Monday, January 27, 2020

Antacids Structure and Uses

Antacids Structure and Uses Antacids are medications that increase the pH balance in your stomach. A number of symptoms, including heartburn, gastritis, and gastro -esophageal reflux disease (GERD), can be treated with them. In most cases, antacids start working within a few minutes. It is important to note that they may not always be necessary, and they can have serious consequences if used improperly. The most common of these bases are hydroxides, carbonates, or bicarbonates. The following table contains a list of the active ingredients found in several common commercial antacids, and the reactions by which these antacids neutralize the HCl in stomach acid. Compound Chemical Formula Chemical Reaction Aluminum hydroxide Al(OH)3 Al(OH)3(s) + 3 HCl(aq) > AlCl3(aq) + 3 H2O(l) Calcium carbonate CaCO3 CaCO3(s) + 2 HCl(aq) > CaCl2(aq) + H2O(l) + CO2(g) Magnesium carbonate MgCO3 MgCO3(s) + 2 HCl(aq) > MgCl2(aq) + H2O(l) + CO2(g) Magnesium hydroxide Mg(OH)2 Mg(OH)2(s) + 2 HCl(aq) > MgCl2(aq) + 2 H2O(l) Sodium bicarbonate NaHCO3 NaHCO3(aq) + HCl(aq) > NaCl(aq) + H2O(l) + CO2(g) What Are Antacids? How Do They Work? Types of Antacids Is Simethicone an Antacid? What Are Antacids Used For? When to Consult Your Doctor About Antacids Final Thoughts on Antacids Working of antacids The opposite of an acid is a base, and thats exactly what an antacid is. Antacids make you feel better by increasing the pH balance in your stomach. The pH system is a scale for measuring the acidity or alkalinity of a given environment (in this case, your stomach). The scale goes from  0 to 14. A pH of 7 is neutral. Below 7 is acid. Above 7 is alkaline Normally, the acid level in your stomach is about 2 or 3. Trouble may start when your pH drops below those numbers. To make you feel better, an antacid need not bring the pH level all the way up to 7 (neutral), which would be a highly unnatural state for your stomach. In order to work, all the antacid has to do is get you to 3 or 4. It does this by neutralizing some of the excess acid.   Due to several complex factors, a base cant neutralize your acid all by itself. A base needs some chemical helpers, or ingredients, to accompany it as it neutralizes the acid in your stomach. All antacids contain at least one of these four primary ingredients: Sodium Calcium Magnesium Aluminum. Antacids are medications that increase the pH balance in your stomach. A number of symptoms, including heartburn, gastritis, and gastroesophageal reflux disease (GERD), can be treated with them. In most cases, antacids start working within a few minutes. It is important to note that they may not always be necessary, and they can have serious consequences if used improperly. What Are Antacids? Antacids are medicines that work by increasing the pH balance in your stomach. Americans currently spend close to $1 billion per year on antacids. This is because antacids can quickly relieve the symptoms associated with occasional heartburn and indigestion. Though they cause problems for some, antacids can be taken safely by most people. Consumers who use antacids only once in a while, and as directed, are unlikely to experience significant side effects. But antacids may not always be necessary, and they can have serious consequences if used improperly. Frequent and prolonged use can cause irreparable harm to your heart, kidneys, or bones. Even if used occasionally and in moderation, antacids can cause problems for people with special medical conditions. How Do They Work? The opposite of an acid is a base, and thats exactly what an antacid is. Antacids make you feel better by increasing the pH balance in your stomach. The pH system is a scale for measuring the acidity or alkalinity of a given environment (in this case, your stomach). The scale goes from  0 to 14. A pH of 7 is neutral. Below 7 is acid. Above 7 is alkaline. Normally, the acid level in your stomach is about 2 or 3. Trouble may start when your pH drops below those numbers. To make you feel better, an antacid need not bring the pH level all the way up to 7 (neutral), which would be a highly unnatural state for your stomach. In order to work, all the antacid has to do is get you to 3 or 4. It does this by neutralizing some of the excess acid. Due to several complex factors, a base cant neutralize your acid all by itself. A base needs some chemical helpers, or ingredients, to accompany it as it neutralizes the acid in your stomach. All antacids contain at least one of these four primary ingredients: Sodium Calcium Magnesium Aluminum. Types of Antacids As mentioned above, antacids have four types of ingredients. Within these four types, there are many different brands. Below we discuss each type, name several brands, and discuss their possible side effects. Sodium Antacids (Alka-Seltzer, Bromo-Seltzer, and Others) Sodium bicarbonate (commonly known as baking soda) is perhaps the best-known of the sodium-containing antacids. It is potent and fast-acting. As its name suggests, it is high in sodium. If youre on a salt-restricted diet, and especially if the diet is intended to treat high blood pressure (hypertension), take a sodium-containing antacid only under a doctors orders. Calcium Antacids (Tums, Alka-2, Titralac„ ¢, and Others) Antacids in the form of calcium carbonate or calcium phosphate are also potent and fast-acting. Regular or heavy doses of calcium (more than five or six times per week) can cause constipation. Heavy and extended use of this product may clog your kidneys and cut down the amount of blood they can process. Extended use of calcium antacids can also cause kidney stones. Magnesium Antacids (Maalox, Mylanta, Riopan, Gelusil, and Others) Magnesium salts come in many forms carbonate, glycinate, hydroxide, oxide, trisilicate, and aluminosilicate. it has a mild laxative effect; it can cause diarrhea. For this reason, magnesium salts are rarely used as the only active ingredients in an antacid, but are combined with aluminum, which counteracts the laxative effect. (The brand names listed above all contain magnesium-aluminum combinations.)Like calcium, magnesium may cause kidney stones if taken for a prolonged period, especially if the kidneys are functioning improperly to begin with. A serious magnesium overload in the bloodstream (hypermagnesemia) can also cause blood pressure to drop, leading to respiratory or cardiac depression a potentially dangerous decrease in lung or heart function. Antacids are medications that increase the pH balance in your stomach. A number of symptoms, including heartburn, gastritis, and gastroesophageal reflux disease (GERD), can be treated with them. In most cases, antacids start working within a few minutes. It is important to note that they may not always be necessary, and they can have serious consequences if used improperly. Aluminum Antacids (Rolaids, Alternagel , Amphojel, and Others) Salts of aluminum (hydroxide, carbonate gel, or phosphate gel) can also cause constipation. For these reasons, aluminum is usually used in combination with the other three primary ingredients.   Used heavily over an extended period, antacids containing aluminum can weaken bones, especially in people who have kidney problems. Aluminum can cause dietary phosphates, calcium, and fluoride to leave the body, eventually causing bone problems such as osteomalacia or osteoporosis. It should be emphasized that aluminum-containing antacids present virtually no danger to people who have normal kidney function and who use these products only occasionally and as directed. Uses of Antacids Antacids can be used to treat a number of common symptoms in the esophagus, stomach, and intestines. Some of these antacid uses include: Indigestion Gastritis Heartburn Gastro-esophageal reflux disease (GERD) Peptic ulcer. Indigestion Indigestion is a fuzzy word that is often used to refer to vague abdominal discomfort. It is also referred to as: Sour stomach Acid indigestion Upset stomach Acid stomach. Gastritis Gastritis is a condition that occurs when your stomach lining becomes inflamed by too much acid secretion. Heartburn Heartburn occurs when the stomachs contents, including its corrosive juices, go into reverse and come back up the esophagus (known as acid reflux or gastro- esophageal reflux). Gastro-esophageal Reflux Disease If you experience gastro esophageal reflux frequently, then you may have something called gastro esophageal reflux disease, or GERD for short. Peptic Ulcer If the location of the burning sensation is a little lower, and if it stays around formore than a few days, you could have a peptic ulcer. An ulcer is simply a sore in your stomach that keeps getting irritated by stomach acid. Side effects Excess calcium from supplements, fortified food and high-calcium diets, can cause the milk-alkali syndrome, which has serious toxicity and can be fatal. In 1915, Bertram Sippy introduced the Sippy regimen of hourly ingestion of milk and cream, the gradual addition of eggs and cooked cereal, for 10 days, combined with alkaline powders, which provided symptomatic relief for peptic ulcer disease. Over the next several decades, the Sippy regimen resulted in renal failure, alkalosis, and hypercalemia, mostly in men with peptic ulcer disease. These adverse effects were reversed when the regimen stopped, but it was fatal in some patients with protracted vomiting. Milk alkali syndrome declined in men after effective treatments were developed for peptic ulcer disease. But during the past 15 years, it has been reported in women taking calcium supplements above the recommended range of 1200 to 1500  mg daily, for prevention and treatment of osteoporosis, and is exacerbated by dehydration. Cal cium has been added to over-the-counter products, which contributes to inadvertent excessive intake. The New England Journal of Medicine reported a typical case of a woman who arrived in the emergency department vomiting and altered mental status, writhing in pain. She had consumed large quantities of chewable antacid tablets containing calcium carbonate. She gradually recovered. Compounds containing calcium may also increase calcium output in the urine, which might be associated with kidney stones. Calcium salts may cause constipation. Other adverse effects from antacids include Carbonate: regular high doses may cause alkalosis, which in turn may result in altered excretion of other drugs, and kidney stones. A chemical reaction between the carbonate and hydrochloric acid may produce carbon dioxide gas. This causes gastric distension which may not be well tolerated. Carbon dioxide formation can also lead to headaches and decreased muscle flexibility. Aluminum hydroxide: may lead to the formation of insoluble aluminium-phosphate-complexes, with a risk for hypophosphatemia and osteomalacia. Although aluminium has a low gastrointestinal absorption, accumulation may occur in the presence of renal insufficiency. Aluminium-containing drugs may cause constipation. Magnesium hydroxide: It has laxative properties. Magnesium may accumulate in patients with renal failure leading to hypermagnesemia, with cardiovascular and neurological complications. See Milk of magnesia. Sodium: increased intake of sodium may be deleterious for arterial hypertension, heart failure and many renal diseases. Side effects from antacids vary depending on individual and other medications they may be taking at the time. Those who experience side effects most commonly suffer from changes in bowel functions, such as diarrhea, constipation, or flatulence. Although reactions to any drug may vary from person to person, generally those medications that contain aluminum or calcium are the likeliest to cause constipation, those that contain magnesium are the likeliest to cause diarrhea. Some products combine these ingredients, which essentially cancels them out, to forestall unpleasant side effects. In general, people with kidney problems should probably not take antacids as this can sometimes cause a condition known as alkalosis. In other people, side effects may occur if substances such as salt, sugar, or aspirin, are added to a particular medication. As with all medications, always carefully read the product label on the package and check with your doctor or pharmacist if you have any question about potential drug interactions or side effects. Some side effects, such as constipation and diarrhea, are fairly obvious. Other more serious side effects, such as stomach or intestinal; bleeding, can be more difficult to recognize. In general, any sign of blood in the stool or the presence of vomiting is a danger sign and should be brought to the immediate attention of a physician. If your symptoms persist for more than 10 days to two weeks while you are using the medication, you should stop taking it and consult your doctor. Persistent symptoms may indicate that you have more a serious problem than occasional acid reflux. Pregnant or nursing baby should always consult your doctor before taking this medication. Generally, you should not give these medications to children under the age of 12 unless under the advice and supervision of your doctor or the package label has indicated that the product is safe for young children Antacids (The Truth About Antacid) Im sure you know of someone who suffers from heartburn on a regular basis and takes antacids like theyre candy. It might even be you. Most people think the answers to all their stomach problems can be resolved by taking over-the-counter antacids. In reality, their digestive problems typically stem from low stomach acid, very few digestive enzymes, and huge meals that were not chewed well enough. These meals cause food to sit in the digestive tract longer than they should. As a result, food ferments, causing gas and bloating when it is not properly digested. As gases rise and reach the esophagus, they cause pain in the chest that some say feels like a heart attack. Too much gas causes the valve that keeps the stomach contents out of the esophagus to stretch. This spills acid into the esophagus, causing the stinging sensation other wise known as heartburn. Taking an antacid medication may temporarily ease the burning sensation since it reduces stomach acid. When this is done, improper food digestion occurs, and then ferments. Then the whole problem starts all over again. By using antacids to control stomach acid, the stomach compensates by providing more acid. Below I have outlined common ingredients in antacids and their effects on our body. Please read carefully through them. It is amazing that, especially if taken in large doses, antacids can be harmful to your health! Aluminum salts: These salts interfere with the absorption of phosphates. This can lead to constipation, loss of appetite, weakness, and bone damage. Aluminum salts can aggravate patients with Alzheimers disease, kidney disease, those who are dehydrated, and those with certain bone disorders. Calcium salts: In excess, calcium sales can cause constipation, urinary tract disorders, headaches, mood changes, muscles weakness, and nausea. Sodium bicarbonate: This has a laxative effect. Sodium bicarbonate can also affect blood pressure and cause swollen feet and legs. In addition, antacids can interfere with the absorption of vitamins and medication, especially antibiotics. Antacids that contain magnesium can be dangerous when given to people who have a kidney disease. It can also be dangerous for those who suffer from dehydration. I have read that antacids block the vitamin B12â‚ ¬Ã‚ ¦the most vital vitamin for the human brain. Researchers believe that the lack of vitamin B12 in the brain may be one cause of Alzheimers disease. If indeed you have osteoporosis or are at risk, or if you are a child, you should never take antacids. I am in the process of putting out 10 proven tips that will reduce your heartburn within a very short period of time. I too have suffered from years and years of agonizing heartburn and it is my pleasure to share these secrets to you. Until recently, I learned the truth about antacids and some proven methods of curing heartburn. Let face it, if you are going to settle for treating heartburn instead of curing it, youll be wasting your money! This method of treatment will bring absolutely no long term effects and a possibility of esophagus cancer could occur. In our next newsletter, I will discuss 10 techniques to conquering heartburn. Antacids are medications that increase the pH balance in your stomach. A number of symptoms, including heartburn, gastritis, and gastroesophageal reflux disease (GERD), can be treated with them. In most cases, antacids start working within a few minutes. It is important to note that they may not always be necessary, and they can have serious consequences if used improperly. Is Simethicone an Antacid? Some antacids contain an ingredient called simethicone, a gastric defoaming agent that breaks up gas bubbles, making them easier to eliminate from your body. The Food and Drug Administration (FDA) says simethicone is safe and effective in combination with antacids for relief of intestinal gas associated with heartburn. Not all antacids contain simethicone. If you are looking for relief of symptoms associated with gas, read the antacids label carefully to make sure it contains simethicone. What Are Antacids Used For? Antacids can be used to treat a number of common symptoms in the esophagus, stomach, and intestines. Some of these antacid uses include: Indigestion Gastritis Heartburn Gastroesophageal reflux disease (GERD for short) Peptic ulcer. If antacids fail to relieve symptoms of any of these conditions within 10 to 15 minutes, or if symptoms are severe, you should visit your doctor.

Sunday, January 19, 2020

Import Substitution Industries Essay

â€Å"There is a belief among some economists that a country should focus more on export sector explanation and diversification than promoting the import substitution Industries (ISI).† Critically comment on this taking Sri Lankan economy as an example. You are expected to refer relevant articles from recognized sources on the said areas and provide your own views and analysis with proper reasoning. Export means shipping the goods and services out of the port of a country. An import is a good brought into a jurisdiction, especially across a national border, from an external source. Import Substitution Industries (ISI) means an economic theory employed by developing or emerging market nations that wish to increase their self-sufficiency and decrease their dependency on developed countries. Implementation of the theory focuses on protection and incubation of domestic infant industries so they may emerge to compete with imported goods and make the local economy more self-sufficie nt. Normally importing is not bad. Importing raw materials and goods is one of the paths of increasing the profit margins. There are number of benefits in importing the goods, such as high quality, low prices, and benefits related to the international trade. But I think there are more disadvantages for country. Importing of goods could lead the erosion of the domestic markets and national economies specifically when there is trade deficit occurrence the import is higher than the export. And can also be increased due to import of goods such as conflict in the domestic values due to the acceptance of social values. The domestic industries can also be crippled due to the import of the countries where the wages are low and the domestic industries are unable to compete since they cannot lower down their prices of goods than the cost of goods. The exporting of goods is specifically difficult and disadvantageous for the small and medium size firms. The sale of services and goods into the foreign market is difficult for them rather serving the domestic market. A lack of knowledge of different languages, difference in culture, exchange regulations and trade regulations having the major impact on exporting the goods. But normally there are have more advantages than importing. One of the major advantages of export is the ownership advantage which is specific to the firms international experience, asset and ability of the exporter to  either develop the differentiated product or low cost product with in the values chain. A combination of investment risk and market potential is known as the location benefit of the particular market combination. In order to retain the core competencies within the organization and stitching it throughout the country without retaining the license, selling or outsourcing is the international advantage in export. Some of the organizations having lower level of ownership advantage may do not enter into the foreign markets. In case a company’s products and company’s ownership equipped with the international advantage and ownership advantage, the entry can be made through low risk model known as exporting under the eclectic paradigm. There is low investment requires in exporting of goods than the other modes of inter national trade and expansion such foreign direct investment. Somehow it is recognized that the lower level of risk result in ,lower level of rate of return than possibly the other modes of international trade. On the other hand the usual return on international trade in export sales might not have greater potential but also there will be no risk. In export of goods the managers are allowed to exercise the various operational control however it does not have the option over the control of marketing activities of the company. The end consumer of exported goods is far away from the exporter though the various intermediaries can manage the risk. Export performance is one of the strongest areas of Sri Lanka’s economy at the present time. It can be best described as a growth area. If you were to take exports as a whole, there has been an improvement of around 14% across the board, in terms of the foreign exchange that was realized by Sri Lankan exports. However, in some sectors, the growth has been very much more. For example, in the electronic sector, it is as high as 80%, with rubber performing at 45%, wooden products at 57%, and so on. And also emphasis that the government’s policy is not restricted to enhancing the quantum of foreign exchange that we earn from exports. Earning more foreign exchange is important as the country requires it, but we do not intend to stop there. This is a necessary condition but we do not see it as being sufficient. One of the main policy objectives is to ensure that all benefits percolate down to the grassroots level. In other words, there has to be an equitable distribution of wealth and income right throughout the country. So Sri Lanka is today referred to as a ‘middle income country’ with a per capita income  of US$ 1,370. However, one of our problems is that the distribution of income within the country is far from equitable. A good example of this is the fact that the per capita income in the district of Colombo is seven times what it is in districts such as Monaragela, Pollonnaruwa and Hambantota. Thus we need to address the inequities that are inherent in that situation. This is why the putting a particular emphasis on the concept of ‘export promotion villages’ that are being developed around the country. However in this year Imports in Sri Lanka increased to 1845.30 USD Million in July of 2014 from 1439.40 USD Million in June of 2014. Imports in Sri Lanka averaged 1035.70 USD Million from 2001 until 2014, reaching an all time high of 1986.40 USD Million in November of 2011 and a record low of 408 USD Million in February of 2002. (Reported by the Central Bank of Sri Lanka) Normally we export different type of goods like Apparel, tea, rubber coconut gems etc†¦ In those industries the tea industry is perhaps Sri Lanka’s most strategic economic sector and pure Ceylon tea our only internationally known brand. We are the world’s biggest tea exporter, manufacturing more than 300 million kilos of black tea annually, almost all of which is exported. Our orthodox teas usually sell at a premium over other orthodox teas from elsewhere. Therefore we can increase that industry and get more economical profit for our country. In importing we have to pay more money with huge taxes to other countries, and in that situation we waste our money more. But if we focus more on export sector explanation and diversification we can improve our productions, develop our manufactures, and finally we can export those productions for other countries, then we can earn more profit. Don’t want to pay unessential money for other countries if we’ll develo p our exporting industry. In that case we can increase jobs for our people also, and we can develop our economy. So, mainly Imports and exports may seem like general terms that have little bearing on everyday life, but they exert a profound influence on the consumer and the economy. In today’s interlinked global economy, consumers are used to seeing products and produce from every corner of the world in their local malls and stores. These overseas products or imports provide more choices to consumers and help them manage strained household budgets. But too many imports in relation to exports which are products shipped from a country to foreign destinations can distort a  nation’s balance of trade and devalue its currency. The value of a currency, in turn, is one of the biggest determinants of a nation’s economic performance. So finally studying about those cases I also think the country should focus more on export sector explanation and diversification than promoting the import substitution Industries (ISI).

Saturday, January 11, 2020

Reflecting Journal Essay

My first team work was in the 1st semester in Research methods. The task was to form the group and write the research paper on chosen topic. Our group of four decided to look at the demographic issue in Germany. This topic was something that we were all interested in so it was not a problem choosing the topic that we all agreed on. We first decided what we wanted to look at and how we were going to achieve this. In our first meeting we decided to split the topic into more specific topics: reasons, problems caused and future predictions. We set up a next meeting in one week and agreed that each of us will do a research on these topics. In our second meeting, we discussed our findings and distributed objectives for each of us. A list was created of the tasks we needed to perform and then we allocated each task to a time slot within our meetings. Our group worked well together as everybody had almost 100% attendance and was committed to getting the project done. However, we did have problems keeping to our schedule. At the very beginning, we conducted various researches which was useful for our paper and there we reached our first challenge- a lot of necessary information was provided only in german and 50% of our group was non-german speaking person. We had to redistribute topics for each of us based on research capacities. This speeded up the whole process. A large amount of time was spent during these meetings on the summary of our findings. This left us a lot of time when we came to the write up of our report. Another problem with our report was its incompleteness. As we put our parts together it looked like there were 4 different research papers in one. We had different structures, writing styles and some of group members in his/her part included information of his/her fellow topic. These issues required extra meetings and to rewrite the whole report.

Friday, January 3, 2020

Autism Is A Complex Disability Essay - 2079 Words

Autism is a complex disability, as the way it manifests in each child differs in severity across numerous characteristics. Children diagnosed with autism qualify to receive special services and a â€Å"free, appropriate public education in the least restrictive environment† under the federal legislation, Individuals with Disabilities Education Act (Hunt Marshall, 2012, p. 15). Autism was added to IDEA in 1990 as a new disability category. The legislation defines autism as â€Å"a developmental disability significantly affecting verbal and nonverbal communication and social interaction, generally evident before age 3 that adversely affects a child’s educational performance† (Hunt Marshall, 2012, p. 301). The â€Å"Rules for the Provision of Special Education† from the State Superintendent of Public Instruction of Washington state also outlines eligibility and individualized education programs for children diagnosed with autism (Rules for the Provision of Special Education, p. 11 46). 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