and alcoholism. It is also commonly observed that young teenagers who indulge into such activities are unaware of proper sex education. Once they are given a true picture of sex and its consequences their mental status relaxes and they are easily able to cope with other social taboos.

Parents, who believe that sex education pollutes the minds of their children, have in large number taken their children out of schools promoting sex education. In this process of instilling in their minds their religious and family values, they forget that the media, their children are largely exposed to can also lead them astray. Sex education in schools does not in any way offers them an invitation to have open sex by making them aware of the risks; it just educates them about the matter in the best way.

Apart from educating the students about safe sex, sex education in schools is also helpful as it helps students to learn proper terminology for reproductive system, STDs and birth contraceptives rather than the street lingo that is commonly used by laymen. Sex education classes are gender based and that is why the young learners are not embarrassed and are only taught what is related to their gender. Early inclusion of classes also helps the teenagers to either become abstinent for some time or to become responsible if they are already active. Therefore, many sexual problems that occur in adulthood can be controlled if effective and apt sex education is given at the right time.

A proper sex education which is holistic, nonjudgmental and comprehensive never misleads or misguides the teenagers. Such a curriculum should be imposed in all schools around the nation; it is an answer to many social problems and conflicts. Would any parent leave their kindergarten kids to walk alone on the streets without letting them know how to walk safely? No parent would actually do that, in the same way, letting your teenager children socialize with their peers and fellows without any proper sexual education is nothing contrary to the analogy mentioned above. It is hazardous and risky for their lives. Thus, proper sex education in schools should be encouraged so that they learn all the significant facts through trained teachers, who help and supports them in these matters of highly crucial value. Sex education should be taken as a positive aspect which promises healthier and better life for the youngsters. It therefore should be taken as a subject taught in schools to enhance knowledge on the subject matter; something merely as human anatomy or biology class. Sex education should be given in all schools to educate the children for their betterment, avoiding it will only result in emotional, social and health problems.

EDGE: A Stepping-stone Toward 3G Technologies in Pakistan

ABSTRACT

The business of wireless data is expected to grow in the region of 100-200 % per annum and the mobile communication industry agrees that wireless data services will form the foundation for future business. The enormous success of short messaging in many countries proves that people accept the benefits of non-voice services.

Enhanced Data Rate for Global Evolution (EDGE) is a technology that gives Global Systems for Mobile Communications (GSM) the capacity to handle services for the third generation of mobile telephony. It provides three times the data capacity of General packet Radio Service (GPRS). Using EDGE, operators can handle three times more subscribers than GPRS; triple their data rate per subscriber, or add extra capacity to their voice communications.

This article provides an overview of EDGE technology. In particular, starting from the introduction of this 2.5G technology I describe the core technical aspects and distinct features. I will provide a comparison with GPRS for data services and then a survey of the current state of this technology in Pakistan. I have also covered some benefits for operators and customers.

1. Introduction

The importance of wireless data and multimedia services both for business and end customers are increasing on an unparalleled scale. Enhanced Data Rates for GSM Evolution (EDGE) is a new radio interface solution and is based on an enhanced modulation. EDGE offers GSM network operators an evolution path to mobile data and multimedia services with a three fold increase of data throughput in the existing GSM spectrum. EDGE therefore provides an alternative for operators who do not have a Universal Mobile Telecommunication System (UMTS) license. Moreover it also represents a complement to UMTS for operators intending to first deploy UMTS only in densely populated areas, but who can also use EDGE to provide wide area coverage of future oriented 3G services. In the US market operators have chosen EDGE as the 3G solutions. [8].

We are presently experiencing the Wireless Application Protocol (WAP) as well as the higher   transmission  speeds of High Speed Circuit Switched Data (HSCSD), joined by the convenience of “always on-line” direct Internet connections with GPRS. [1]

EDGE, new radios interface technology with enhanced modulation, increases the HSCSD and GPRS data rates by up to three fold. EDGE modulation is going to increase the data throughput provided by the packet switched service even over 400 kbps per carrier. Similarly, the data rates of circuit switched data can be increased, or existing data rates can be achieved using fewer timeslots, saving capacity. Accordingly, these higher speed data services are referred to as EGPRS (Enhanced GPRS) and ECSD (Enhanced Circuit Switched Data).

EDGE, is a major improvement in GSM phase 2+. As a modification to existing GSM networks, EDGE does not require new network elements. [1]

In the US, for instance, EDGE is part of the IS-136 High Speed concept, which is one of the third generation Radio  Transmission  Technology (RTT) proposals from TR.45. EDGE is eventually going to be standardized which makes possible to achieve a global mobile radio system with many services characteristic to third generation systems.

2. Overview

The increased bit rates of EDGE put requirements on the GSM/GPRS network architecture. Figure. 1 illustrates the GSM/GPRS architecture, the shaded parts of which are discussed in this section. Other nodes and interfaces are not affected at all by EDGE introduction. An apparent bottleneck is the A-bis interface, which today supports up to 16 kb/s per traffic channel. With EDGE, the bit rate per traffic channel will approach 64 kb/s, which makes allocation of multiple A-bis slots to one traffic channel necessary. Alternative asynchronous transfer mode (ATM) or IP-based solutions to this problem can also be discusses.

One important fact is, however, that the 16 kb/s limit will be exceeded already by the introduction of two coding schemes (CS3 and CS4) in GPRS, which have a maximal bit rate per traffic channel of 22.8 kb/s. Consequently, the A-bis limitation problem is being solved outside the EDGE standardization, and it is therefore a GPRS related, not EDGE-related, modification. For GPRS-based packet data services, other nodes and interfaces are already capable of handling higher bit rates, and are thus not affected. For circuit-switched services, the A interface can handle 64 kb/s per user, which is not exceeded by EDGE circuit-switched bearers. [9]

2.1. Impact on GSM Network Planning

An important prerequisite, which to a large extent will determine the success of EDGE in GSM, is that a network operator be able to introduce EDGE gradually. For initial deployment, EDGE-capable transceivers will supplement standard GSM/GPRS transceivers in a subset of the existing cells where EDGE coverage is desired. Hence, an integrated mix of GSM, GPRS, and EDGE users will coexist in the same frequency band. To minimize effort and cost for the network operator, radio network planning (including cell planning, frequency setting of power and other cell parameters) must not require extensive modification.

2.1.1. Coverage Planning

One characteristic of non-transparent radio link protocols that include automatic repeat request (ARQ), is that low radio link quality only results in a lower bit rate for the user. Hence, low SIR for a user does not result in a dropped call, as for speech, but in a temporary decrease of user bit rate. For transparent bearers, which typically offer a constant bit rate, link quality control must be extended to incorporate resource allocation, in the sense that the number of dynamically allocated time slots fits the bit rate and bit error rate (BER) retirements. Transparent bearers, will thus be available in the entire GSM cell, but require fewer time slots in the center of the cell (where 8-PSK coding schemes can be used).

2.1.2. Frequency Planning

Most mature GSM networks of today have an average frequency reuse factor of around 9 (meaning that available frequencies are divided into nine frequency groups). However, there is also a trend toward tighter reuse factors. With the use of frequency hopping, multiple reuse patterns (MRP), and discontinuous  transmission  (DTX), reuse factors as low as 3 become feasible. EDGE supports a variety of reuse patterns. In fact, by its use of link quality control, EDGE can be introduced in an arbitrary frequency plan, and benefit from high SIR closer to the base stations. EDGE can be introduced in an existing GSM frequency plan, and that it also supports future high-capacity solutions based on tighter frequency reuse.

2.1.3. Radio Network Planning

An important prerequisite (and to a large extent, one that will determine the success of Edge) is that network operators should be able to introduce Edge gradually. The initial deployment of Edge-capable transceivers will supplement standard GSM transceivers in a subset of cells where Edge coverage is desired. An integrated mixture of circuit-switched, GPRS and Edge users will thus coexist in the same frequency band. To minimize operator efforts and costs, Edge-related implementation must not require extensive modification of the radio network plan (including cell planning, frequency planning, the setting of power levels and other cell parameters).

2.1.4. Channel Management

After Edge has been introduced, a cell will typically include two types of transceiver: standard GSM transceivers and Edge transceivers. Each physical channel (time slot) in the cell can be viewed as being one of at least four channel types:

1. GSM speech and GSM circuit-switched data (CSD);

2. GPRS packet data;

3. Circuit-switched data, enhanced circuits witched data (ECSD), and GSM speech;

4. Edge packet data (EGPRS), which allows a mix of GPRS and EGPRS users simultaneously.

While standard GSM transceivers only support channel types 1 and 2, Edge transceivers support all four channel types. Physical channels are dynamically defined according to terminal capabilities and needs in the cell. For example, if several speech users are active, the number of type-1 channels is increased, at the expense of GPRS and Edge channels. Obviously, channel management must be automated, to avoid the splitting of channels into static groups. Otherwise, trunking efficiency would diminish.

3. Interleaving

To increase the performance of the higher coding schemes in EGPRS (MCS7 to MCS9) even at low C/I, the interleaving procedure has been changed within the EGPRS standard. When frequency hopping is used, the radio environment is changing on a per-burst level. Because a radio block is interleaved and transmitted over four bursts for GPRS, each burst may experience a completely different interference environment. [7]

If just one of the four bursts is not properly received, the entire radio block will not be properly decoded and will have to be retransmitted. In the case of CS4 for GPRS, hardly any error protection is used at all. With EGPRS, the standard handles the higher coding scheme differently than GPRS to combat this problem. MCS7, MCS8 and MCS9 actually transmit two radio blocks over the four bursts, and the interleaving occurs over two bursts instead of four. This reduces the number of bursts that must be retransmitted should errors occur. The likelihood of receiving two consecutive error free bursts is higher than receiving four consecutive error free bursts. This means that the higher coding schemes

for EDGE have a better robustness with regard to frequency hopping.

4. EDGE & GPRS

EDGE, or the Enhanced Data Rate for Global Evolution, is the new mantra in the Global Internet Connectivity scene. EDGE is the new name for GSM 384. The technology was named GSM 384 because of the fact that it provided Data  Transmission  at a rate of 384 Kbps. It consists of the 8 pattern time slot, and the speed could be achieved when all the 8 time slots were used. The idea behind EDGE is to obtain even higher data rates on the current 200 KHz GSM carrier, by changing the type of the modulation used.

Now, this is the most striking feature. EDGE, as being once a GSM technology, works on the existing GSM or the TDMA carriers, and enables them to many of the 3G services. Although EDGE will have a little technical impact, since its fully based on GSM or the TDMA carriers, but it might just get an EDGE over the up coming technologies, and of course, the GPRS. With EDGE, the operators and service providers can offer more wireless data application, including wireless multimedia, e-mail (Web Based), Web Infotainment, and above all, the technology of Video Conferencing.

Now all these technologies that were named earlier, were the clauses of the IMT-UMTS 3G Package. But, with EDGE, we can get all these 3G services on our existing GSM phones, which might just prove to be a boon to the user.

The current scenario clearly states that EDGE will definitely score higher than GPRS. The former allows its users to increase the data speed and throughput capacity, to around 3-4 times higher than GPRS.

Secondly, it allows the existing GSM or the TDMA carriers to give the sophisticated 3G services. And with 1600 Million subscribers of GSM in over 170 countries, offer the full Global Roaming, anywhere between India to Japan and to San Francisco. Based on an 8 PSK modulation, it allows higher bit rate across the air Interface. There is one symbol for every 3 bits. Thus, EDGE Rate is equal to 3x GPRS Rate.

5. Future Evolution Towards WCDMA

The next evolutionary step for the GSM/EDGE cellular system includes enhancements of service provisioning for the packet-switched domain with the service provisioning in UMTS/UTRAN (UMTS terrestrial radio access network). GERAN will provide improved support for all quality of service (QoS) classes defined for UMTS: interactive, background, streaming and conversational. By doing so, a new range of applications, including IP multimedia applications, will be adequately supported. This part of the GSM/EDGE evolution focuses on support for the conversational and streaming service classes, because adequate support for interactive and background services already exists. Additionally, parallel simultaneous bearers will support multimedia applications with different QoS characteristics towards the same MS, such as multiple media streams handled through IMS domain. A driver for such evolution on the packet-switched side is the paradigm shift within the telecommunications world from circuit to packet-switched communications.

Both the core network defined for GPRS and the current GSM/EDGE radio access network require modifications to support enhanced packet services. The GPRS/EGPRS networks can quickly and cost effectively evolve with market needs, and align with services provided by WCDMA networks. The current evolution of GSM/EDGE, which covers all of the above aspects, is being standardized in 3GPP TSG GERAN. [4]

6. EDGE in Pakistan

Pakistan has the sixth largest population in the world – approximately 150 million. There are currently four mobile operators in the country. Mobile penetration at the end of 2003 was just 2.3% with a subscriber base of 3.4 million, while fixed line penetration was approximately 2.4%. Many geographic areas in Pakistan are without telephone coverage. To accompany recent positive economic development in Pakistan and the inherently low mobile penetration, high growth within the mobile segment is expected. At the moment the people in Pakistan are more concern with the text-enabled facility like SMS. Although the introduction of GPRS gave a new concept and new boost in Cellular network but still, people are not that much concern using Internet by their terminal. Few think that it still more costly and few believe that GPRS didn’t develop the interest for using Internet if we compared it by computer.

In April 2004 Norwegian mobile telecom operator, Telenor, bid for and ultimately won a license to operate a cellular network in Pakistan. The license covers the operation of Global System for Mobile Communications (GSM), General Packet Radio Service (GPRS) and Enhanced Data Rates for Global Evolution (EDGE) technology for the network. [14]

Telenor Pakistan has signed two deals with mobile infrastructure contractors for different areas of the network:

Nokia have signed a three-year deal to build and operate a GSM / GPRS / EDGE network to cover the central and Northern Punjab region (phase one), centered around Lahore.

Siemens have signed a deal to build a GSM / GPRS / EDGE network to cover the southern areas of Pakistan, centered around Islamabad.

Further enhancements in data capability over the core GPRS / GSM network will be provided in both networks with the installation of Enhanced Data for Global (GSM) Evolution technology. This component of the two systems will be installed after the initial roll-outs and will allow the subscribers to have the use of advanced mobile services such as downloading video and music clips, full multimedia messaging, high-speed color Internet access and email on the move.

Nortel Networks will upgrade Ufone’s existing wireless systems and supply new GSM/GPRS core network and radio access equipment, including Mobile Switching Center, Home Location Register (HLR) and advanced Base Transceiver Stations (BTS).

A key component of the Ufone expansion will be Nortel Networks BTS 12000, designed to deliver additional capacity within a GSM/GPRS network while positioning operators to drive lower costs and to offer advanced wireless services based on third generation (3G) EDGE (Enhanced Data for GSM Evolution) technology. The expansion will also include Nortel Networks Passport Packet Voice Gateway (PVG) for migration of TDM voice trunking to a packet-based infrastructure.

7. Benefits

As highlighted previously the need to reduce business risk and make the best use of existing resources is of paramount importance within today’s business environment.

7.1. Financial

GSM based networks have become the standard within the cellular landscape. As EDGE is a GSM based technology and provides an enhancement for GPRS at a little additional cost it is considered the best way in which to capitalize on existing resources. [1]

7.1.1. Radio Access Network

In most cases GPRS enabled base stations and BSC’s can be simply upgraded to EDGE by way of relatively low-cost software and hardware upgrades, which will pro-long the life cycle of the deployed RAN elements.

7.1.2. Core Network

For GPRS enhancement, there is very little modification to be completed within a GPRS enabled core network, thus enhancing the sunk core network investment.

7.1.3. Antenna Sites

There is no requirement for additional antenna sites when deploying EDGE. Assuming high quality linear amplifiers with high RF output power are used within the BTS, the coverage pattern will be the same as the existing GPRS deployment, so protecting existing site investment.

7.1.4. Spectrum Utilization

EDGE triples the GPRS data capacity whilst using the existing GSM spectrum and offers up to three times the GPRS data rate to the end user. EDGE is spectrally the most efficient radio technology for data applications requiring up to 100Kb/s throughput (compared to CDMA and WCDMA), and only WCDMA is spectrally better for higher throughputs.

7.1.5. Applications

GPRS enabled applications and services will generally not require any additional investment to become EDGE compatible. This is also valid for known WCDMA applications.

Although the financial benefits of EDGE can be apportioned to individual network elements as outlined above, one of the main business drivers is that EDGE forms an essential part of the overall GSM evolution towards a seamless multi-radio GSM/ GPRS/EDGE/WCDMA network. As mentioned previously GSM is the main standard for cellular communications worldwide and the business benefits of deploying an industry standard technology can be seen in nearly every aspect of a network deployment, from end-user devices, to applications to hardware.

7.2. For Operator

Operators can also experiences the advantages of EDGE in following ways.

7.2.1. Migration to wireless multimedia services

The operator can increase data revenues by offering attractive new types applications to end-users.

7.2.2. Improved customer satisfaction

Increased data capacity and higher data throughput will decrease response times for all data services, thus keeping end users satisfied and connected.

7.2.3. Early deployment of 3G type applications

EDGE networks are expected to emerge in year 2001, when mature markets are likely to start demanding multimedia applications.

7.2.4. Quick network implementation

EDGE will not require new network elements and EDGE capability can be introduced gradually to the network.

7.3. For User

7.3.1. Improved quality of service

Increased data capacity and higher data throughput will eventually satisfy the customers’ need for QoS.

7.3.2. Personal multimedia services

Attractive new types of applications and terminals will become available.

7.3.3. Potentially lower price per bit

Lower cost of data capacity for high-speed data applications gives the operator flexibility in pricing.

8. Conclusion

While the tug of war between access technologies – CDMA vs. UMTS vs. GSM — continues to be debated globally, EDGE provides an ideal solution for GSM carriers to add data capacity using limited spectrum. Keeping in view the fact that GSM supports more subscribers today than any other access technology (roughly 65 to 70% of the global subscriber market), and that GSM/GPRS operators are scrambling to add capacity to support user growth and launch next generation data services, the increased capacity and throughput offered by EDGE becomes very compelling. And, in a market where wireless carriers must squeeze the most out of capital outlays–past and future, it is no real surprise that we are going to see a renewed wave of interest in EDGE from our GSM customers.

Today the position of EDGE as a technology evolution of GSM is clear. Initially promoted as an alternative to WCDMA and generally a niche technology, EDGE is now regarded as a key enabler for GSM/EDGE and WCDMA operators alike. Being able to drive business value from existing GSM infrastructure and spectrum is one of the main advantages, and along-with the ability of EDGE to reduce CAPEX, time-to-market and time-to-revenue, with regards the delivery of global high-speed data services, EDGE is a must technology.

The cellular companies working in Pakistan did not have the license for the EDGE. Now as the introduction of some new companies like Telenor and WARID, it is possible that in near future Pakistan will also be able to use this facility. Then GPRS can become a real important factor in cellular network, as the people in Pakistan will use the Internet not only for downloading ring tones but also can enjoy the streaming videos by their cell phone and so many other facilities.

Biker Lifestyle – Building the Perfect Custom Harley Chopper

If you ride to live, then you know what it means to own a custom Harley chopper, and I am not talking about some add-on chrome bike either; Anyone with some cash can drop by your local Harley Davidson dealer and ride away on a new Road King, or other of their other factory models.

A real custom Harley chopper is a one of kind custom built masterpiece that is created from the ground up, a 100% all original work of American beauty that reflects the personality and lifestyle of the proud owner. Hard core bikers know what I am talking about; the painstakingly hard work of creating and shaping a one of a kind statement of riding to live, and living to ride, wrapped around the perfect custom Harley chopper.

Building the perfect Harley doesn’t happen over night either, everything must be the perfect balance of frame, forks, the right rake and extension, rolling on tires and wheels that support the whole design. Every thing matters when building the perfect custom Harley, and if you are truly hardcore, then to complete the full extension of machine to man could mean 100% custom parts, engine, tank, and chrome. Nothing but the best will do.

So what does it take to build the perfect custom Harley motorcycle? First off it takes a boatload of cash, then you gonna need to find the right craftsman to hand all that cash to, and then brother you need some patients; you gonna have to sit down and talk with your craftsman, and help him understand how you are, what is important to you, so he can put pen to paper to form up some rough ideas. These ideas will be shaped and tweaked and considered until your Harley craftsman has the design that is truly you, and no one else.

Every nut, bolt, piece of molding, the right handlebars, and grips, absolutely everything will be well thought out, and nothing will be left to chance, or just thrown in. The perfect ride height that flows with a saddle that is made to fit your backsides contour, and all of the remaining pieces that are build around the heart of your custom chopper, the engine and   transmission .

With you custom Harley almost complete, there will hours and hours of assembling and disassembling, fine tuning, tweaking, and testing until the final phase will be applying the richest paint job and graphics that turn thousands of dollars of hard earned cash and countless hours of laborious love, sweat, busted knuckles, and blood into the work of beauty that is your custom Harley chopper.

OK so where do you find this custom chopper craftsman? Well I am sure you already know the answer, and this isn’t an overnight decision either, we have read every biker rag, went to all of the top bike shows, studied every custom bike we come across, and after we have researched all of our options, we pick up the phone or ride out to our craftsman and after a serious conversation or two we close the deal by shaking hands, signing some paperwork, and dropping that that big fat wad of cash we have been saving for who knows how long.

Those of you who have lived that dream of building and owning the perfect custom chopper know what I am talking about. Those of you still working on the dream will very soon know as well. The love of our lifestyle is but a reflection of how we live, carry ourselves and the bike we ride, the rest of this love is in our hearts!

Diflucan Yeast Infection

Yeast is a type of fungus that may be present normally over the skin. The specific type of yeast that causes many a diseases in human is Candida albicans. This is a normal flora, mainly showing their presence in the moist areas of human skin like armpits, mouth, groin, sexual organs (both in male and female) and fold of the buttocks. It is seen that 20-50% of any normal healthy female carry yeast in their vaginal area.

Candidiasis, or yeast infection can be localized to the skin or there may be severe systemic infection in patients having reduced immunity. These patients usually suffer from AIDS, cancer or cancer patients receiving chemotherapy drugs.

It is estimated that almost 75% of the female population will suffer from vaginal yeast infection at any point of their lifetime. This is again aggravated by previous or secondary bacterial infection like Gonorrhea and protozoal infection like Trichomonas. Some external irritants like vaginal douches or the internal hormonal disturbances derange the normal vaginal flora and there is excess production of the acid producing bacteria like lactobacilli. Regular intake of oral pills, pregnancy, stress, vaginal sex immediately after anal sex and private part lubricants containing glycerin are some predisposing factors of vaginal yeast infection.

Men can also suffer from genital yeast infection. The causes are unclean prepuce, engaging in excessive anal sex and not cleaning after that.

Oral candidiasis can occur in immunocompromized patients. This may also transmit to any person if engaged in oral sex with the infected partner. Long standing diabetes is one of the most contributory factors of oral yeast infection.

Use of antibiotics and steroids (which lowers the immunity) is the two most common causes of yeast infection of mouth cavity and private parts due to indiscriminate use by the doctors and also by the quacks. To kill this offending fungus we need some medicine called antifungal agents. Diflucan is one of them.

Diflucan, or scientifically known as Fluconazole, is an imidazole related antifungal agent which shows primary a fungistatic (inhibiting the growth of fungus) action. But in higher concentrations, Diflucan can also acts as a fungicidal agent (killing fungus). It helps to destroy the cytoplasmic membrane of the fungus and the fungal growth is retarded.

Bioavailability of Diflucan is not affected by presence of food in stomach. After absorption, it promptly shows its presence in skin, tears and urine. The concentration here are at least 10 times more that in sputum, saliva and vaginal fluid. This delineates the excretory process of Diflucan through urine and sweat. This is the reason Diflucan is preferred by doctors treating the cases of skin and vaginal yeast infection.

Patients having irregular heart rate and liver diseases must not take Diflucan as there may be aggravation of the problem. Although Diflucan is well tolerated generally, people can suffer from nausea, vomiting, abdominal cramps and diarrhea infrequently.

The major complications of Diflucan are reduced urine output, ulcerative condition of the lips and gums (Steven-Johnson’s Syndrome). Presence of Diflucan is noted in the breast milk, so nursing mothers should not take this medicine. Diflucan can lead to fetal malformations, therefore the pregnant mothers and those who are planning to have a baby in near future should avoid using Diflucan.

Diflucan is a good medicine in Yeast infection but the side effects are the restrictive factors for the wide use of this drug.

Hemorrhoids and Anal Warts

It’s pretty bad when you find out you’ve got hemorrhoids, but it can be a lot worse if you get hemorrhoids confused with another health issue. I mean, the pain, anxiety and embarrassment of discovering something wrong in the anal area is bad enough, much less not knowing exactly what you’ve got. On the bright side, there aren’t too many health conditions that can come up in that area. One of the most common health conditions confused with hemorrhoids is anal warts. While neither is very much fun, they stem from entirely different causes and are treated in very different ways.

Anal warts, also known as condyloma acuminata, are caused by the human papilloma virus (HPV). This virus is highly contagious and most often transmitted through sexual intercourse. Some strains of HPV can lead to increased risk of cervical cancer, but these are not the same strains as the ones that cause anal warts. The virus gets into the skin or mucous tissue cells and starts making them grow in the distinctive wart pattern. HPV infection does not lead to hemorrhoids. Hemorrhoids originate from weak points in hemorrhoidal veins below the skin or mucous tissue. As the weak point gives way, it stretches out and takes surrounding tissue with it. Traumatized hemorrhoids may get infected with a variety of bacteria and/or viruses, but infection does not lead to hemorrhoids. That would be like putting the cart before the horse.

Anal warts and hemorrhoids can both feel like lumps or masses of tissue around the anal area. However, there are several differences that can lead to a proper identification upon close inspection. While doing a close inspection may not sound like fun, it’s much better than trying unsuccessfully to treat the wrong thing. Upon said close inspection, anal warts have a distinctive “rough” texture and range in size from the head of a pin to about the size of a pea and are rather hard to the touch. They occur in clusters around the anal opening and may sometimes continue up towards the genital area. They almost never occur alone. Hemorrhoids, on the other hand, have a smooth texture that’s identical to the tissue they originate from, whether that’s external skin or internal mucous membrane. They are often soft or “squishy” to the touch, and they range in size from the size of a pea to the size of a grape. You’ll never find them anywhere except right around the anal opening. In addition, warts almost never hurt, though they may itch a bit. External hemorrhoids, on the other hand, often hurt quite a lot.

Hemorrhoids are usually best treated at home through a high-fiber diet, a healthy amount of exercise, and easily obtained over the counter relief. Home remedies often work well on hemorrhoids and surgery is only rarely needed. Anal warts, on the other hand, always have to be treated surgically, usually on an outpatient basis. The warts will not go away on their own. Instead, a physician has to use liquid nitrogen to freeze them off. In addition, hemorrhoids can often be kept away by keeping the lifestyle changes that were made to help cure them. Anal warts will often come back for no reason under your control, because the virus can live dormant in your skin cells for a long time. One day that virus can wake up and bam, you’ve got anal warts again.

So, as you can see, getting anal warts confused with hemorrhoids can lead to some serious problems. At the least you’ll be stuck trying to treat a problem you don’t have for a while. Why waste all that time and discomfort? If you can’t figure out what you’ve got on your own, make a doctor’s appointment and get your diagnosis confirmed. It’ll save you a lot of trouble, pain and grief in the long run.

The Avian Plight

In 1997, the world’s attention was caught by an alarming passage of Avian influenza from birds to humans in Hongkong. All chickens and ducks were killed upon the order of the Hongkong government to contain the spread of the deadly H5N1 virus.

Avian influenza or more commonly called as bird flu is an infection caused by avian (bird) influenza (flu) viruses. All birds naturally have these influenza viruses in their bodies. Wild birds have these viruses in their intestines but their bodies do not get infected or damaged by them. When passed on domesticated birds, avian influenza can cause sickness and death. Chickens, ducks, and turkeys are mostly hit by the   transmission  of avian flu among birds. Infected domesticated birds can pass on the virus to humans when they are eaten or consumed. *Migratory birds* infected with avian flu also become agents of viruses’ transfer from one place to another.

H5N1 carrier birds pass on the virus to other birds through their saliva, nasal excretions, and feces. Birds get infected when they come in contact with these contaminated excretions even by just staying on a surface or ground where virus carriers have stayed. Cages, dirts, water, feeds, infected waterfowl or other poultries that have been exposed to the virus are the common sources of infection among domesticated birds.

Two forms of bird flu exist among domesticated poultries infected with avian influenza viruses. The low pathogenic form is almost invisible and undetected for it causes only very mild symptoms that can be mistaken as non-avian flu effects. Manifestations of low pathogenic avian flu infection include low egg production or ruffled feathers. The second form of avian flu is the high pathogenic avian flu disease. This form leads to multiple organ failures and damages among infected birds. About 90 to 100 percent of birds infected with this form die within two days upon contamination. The spread of this form of avian flu is more rapid among birds in flocks.

Albeit basically a matter among birds, humans are also susceptible to bird flu or avian flu infection. The first known cases of humans getting infected with bird flu happened in Hongkong in 1997. 18 people were recorded to have acquired respiratory illnesses after having contacted infected surfaces from poultry farms, the infection claimed six lives.

The virus’ passage to humans that happened in Hongkong caused a global alarm. Health institutions worldwide raised concerns that the avian flu might be as damaging as the pandemic of flu that claimed about 20 million lives back in 1918. Reasonable enough, the fear and alarm are worth noting. What is essentially fearful is the idea that humans can be infected and actually die from a virus that is basically existing among birds only. The premise the Hongkong incident set is that the virus is mutating into something deadly for humans.

As of 2005, worldwide coordinated statistics recorded a number of 130 people having been infected of avian flu of which 67 have already died. In recent years, cases of human infection have been high in Asian countries. The World Health Organization believes that Asia is at higher risks since people live in close distance with domesticated birds like chicken and ducks. Animal domestication and poultry raising are common among many Asian countries who are agricultural by nature. What worries many is the common fact that humans have little or even a lack of immunity to the virus known to be infecting only (until the 1997 Hongkong incident) the birds.

An even higher cause of alarm has been found in recent studies on the H5N1 virus. Recent researches have shown that H5N1 strains have become more deadly among chickens and mice. This mutation is also found to be making cats or feline susceptible to the infection. H5N1 is also found to be resistant to some of the drugs used to treat flu (such as amantadine). New strains of the virus are also said to be possibly emerging especially in Asian countries.

What is now being focused on by scientists and health experts around the world is the prevention of human-to-human  transmission  which is believed to be the possible case that happened in Thailand in 2004. If it becomes widespread, human-to-human  transmission  is believed to be harder to contain that bird-to-human  transmission . Experts say that the virus’ continual change will make it hard for the human body to naturally develop immunity against the infection. The H5N1 virus is found to be changing over time through the changes happening in their structure called antigenic drift and antigenic shift. This continual change of the virus disables the immune system to respond accordingly whenever the flu virus enters the body. The only possible solution seen by experts is for infection-prone people to have a yearly immunization with up-to-date anti avian virus strains. But the big problem is, until now there is no medical treatment available to combat the H5N1 virus, making the yearly immunization update a far-fetched option.

Infectious Diarrhea

Clinical Presentation: Every year throughout the world more than 5 million people-most of them kids younger than 1 year-die of acute infectious looseness of the bowels. Although death is really a uncommon outcome of infectious diarrhea within the United States, morbidity is substantial.

It is estimated that you will find more than 200 million episodes each year, resulting in 1.8 million hospitalizations at a price of $6 billion per year. The morbidity and mortality attributable to diarrhea are largely due to loss of intravascular volume and electrolytes, with resultant cardiovascular failure. For example, adults with cholera can excrete a lot more than 1 L of fluid per hour.

Contrast this with the typical volume of fluid lost daily within the stools (150 mL), and it is clear why massive fluid losses connected with infectious diarrhea can lead to dehydration, cardiovascular collapse, and death. Gastrointestinal (GI) tract infections can present with primarily upper tract symptoms (nausea, vomiting, crampy epigastric pain), small intestine symptoms (profuse watery diarrhea), or large intestine signs or symptoms (tenesmus, fecal urgency, bloody looseness of the bowels).

Sources of infection consist of person-to-person   transmission  (fecal-oral spread of Shigella), water-borne  transmission  (Cryptosporidium), food-borne  transmission  (Salmonella or S aureus foods poisoning), and overgrowth following antibiotic administration (Clostridium difficile).

Etiology: A wide range of viruses, bacteria, fungi, and protozoa can infect the GI tract. However, in the majority of instances, symptoms are self-limited, and diagnostic evaluation isn’t performed. Individuals presenting to medical attention are biased toward the subset with more severe signs or symptoms (eg, high fevers or hypotension), immunocompromise (eg, HIV or neutropenia), or prolonged duration (eg, chronic diarrhea defined as lasting 14 days). An exception is large outbreaks of food-borne sickness, in which epidemiologic investigations may detect individuals with milder variants of illness.

Pathogenesis: A comprehensive approach to GI tract infections starts using the classic host-agent-environment interaction model. A quantity of host elements influence GI tract infections. Individuals at extremes of age and with comorbid conditions (eg, HIV infection) are at higher risk for symptomatic infection.

Medications that alter the GI microenvironment or destroy typical bacterial flora (eg, antacids or antibiotics) also predispose individuals to infection. Microbial agents responsible for GI sickness could be categorized according to kind of organism (bacterial, viral, protozoal), propensity to attach to various anatomic sites (stomach, little bowel, colon), and pathogenesis (enterotoxigenic, cytotoxigenic, enteroinvasive).

Environmental elements can be divided into three broad categories based on mode of  transmission : (1) water borne, (2) foods borne, and (three) individual to person. GI tract infections can involve the stomach, leading to nausea and vomiting, or affect the small and large bowel, with looseness of the bowels as the predominant symptom.

The term “gastroenteritis” classically denotes infection of the stomach and proximal little bowel. Organisms causing this disorder consist of Bacillus cereus, S aureus, and a quantity of viruses (rotavirus, norovirus). B cereus and S aureus produce a preformed neurotoxin that, even in the absence of viable bacteria, is capable of causing disease, and these toxins represent major leads to of foods poisoning.

Although the exact mechanisms are poorly understood, it’s thought that neurotoxins act locally, through stimulation of the sympathetic nervous system having a resultant improve in peristaltic activity, and centrally, through activation of emetic centers within the brain. The spectrum of diarrheal infections is typified by the diverse clinical manifestations and mechanisms via which E coli can trigger diarrhea.

Colonization from the human GI tract by E coli is universal, usually occurring within hours following birth. Nevertheless, when the host organism is exposed to pathogenic strains of E coli not normally present in the bowel flora, localized GI illness or even systemic sickness may occur.

You will find five major classes of diarrheogenic E coli: enterotoxigenic (ETEC), enteropathogenic (EPEC), enterohemorrhagic (EHEC), enteroaggregative (EAEC), and enteroinvasive (EIEC). Functions typical to all pathogenic E coli are evasion of host defenses, colonization of intestinal mucosa, and multiplication with host cell injury.

This organism, like all GI pathogens, should survive transit via the acidic gastric environment and be able to persist within the GI tract despite the mechanical force of peristalsis and competition for scarce nutrients from existing bacterial flora. Adherence can be nonspecific (at any part from the intestinal tract) or, a lot more commonly, particular, with attachment occurring at well-defined anatomic areas.

Once colonization and multiplication happen, the stage is set for host injury. Infectious diarrhea is clinically differentiated into secretory, inflammatory, and hemorrhagic kinds, with different pathophysiologic mechanisms accounting for these diverse presentations. Secretory (watery) diarrhea is caused by a quantity of bacteria (eg, Vibrio cholerae, ETEC, EAggEC), viruses (rotavirus, norovirus), and protozoa (Giardia, Cryptosporidium).

These organisms attach superficially to enterocytes in the lumen of the small bowel. Stool examination is notable for the absence of fecal leukocytes, even though in uncommon instances there’s occult blood in the stools. Some of these pathogens elaborate enterotoxins, proteins that improve intestinal cyclic adenosine monophosphate (cAMP) production, primary to net fluid secretion. The classic example is cholera.

The bacterium V cholerae creates cholera toxin, which leads to prolonged activation of epithelial adenylyl cyclase within the small bowel, primary to secretion of massive amounts of fluid and electrolytes into the intestinal lumen. Clinically, the patient presents with copious diarrhea (“rice-water stools”), progressing to dehydration and vascular collapse without having vigorous volume resuscitation.

ETEC, a common trigger of acute diarrheal sickness in young kids and the most typical trigger of looseness of the bowels in travelers returning to the United States from developing countries, creates two enterotoxins. The heat-labile toxin (LT) activates adenylyl cyclase in a manner analogous to cholera toxin, whereas the heat-stable toxin (ST) activates guanylyl cyclase activity.

Inflammatory diarrhea is really a result of bacterial invasion of the mucosal lumen, with resultant cell death. Patients with this syndrome are usually febrile, with complaints of crampy lower abdominal discomfort as nicely as diarrhea, which might contain visible mucous. The term dysentery is utilized when there are substantial numbers of fecal leukocytes and gross blood.

Pathogens connected with inflammatory looseness of the bowels consist of EIEC, Shigella, Salmonella, Campylobacter, and Entamoeba histolytica. Shigella, the prototypical trigger of bacillary dysentery, invades the enterocyte through formation of an endoplasmic vacuole, which is lysed intracellularly. Bacteria then proliferate within the cytoplasm and invade adjacent epithelial cells.

Production of a cytotoxin, the Shiga toxin, leads to local cell destruction and death. EIEC resembles Shigella both clinically and with respect towards the mechanism of invasion of the enterocyte wall; however, the specific cytotoxin associated with EIEC has not yet been identified. Hemorrhagic diarrhea, a variant of inflammatory diarrhea, is primarily triggered by EHEC.

Infection with E coli O157:H7 has been connected with a quantity of deaths from the hemolytic-uremic syndrome, with a number of well-publicized outbreaks related to contaminated foods. EHEC leads to a broad spectrum of clinical disease, with manifestations including (1) asymptomatic infection, (2) watery (nonbloody) looseness of the bowels, (three) hemorrhagic colitis (bloody, noninflammatory diarrhea), and (4) hemolytic-uremic syndrome (an acute illness, primarily of children, characterized by anemia and renal failure). EHEC doesn’t invade enterocytes; nevertheless, it does create two Shiga-like toxins (Stx1 and Stx2) that closely resemble the Shiga toxin in structure and function. After binding of EHEC towards the cell surface receptor, the A subunit of the Shiga toxin catalyzes the destructive cleavage of ribosomal RNA and halts protein synthesis, leading to cell death.

Clinical Manifestations: Clinical manifestations of GI infections vary depending on the on website of involvement For instance, in staphylococcal foods poisoning, symptoms develop several hours after ingestion of foods contaminated with neurotoxin-producing S aureus. The symptoms of staphylococcal food poisoning are profuse vomiting, nausea, and abdominal cramps.

Diarrhea is variably present with agents leading to gastroenteritis. Profuse watery (noninflammatory, nonbloody) diarrhea is connected with bacteria that have infected the small intestine and elaborated an enterotoxin (eg, Clostridium perfringens, V cholerae). In contrast, colitis-like symptoms (lower abdominal pain, tenesmus, fecal urgency) and an inflammatory or bloody diarrhea occur with bacteria that more generally infect the large intestine.

The incubation period is usually longer (> 3 days) for bacteria that localize towards the large intestine, and colonic mucosal invasion can occur, causing fever, bacteremia, and systemic symptoms.