Monday, July 6, 2020

Common Infection Genital Herpes Herpes Simplex Virus Type 2 - 1100 Words

Common Infection Genital Herpes: Herpes Simplex Virus Type 2 (Term Paper Sample) Content: Genital herpes: herpes simplex virus type 2 Student’s name Course Institutional affiliation September 26 2018 Genital herpes: herpes simplex virus type 2 Genital herpes is a common infection that is classified as a sexually transmitted disease (STD) because transmission usually occurs through vaginal, oral or anal intercourse. Viruses of two types cause genital herpes; herpes simplex virus type 1(HSV-1) and herpes simplex virus type 2 (HSV-2). The two viruses have some differences as well as some similarities. For instance, both viruses are equally contagious, are treated with the same medication and present similar symptoms. However, the viruses are different in one or more ways ("Herpes simplex virus," 2017). This paper is therefore aimed at discussing genital herpes that is caused by HSV-2, its presentation, modes of transmission, diagnosis, its associated complications as well as its management. HSV-2 is usually transmitted through sexual intercourse, which is later accompanied by genital herpes HSV-2 infection either in the genital area or the anal area. The infection is incurable and once an individual is infected, the disease lasts for as long as they live. Genital herpes HSV-2 is an issue of global concern. According to the World Health Organization (WHO), in 2012 there were more than 400 million people living with the condition. The statistics further indicated that Africa was one of the most affected region, with more than 30% of the total cases being from Africa. It was also estimated that in America the prevalence was high, with more than 12% of the total cases being from the Americans. The study by WHO additionally found out that a high number of new cases of infection with genital herpes caused by HSV-2 was among the adolescents although it was also established that its prevalence increases with age. The study also established that genital herpes HSV-2 is highly pr evalent in women than in men where there were approximately 267 million women living with the infection. About 150 million men on the other hand, were found to live with the infection ("Herpes simplex virus," 2017). The condition usually presents no symptoms at all and an individual can live with it unrecognized for years. However, the most significant symptom of HSV-2 infection is occurrence of one or more blisters or ulcers in the genital area or the anal area. Some individuals mistake these blisters for other skin conditions, which is the reason why most people remain undiagnosed. Once the blisters break, they leave painful sores in the infected region, which normally heals within seven or more days. Other symptoms of a newly occurred infection include body aches, swollen lymph nodes and fever. The initial diagnosis of HSV-2 is usually severe, but the subsequent outbreaks are usually less severe and lasts for a short period of time. though the infection is incurable, the frequency of the outbreaks decreases with time. prior to the occurrence of genital ulcers, most people experience tingling sensations in the legs, hips and buttocks (Bernstein et al., 2017). HSV-2 infection is usually transmitted from one person to another during sexual intercourse. This happens when an individual gets into contact with the genital surfaces, skin sores or fluids of an infected individual. However, the virus can also be transmitted from a generate or anal area that appears to be normal and therefore the infection is usually transmitted even in the absence of symptoms. A rare mode of transmission is from an infected mother to an infant during child delivery or even before birth. In such cases, the child gets infected with a deadly herpes infection known as neonatal herpes (Johnston et al., 2017). Various complications have been associated with HSV-2, some of which include psychosocial impacts, neonatal herpes and HIV. Studies show that an HSV-2 infection increases the risk of acquiring HIV by three times. In addition, the likelihood of spreading HI to others increases with the presence of the infection. Moreover, one of the most common infection affecting people with HIV is HSV-2 infection (Bernstein et al., 2017). Immunocompromised individuals such as those with HIV are usually at a higher risk and their symptoms are usually more severe with reoccurrence frequencies being much higher. As mentioned above, neonatal herpes occurs during birth of a child and it can lead to lifelong neurological disability or even loss of life. The reoccurrence of symptoms which are painful may lead to stigma and psychological distress both of which affects the quality of an individual’s life. Other serious but rare complications associated with HSV-2 infection are esophagitis, pneumoniti s, meningoencephalitis and retinal necrosis (Johnston et al., 2017). HSV-2 infection is usually diagnosed through physical examinations and laboratory tests which include Polymerase chain reaction (PCR) test, viral culture and blood tests. Blood tests usually detect past herpes infection by detecting herpes virus antibodies in the blood. Viral cultures on the other hand establish the presence of the virus in the genital sores. PCR test is used to determine the type of HSV infection that an individual has. Since...

Wednesday, July 1, 2020

SUNY Upstate Medical Admissions How to Get In with Jennifer Welch

document.createElement('audio'); https://media.blubrry.com/admissions_straight_talk/p/cdn2.hubspot.net/hubfs/58291/IV_with_Jennifer_Welch_2016.mp3Podcast: Play in new window | Download | EmbedSubscribe: Apple Podcasts | Android | Google Podcasts | Stitcher | TuneIn | Spotify The most popular medical school admission podcast we’ve ever hosted was an interview with Jennifer Welch, Associate Dean of Admissions Financial Aid at SUNY Upstate Medical University – and today, she’s joining us again. Jennifer is extraordinarily experienced in med school admissions. Since 1994 she has served first as SUNY Upstate Medical University’s Director of Admissions and in January 2013 she became the Associate Dean of Admissions and Financial Aid at SUNY Upstate Medical University. So that’s over 20 years heading up a medical school admissions office. And in addition to heading up admission for the medical school, she is also in charge of admissions for all healthcare related programs including Nursing, PT, PA, MD, MD/MPH, MPH. Welcome, Jennifer! What’s new at SUNY Upstate?  [1:55] We have a new president – our first female president (an African American woman). She’s dedicated to our mission of promoting diversity in medical education. We’re also just launching a new curriculum this fall, including new clinical contacts in the first two years. There’s a big focus on self-directed learning. What does that mean?  [3:22] We’re emphasizing small groups and teams. We have collaborative co-directors teaching the curriculum (both MDs and PhDs). It’s competency-based, system based. There are more hands-on experiences (less time sitting in a lecture hall). Students are becoming more involved in their learning. It’s been a 3-year process – everyone’s really excited about it. The future of medicine is team based. The curriculum includes earlier clinical exposure, and a focus on understanding the clinical relevance behind what they’re doing. What are your thoughts about the new MCAT?  [6:45] It’s still a work in progress – we’re learning from it. Some students have the old score, some have the new, some have both the old and the new. We’ve always done a holistic approach to evaluation. So the exam is still important, but we’re looking for grades, consistency of grades, the strength of the undergraduate curriculum, what the student has in terms of extracurricular involvement, volunteer work, etc. Our average this year was 509 (80th percentile), which is about a 30 on the old test. I’m excited about the social sciences section on the new MCAT – I think it’ll ultimately bring us a different type of doctor. What have you learned from the new MCAT?  [9:00] We’re looking at each of the categories vs the overall score – so we’re looking at it a little differently than in the past. Also, we’re not averaging multiple scores anymore. It all comes back to holistic review. Any advice for handling/responding to secondaries?  [10:50] Sometimes students make the mistake of thinking they’re not as important as the AMCAS. They are. And they need to pay close attention to all the pieces that are asked. In terms of handling multiple secondaries: prioritize. Some can be answered relatively quickly, and others will take more time. But make sure each one is done well and done correctly. Our secondary is pretty straightforward in terms of the questions asked – but you need to pay attention to detail: it has to be done right. The secondary gives us info about applicants, and also info about how they do things (professionalism, attention to detail). If you make careless mistakes (such as errors in capitalization, etc), it’s a red flag. Pay attention to detail and do it right. How do you recommend applicants prepare for the MMI?  [14:34] It’s our 5th year using the MMI. We use a mixture of traditional types of questions and scenario questions. The interview questions are set up to mimic the competencies we’re looking to train through med school. To prepare, be yourself. The questions change, so you can’t really prepare for those. But know that the questions will be asked by doctors (who have an interest in your clinical experience). We’re interested in getting a sense of your professionalism, communication skills, etc. What are examples of the competencies you’re targeting with the interview questions?  [16:30] Resilience, curiosity, professionalism. With the MMI, it’s much more difficult to â€Å"fake† an interview. In a traditional interview, you can get a great interviewer or a not-so-great interviewer, or mesh with them or not. The MMI allows you to meet 5-6 different interviewers, and allows 5-6 interviewers to assess you and make a recommendation to the admissions committee. What is an interview day like at Upstate?  [17:45] We want students to have a chance to see if they can see themselves here. When they arrive, they’ll be welcomed by a member of staff. They’ll have a chance to visit classes or meet students. Then they’ll have lunch, an info session with me (what to expect in the process, our campuses, our programs, etc), and before or after, they’ll have their interview. The interview takes about two hours. Does their behavior all day count?  [19:55] Absolutely! Unfortunately, there’ve been students who’ve been on their phones during the presentation. They need to know that every interaction is important. We take everything into consideration. (Every email, every interaction with students and staff on campus, etc.) Be professional.  We’ve occasionally checked people’s facebook/Instagram, especially if the interviewers got a vibe. Is it too late to apply this year? Better to wait until next year?  [23:30] It’s getting late. By the time someone applies and gets verified at this point, it could be Sept/Oct. I started with 750 interview slots. The closer I get to December, I’m basically looking for someone who walks on water. Once you get into Sept/Oct/Nov, there aren’t many interview spots available. It’s important to apply early—June/July, verified by early August. It’s a really competitive process. Can you describe the SUNY PA master’s program?  [26:45] It’s a 2-year MS program. It’s very competitive! We take a class of 35 from a pool of 800 applicants. (We interview a little over 100.) Our focus is on students who are interested in going into rural communities – the goal is to get PA’s into communities with limited medical services. We’re looking for dedication to the field: applicants need to have 1000 hours of verified clinical experience. And they need to have shadowed a PA (they need a LOR from a PA). Grades and GRE are also very important. The med school program is also looking for students with an interest in serving rural communities. What about the PT program?  [31:35] It’s a 3-year doctorate program. Students have to have completed certain prerequisites during their undergraduate program. The minimum GPA is 3.0, preferred 3.3 or higher. They have to volunteer with a PT (who will write them a LOR). Shadowing is encouraged. What’s the worst advice you’ve ever heard given to a med school applicant?  [33:05] Waiting to apply – waiting till you have the next experience finished, etc.  Getting your application complete is really important. Apply early and get it in on time. What timeline would you recommend to someone planning to apply next spring? [35:00] Work on getting clinical experience – reach out to docs to ask if you can shadow (ask about a few hours. Students often ask about a few months, which is a mistake). Start getting LORs in line in January. And ask the right people! Sometimes students ask people because of their names or the letters they have after their name. We’re looking for letters where the writer has something meaningful to say about you. Take the MCAT in May or June, and be ready to roll in June. I often advise people to work on the personal statement over winter break (or spring break) if they have a tough spring semester. Any advice on personal statements?  [38:00] Take enough time with your personal statement! You can’t just throw it together – you have to plan it. Tell a story: Who you are; what you can bring to the medical field; why you’re interested in medicine. What sets you apart. Don’t duplicate information from the activities. The personal statement is about what makes you who you are: the only place that does that is the personal statement. Related  Links: †¢ SUNY Upstate Medical University †¢ SUNY Upstate Physician Assistant Program †¢ Navigating the Med School Maze, tips to help you apply successfully to medical school. †¢ A Second Chance at Medical School: The A-Z of Applying to Postbac Programs †¢ Medical School Reapplicant Advice: 6 Tips for Success Related Shows: †¢ Medical School Admissions 2015-2016: A Deans Perspective  [Jennifer Welchs earlier interview] †¢Ã‚  Exploring Yale’s Top-Rated Physician Assistance Program †¢ Put the Med School Application Puzzle Together: Advice from C. Foote †¢ 3 Ways Temple Can Help You Become an MD †¢ The Do’s And Don’ts Of Med School Interviews Subscribe: hbspt.cta.load(58291, 'f983525f-d810-452f-a0d3-c41270570189', {});