Friday, February 14, 2020

Systemic Lupus Erythematosus Research Paper Example | Topics and Well Written Essays - 1000 words

Systemic Lupus Erythematosus - Research Paper Example Since other fibromyalgia, CNS diseases, autoimmune diseases and infections disease can present with involvement of multisystem disease, when diagnosis of SLE is being carried out, there is need to consider the possibilities of these other conditions. The disease is a multi-factorial, multisystem, chronic, and rarely life-threatening illness with environment, genetic and hormonal origins (Robinson, Sheets & Currie, 2011). It can also affect any part of the body including blood cells, nervous system, skin, joints, and kidneys. Mostly, women aged 15-40 years are largely associated with SLE. Predominance of SLE In the U.S, the incidence levels reported annually is approximately 5.2% in every 100,000 people. The frequency of the disease differs with ethnicity and race. High rates of SLE are seen in women who are in the childbearing age. Higher rates of SLE have been reported in Hispanic and black people with an estimated 40 in every 100,000 white people in Rochester, Minnesota while in No gales, Arizona a 100 Hispanics in every 100,000 have the disease. However, there is less prevalence reported in the Northern Europe region, but the disease is mostly common in African Americans. Mina & Brunner (2010) also proposed that in an estimated number of 10 in 20% of the patients with SLE experience the disease prior adulthood. In international statistics, highest predominance levels have been report in Afro-Caribbean, Martinique, Italy, United Kingdom and Spain population. Even though the disease is seen more in the black people who reside in United Kingdom, it is less common in those who are in Africa. This has been attributed to environmental influences (Patel et al., 2006). However, in terms of race, the black women possess a higher likelihood of getting the disease than white women and Asians. One in every two hundred and fifty African American women is reported to have the disease showing how widespread the disease is in women Furthermore, the highest predominance rates are seen in ninety percent of the female population while the prevalence rates are considerably lower in the male population. Older men are affected by the disease compared to younger men but generally lupus is seen in very low rates among the male population (Alarcon et al., 2004). The death causes are mostly attributed to cardiovascular disease, organ failure, infections and active disease. The survival rate has progressed signifying that milder cases of SLE are being recognized. Over the past period of four years, the survival rate of patients with the disease has increased to 80% as opposed to that of the last fifteen years which was 50% showing that there is some progress in research. Pathophysiology Patients with Systemic Lupus Erythematosus usually have a complicated range of abnormalities concerning their body defense system. SLE is connected with triggering 2 key components of the adaptive immunity, T and B cells (Alarcon et al., 2004). The abnormalities which target the a daptive immune system consist of production of autoantibodies as well as defective killing of T-Cells. In patients with SLE, the T cells usually express a smaller amount of IL-2. This is the main cytokine for differentiation, activation and proliferation of T-cells. The T-cells in SLE patients have a problem with signaling responses which result to the small IL-2 and CD3 amount. These abnormalities cause a decreased cytotoxic activity. Moreover, there is an incapability to repress

Saturday, February 1, 2020

Mergers and Acquisitions Essay Example | Topics and Well Written Essays - 1000 words

Mergers and Acquisitions - Essay Example The potential merger was based upon the assumption that this merger will actually result into an over $1 billion in terms of cost savings as well as revenue increase for the American Airways.1 The formal process of merger and acquisition started during the start of 2013 and it was believed that this merger actually resulted into the creation of the largest airline in the world. The overall deal was finalized in December 2013 and American Airways formally acquired the firm This paper will discuss and explore the reasons behind this merger, the circumstances which actually led to the merger, the positive as well as negative impacts of the merger besides discussing whether the HR practices of the firm were modified to ensure that the overall outcomes of the merger and acquisition were achieved. 9/11 was one of the key events in the history of American airline industry as for the first time, airplanes were used weapons. Strong security concerns resulted into sharp decline in the passenger traffic and loss of revenue. (Rhoades & Waguespack Jr, 2004). Apart from this, the economic events which occurred after 2007 also resulted into an strong decline the profitability as well as the revenue of the major airlines in the industry. Owing to these factors, American Airline filed chapter 11 bankruptcy ad sought protection against the same. As a result of the Chapter 11 Bankruptcy protection, it was considered that the American Airlines may suitably merge with other airline in order to come out of the bankruptcy and pay back to its creditors. As such one of the reasons for entering into this merger and acquisition was to avoid the complete bankruptcy and find suitable buyer who can ensure that the creditors are paid back. As per the agreement, 72% of the shares of the American airli ne were acquired by US Airways and the remaining 28% were held by the existing shareholders of the firm. Another important reason for the merger was the cost