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General use While not approved by the Food and Drug Adminis- tration (FDA) viagra extra dosage 120 mg lowest price erectile dysfunction due to diabetes, lemongrass reportedly has a wide variety of therapeutic effects. Repro- studied extensively in people, its effectiveness is based duced by permission. Preparations When taken internally, lemongrass has been recom- The optimum daily dosage of lemongrass, which is mended for stomachaches, diarrhea, gas, bowel available as fresh or dried herb or as lemongrass oil, has spasms, vomiting, fever, the flu, and headaches and not been established with any certainty. To treat circulatory disorders, some au- use of alternative remedies to determine proper dosage. Lemongrass tea can be prepared by steeping 1–2 tsp The link between lemongrass and cholesterol was of the herb (fresh or dried) in a cup of boiling water. The investigated by researchers from the Department of Nu- mixture should be strained after 10–15 minutes. The tea is tritional Sciences, University of Wisconsin, who pub- generally taken several times a day. They conducted a clinical trial involving 22 people ommends using one cup of lemongrass tea every four with high cholesterol who took 140-mg capsules of hours to reduce fever. While cholesterol levels were only herbalist James Duke recommends drinking one to four slightly affected in some of the participants—cholesterol cups of lemongrass tea a day to benefit from its anti-fungal was lowered from 310 to 294 on average—other people properties. The used tea bags can also be applied externally in the study experienced a significant decrease in blood as fungi-fighting compresses, according to the author. The latter group, characterized as responders, expe- rienced a 25-point drop in cholesterol after one month, To alleviate gas or persistent vomiting, Heinerman and this positive trend continued over the course of the recommends a dose of 3–6 drops of lemongrass oil (the short study. It may be placed on a sugar the responders had decreased by a significant 38 points. For sciatica, lower back pain, sprains, tendinitis, cholesterol returned to previous levels. It should be noted and rheumatism, the author suggests rubbing 10 drops of that this study did not involve a placebo group, which is the essential oil onto the skin of the affected areas. Precautions Considered an antiseptic and astringent, essential oil Lemongrass is not known to be harmful when taken of lemongrass is also used by some people to cleanse in recommended dosages, though it is important to re- oily skin and help close pores. Some herbalists recom- member that the long-term effects of taking the herb (in mend mixing a few drops of lemongrass with a normal any amount) have not been investigated. Lemon- should not be used internally by children, women who grass essential oil can also be used as a deodorant to curb are pregnant or breast-feeding, or people with liver or perspiration. Last but not least, the herb has a strong reputation as In rare cases, lemongrass essential oil has caused al- an insect repellent. It is an important ingredient in sever- lergic reactions when applied to the skin. Some authori- skin irritation, dilute the oil in a carrier oil such as saf- ties recommend rubbing the crushed herb directly on ex- flower or sunflower seed oil before application. As with posed areas of skin to avoid insect bites when enjoying all essential oils, small amounts should be used, and only the great outdoors. The relative safety and stability of lemongrass oil Avoid getting lemongrass (herb or oil) in the eyes. GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 1203 tralasian Journal of Dermatology 43 (August 2002): 211- KEY TERMS 213. Astringents are typically ORGANIZATIONS used to treat external wounds or to prevent bleed- American Botanical Council. Lemon balm—A herb with antiviral properties that is Greg Annussek also used to alleviate anxiety or insomnia. Myrcene—A compound found in the essential oil of lemongrass that has pain-relieving properties. Placebo—A sugar pill or inactive agent often used in the control group of a medical study. Leukemia Definition Side effects Leukemia is a cancer that starts in the organs that When taken internally in recommended dosages, make blood, namely the bone marrow and the lymph sys- lemongrass is not associated with any bothersome or sig- tem. Cases have been reported, however, be divided into two broad types: acute and chronic. Acute in which people have developed skin rashes after drink- leukemias are the rapidly progressing leukemias, while ing lemongrass tea.
Evaluation of the effects of L-acetylcarnitine on senile patients suffering from depression generic viagra extra dosage 150mg online erectile dysfunction treatment portland oregon. Melatonin in epilepsy: first results of replacement therapy and first clinical results. Melatonin effect on seizures in children with severe neurologic deficit disorders. Diet enriched with omega-3 fatty acids alleviates convulsion symptoms in epilepsy patients. Elevated polyunsaturated fatty acids in blood serum obtained from children on the ketogenic diet. Anticonvulsant effect of polyunsaturated fatty acids in rats, using the cortical stimulation model. L-5-Hydroxytryptophan in the prophylaxis of chronic tension-type headache: a double-blind, randomized, placebocontrolled study. MRI and neuropsychological improvement in Huntington disease following ethyl-EPA treatment. Melatonin in medically ill patients with insomnia: a double-blind, placebo-controlled study. Improvement of sleep quality in elderly people by controlled-release melatonin Lancet 1995; 346:541–1 59. The role of melatonin and circadian phase in age-related sleep- maintenance insomnia: assessment in a clinical trial of melatonin replacement. Melatonin effects on sleep, mood, and cognition in elderly with mild cognitive impairment. A randomized, double-blind, placebo-controlled crossover study of the effect of exogenous melatonin on delayed sleep phase syndrome. Daytime melatonin administration in elderly good and poor sleepers: effects on core body temperature and sleep latency. Melatonin for chronic sleep onset insomnia in children: a randomized placebocontrolled trial. Cytokine secretion and eicosanoid production in the peripheral blood mononuclear cells of MS patients undergoing dietary supplementation with n-3 polyunsaturated fatty acids. A double-blind controlled trial of long chain n-3 polyunsaturated fatty acids in the treatment of multiple sclerosis. Effects of coenzyme Q10 in early Parkinson disease: evidence of slowing of the functional decline. The effect of gamma-linolenic acid on human diabetic peripheral neuropathy: a double-blind placebocontrolled trial. Homeopathic treatment of migraine: a double blind, placebo controlled trial of 68 patients. Double-blind randomized placebo-controlled study of homoeopathic prophylaxis of migraine. Homeopathic treatment of mild brain injury: a randomized, double-blind, placebo controlled trial. Homeopathic vs conventional treatment of vertigo: a randomized double-blind controlled clinical study. Bridging the gap in complementary and alternative medicine research: manualization as a means of promoting standardization and flexibility of treatment in clinical trials of acupuncture. Kaplan Complementary Therapies in Neurology: An Evidence-Based Approach Edited by Barry S. This knowledge is recorded in the ancient literature of India, referred to collectively as the 1 Veda, recently categorized into 40 major groups of texts. Texts traditionally considered part of ayurveda include those of Charaka, Vagbhata, Sushruta, Bhela, Harita and Kashyapa. Collec-tively, they document several approaches to diagnosis, prevention and treatment of disease. A revival of the understanding of ayurveda in the broader context of Vedic knowledge has been undertaken by Maharishi Mahesh Yogi, who first came to prominence in the West over 40 years ago, with his introduction of the Transcendental Meditation (TM) technique.
That is that they have limits in their problem solving and information processing abilities order viagra extra dosage 200mg visa erectile dysfunction injection drugs. An individual cannot possess all the knowledge and information they require to solve problems and perform tasks. Copying or distributing in print or electronic forms without written permission of Idea Group Inc. Social Capital An Important Ingredient to Effective Knowledge Sharing 309 Glossary 315 Information systems designed for structured flow of information and integration by business functions and generating reports from a database. Computer architecture in which processors are connected in a manner suggestive of connections between neurons; can learn by trial and error. A design method in which a system is modelled as a collection of cooperating objects and individual objects are treated as instances of a class within a class hierarchy. The ability of an organization to gain knowledge from experience through experimenta- tion, observation, analysis, and a willingness to examine both successes and failures, and to then use that knowledge to do things differently. It refers to the processes between people which establish networks, norms, and social trust, and facilitate coordination and cooperation for mutual benefit. Compared with explicit knowledge, tacit knowledge is more difficult to articulate or write down and so it tends to be shared between people through discussion, stories and personal interactions. Designed to facilitate interaction and collaboration among people who share common interests and needs. Copying or distributing in print or electronic forms without written permission of Idea Group Inc. Mougiakakou Raouf Naguib 332 Index Excellent additions to your library– Please recommend to your librarian. Understanding the new responsibilities and a set of ground rules can ease this transition. What follows is a brief introduction to clinical medicine for the new clinical clerk. THE HIERARCHY Most services can be expected to have at least one of each of the following physicians on the team. The Intern In some programs, the intern is known euphemistically as the first-year resident. This duty, combined with a total lack of seniority, usually serves to keep the intern in the hospital more than the other members of the team and may limit his or her teaching of medical students. Any question concerning de- tails in the evaluation of the patient, for example, whether Mrs. Pavona gets a complete blood count this morning or this evening, is usually referred first to the intern. The Resident The resident is a member of the house staff who has completed at least 1 year of postgradu- ate medical education. The most senior resident is typically in charge of the overall conduct of the service and is the person you might ask a question such as “What might cause Mrs. A surgical service typically has a chief resident, a doctor in the last year of residency who usually runs the service. On medical services the chief resident is * Adapted, with permission, from Epstein A, Frye T (eds. The Attending Physician The attending physician is also called simply “The Attending,” and on nonsurgical services, “the attending. All major therapeutic decisions made about the care of these patients are ultimately passed by the attending. In addition, this person is responsible for teaching and evaluating house staff and medical students. They may or may not be active members of the team and may not be obligated to teach medical students, but usually they are happy to answer any questions you may ask. TEAMWORK The medical student, in addition to being a member of the medical team, must interact with members of the professional team of nurses, dietitians, pharmacists, social workers, and all others who provide direct care for the patient. Good working relations with this group of professionals can make your work go more smoothly; bad relations with them can make your rotation miserable. You will occasionally meet a staff member who is having a bad day, and you will be able to do little about it. Returning hostility is unwarranted at these times, and it is best to avoid confrontations except when necessary for the care of the patient.
Treatment with immunoglobulin is given been any response to normal childhood immunizations every three to four weeks and is usually effective in pre- (such as the tetanus discount viagra extra dosage 150mg with amex impotence young male, diptheria, and pertussis vaccines). Patients with Bruton agammaglobulinemia are unable to Side effects from or allergic reactions to respond with antibody formation following immuniza- immunoglobulin are infrequent, but about 3-12% of tion. Confirmation of the diagnosis can be made by people will experience shortness of breath, sweating, demonstrating abnormally low numbers of mature B cells increased heart rate, stomach pain, fever, chills, in the blood or by genetic studies that look for mutations headache, or nausea. These symptoms will usually sub- 180 GALE ENCYCLOPEDIA OF GENETIC DISORDERS side if the immunoglobulin is given slowly, or the reac- While current therapy allows most individuals with tions may disappear after receiving the immunoglobulin Bruton agammaglobulinemia to reach adulthood, the several times. Paralysis of the legs may sary to use a special filtering process before giving the result from the poliomyelitis virus. Fatal agammaglobulinemia, antibiotics (medications which brain infections have been reported even in patients kill bacteria) are also given to help fight off the infection. Finally, some patients may develop antibiotics may be given every day, even when there is no leukemia or lymphoma. If chronic diarrhea is experienced by the patient, tests should be performed to look for the parasite Giardia BOOKS lamblia, and proper antibiotics should be given to kill the Ammann, A. Prognosis WEBSITES Without immunoglobulin treatment, 90% of patients “Bruton Agammaglobulinemia Tyrosine Kinase. In most patients who have been diag- nosed early and are receiving immunoglobulin on a reg- ular basis, the prognosis is reasonably good. They should Oren Traub, MD, PhD be able to lead a relatively normal childhood and need not be isolated to prevent dangerous infections. Simpson-Golabi-Behmel syndrome GALE ENCYCLOPEDIA OF GENETIC DISORDERS 181 C Campomelic dwarfism see Campomelic both bone formation and testes development. Every dysplasia developing baby in the womb (fetus), whether genetically male (XY) or female (XX), starts life with the capacity to develop either male or female sex organs. After a few weeks, in an XY fetus, the genitals develop into male genitals if male hormones are present. In the absence of ICampomelic dysplasia male hormones, a female body type with female genitals Definition results. Campomelic dysplasia is a rare, often lethal, genetic In individuals with campomelic dysplasia, the SOX9 condition characterized by multiple abnormalities includ- gene is altered such that it does not work properly. This ing short limbs, bowed legs, distinctive facial features, causes the testes to form improperly and the male hor- and a narrow chest. It is also often associated with abnor- mones are not produced; thus, individuals who are genet- mal development of the sex (reproductive) organs in ically male (XY) can develop as normal females. Since SOX9 is Description also important for proper bone formation, the bones of the body are also affected causing short stature, bowed Campomelic dysplasia is also known as campomelic legs, and other problems. This condition affects the bones and cartilage of the body, There are usually two normal copies of the SOX9 causing significantly short arms and legs, bowing of the gene: one copy of the gene is inherited from the mother legs, small chest size, and other skeletal (bony) and non- and one copy is inherited from the father. Some genetic males with campomelic dysplasia is inherited as a dominant condition. Death often results in dominant conditions, a person only needs one altered the newborn period due to breathing problems related to gene copy to develop the condition. Campomelic dysplasia is caused by the SOX9 gene that causes campomelic dysplasia is an alteration (mutation) in a gene called SOX9. When this altered sperm or egg is fertilized, the child that results has Campomelic dysplasia is caused by an alteration in campomelic dysplasia. The chance for parents of a the SOX9 gene, which plays a role in bone formation and child with campomelic dysplasia to have a second child testes development. Genes are units of hereditary mate- with the same condition is slightly higher than it would rial found on chromosomes, which are passed from a be for another couple who has not had a child with this parent to a child through the egg and sperm. A person who has campomelic dysplasia can mation contained in genes is responsible for the develop- pass on their altered SOX9 gene to his or her future ment of all the cells and tissues of the body. GALE ENCYCLOPEDIA OF GENETIC DISORDERS 183 the fact that individuals with campomelic dysplasia typi- KEY TERMS cally have curved or bowed legs. The condition causes Amniocentesis—A procedure performed at 16-18 significantly short stature, which is evident from birth.
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