Catherine Koshland PhD, MS, BA
- Professor, Environmental Health Sciences / Engineering
https://publichealth.berkeley.edu/people/catherine-koshland/
I contact the 30 impotence losartan kamagra soft 100 mg without prescription, 2008 the Case-Shiller home price index reported its Museum by phone and fax but I am unable to get an original xarelto impotence kamagra soft 100 mg with visa. A museum impotence quoad hanc kamagra soft 100mg low cost, with digital photos of three dimensional sent them in an e-mail of 30 April 2012 erectile dysfunction protocol pdf download free order kamagra soft 100mg visa. When their last payment for the remainder erectile dysfunction lotions cheap kamagra soft 100 mg amex, from Methuen erectile dysfunction treatment las vegas order kamagra soft 100 mg with mastercard, Massachusetts, largely out of need of money. Photos show both dishes and the front of the Primasoy It grows at about half the speed of regular tempeh starter but Organic Tempeh label. Note: this newsletter is published the mycelium is very thick and completely white. It does not by the consulate general of the Republic of Indonesia, sporulate or produce black spore spots unless it is allowed to Melbourne. Color slides show each of the "I have often come across this quote from Margaret companys soyfoods products in a large window. An orange lady bird beetle how many of those occasions did I stop to think deeply about ies and walks over the homepage. Address: the fact that every moment of every day of my life is richer Klanjec 30a, Rakitje, 10437 Bestovje [Croatia]. Turning to tempeh: the Brown be in charge of his or her own life, and the unofficial adopted family has been making tempeh since the late seventies. Tempering tempeh traditionally on March 31, 1926 with a rare and serious congenital heart (how the Browns make tempeh). Cornellias passing comes exactly 8 years to the day to 300 lb/day and soon plan to be producing 400 lb/day of after the death of her husband, partner, and likewise much certi ed organic tempeh. They focus on the process and loved teacher, Herman, and just a few weeks shy of her 80th paying attention. Though it was a working from sunup to long after sundown helping folks strange concept to me, a child of 20th-century America who were sick nd the path to recovery. While students at Vega we were caught up in the "Nowadays, when I walk into a grocery store-whether whirlpool that was Cornellia, engulfed in the swirling waters my local co-op, a Whole Foods superstore, or even an of her wisdom, day in and day out. We learned to use see shelves over owing with inexpensive natural foods I can ginger compresses to relieve pain and help restore kidney buy to help keep me physically well and mentally clear. I can function by dipping towels in hot ginger water and applying easily ll my organic cotton shopping bag with tofu, tempeh, them to each other over and over again. And we learned to bags of brown rice and millet and quinoa, 6 or 7 varieties of make miso and takuan pickles and mochi and shoyu by. It wasnt a joke that a cooking very same stores that only a few short years ago offered us video Cornellia made in English required sub-titles to be mostly boxes and bags and cans of packaged, processed, added so that we could understand what she was saying. But frozen, freeze-dried, preserved and-lately-genetically difficult as it was to understand her words, Cornellia would modi ed food-like substances. She lived her life full speed ahead and in her wed spend cooking with these modern groceries, Cornellia teaching she employed this same approach. And, boy oh boy, grandmother as an almost 5-foot tall Japanese woman with am I glad they chose to dedicate their lives to teaching us slightly sad, dark eyes, long dark hair wound up in a tight what the ads failed to mention. Study Center they founded in Oroville, California when I "Cornellia and Herman were as different as night and became a resident student and kitchen apprentice there in day. She just didnt have time for long-winded a lack of sufficient oxygen intake could slow the bodys discussions of how every precious detail of cooking my rice natural ability to eliminate the damaged cells, how animal each day could contribute quite a bit over my lifetime of protein serves as the building blocks of cancer cells, and how eating it. Thanks for the 50+ years you cooked for ourselves long enough and paid attention to the worked so hard to gather your experiences of cooking and changes we saw in our bodies and our minds, eventually eating and healing and chanting and exercising and playing each of us would come to understand how what we put in our and praying and. Remembering Cornellia: Thanks for trying so desperately to teach me what you or, How could I forget Thanks soul who thought doing was more important than talking, and for the long days and long nights. Thanks for sweating the maybe partly because she just got tired of working so hard details. But she was determined that each of her "Oh, and thanks for never giving up on me. And every day of us would fail to understand Cornellias barked orders as while I gently warm my rice over the lowest possible ame we worked to roast some sesame seeds so each individual for exactly twenty minutes, every time I turn the ame to tiny seed was equally well browned or we carefully cut a high to bring the cooker up to full pressure, each time I carrot into what should have been pieces of Exactly the same place my ame tamer under the pot so all my grain will cook size. After resolutely repeating her unintelligible directions evenly, Ill think of you. Next time I put the sweet white for the 3rd time, Cornellia might lose her patience and raise miso in my shopping cart at Whole Foods, next time I forego her voice in exasperation as if increasing the volume might the air conditioning and open the windows wide to let in the somehow make up for the speech problem. But soon enough we would each come to see that can hold the focus, Ill try to forget my trials and tribulations Cornellias insistence and persistence were just the outward and the challenges that are just a part of everyday life, and manifestations of the very deep love she was offering us, Ill recall instead the many, many gifts you and Herman have her newly rescued waifs. After a few more years of studying and trying my werent using the right instruments. Most people now use plastic friend gave him on his rst trip to Vega, "when Herman asks bags as well as starter from a lab. I am collecting starter you how long youve been studying macrobiotics, just say, cultures. Iowa Soybean Review (Iowa "I am also connected with some university people: Soybean Association, Urbandale, Iowa) 17(7):14. He is supposed to be a specialist in the market for soyfoods in Indonesia is also huge and oncom. There, on 10 acres of land, in eastern China, along the northern part of China, branching Allan and Susan Brown and friends produce from 250 to 400 into todays Central Asia, south of the Caspian Sea, through pounds of tempeh a day. This Arab blockade was one of the reasons for the search Tasty traditional tempeh. For example, in May 1498, Vasco da Two smaller versions (22 cm) are in either English or French, Gama was the rst European to discover a sea route to India. Another reason it took so long for information about the A pressure sensitive logo in light green, black and white on a soybean to reach Europe from China was that the soybean dark green background is affixed to the top one-third of each. Re: Studying tempeh and in the eld; everyone knows what rice, wheat and corn look oncom [ontjom] production in Indonesia. Bioscience, Biotechnology, and Biochemistry did not arrive in Europe until the late 1730s. Phylogenetic is tonyu, miso is miso, natto is natto, and green vegetable trees showed three major clusters corresponding to the soybeans are edamame. Even three groups in the current morphological taxonomy, in the Western World today, many of these traditional foods microsporus-group, stolonifer-group, and R. These results indicate the the soybean and its products was Engelbert Kaempfer; he possibility of molecular identi cation of species groups made this clear in his book Amoenitatum exoticarum. Reclassi cation of the genus might Yet most Westerners did not understand this connection until be appropriate. Reduction of phytate content while preserving 5, 9, and 11 are six independent sequences from R. Bootstrapping analysis gives a way to judge experiments barley samples were exposed to an optimised the strength of support for clades on phylogenetic trees. A process with prolonged soaking at a higher temperature and number is written by a node, which re ects the percentage the pearling residues were returned before fermentation. Note: Two epidemiological study showed that Asian women consuming business cards photocopied with the article show: (1) Noble diets rich in soy have signi cantly lower rates of breast Beans 25th anniversary. The only product form, can stimulate the growth of estrogen-receptor-positive they will discontinue is the commercial tempeh starter (for breast-cancer cells. She is an active volunteer in soy have signi cantly lower rates of breast cancer than in the local food bank (where people in need can come to Western women have. Weil was particularly pleased to see a new study nutrition (including the health bene ts of fermented foods of Asian-American women done by the National Cancer and soyfoods) and donates large amounts of the ke r she Institute. George Carlin, the comedian, is part of the local as children, adolescents and adults. It is a thriving community doing consistent association was among women who ate the most lots of good work, and Betty feels blessed to be alive and soy-based foods from ages 5 to 11. Bragg, California hormone-fueled breast cancer was only 58% as much as the 95437-4127. The wisdom of "Regular, moderate consumption of whole-soy foods (such menopause: Creating physical and emotional health and as soynuts, edamame, soymilk, tofu and tempeh) probably healing during the change. Weil believes that women who have a history of and accurate section on the ability of soyfoods to relieve breast cancer should be introducing their kids to soy foods at menopausal symptoms. Beautiful across bottom of article, titled "What we eat," states: (1) In skin and soy (p. Its a simple blood test, and it will put your mind and Vicki at the Tempeh Lab on the Farm in Tennessee is at ease. Nutritional properties of tempeh our from On pages 9-10 is a very interesting but brief discussion quality protein maize (Zea mays L. On page 10 are 6 photos taken by the writer in fermented our may be considered for the forti cation of 2006 showing how the product is made, and then sliced and widely consumed cereal-based food product (tortillas, bread, dried in Qian Jiang, Hubei Province, China. Soybean production and utilization for food: Soyfoods percent of the rst edition, which was praised for its wit as in Asia, soyfoods in Europe, soyfoods in Africa, soyfoods well as its wisdom. Tom Jaine, editor of the second edition, in the United States: Development of the U. The front matter, which is 10 pages ingredients: Whole dry soybeans, tofu, soymilk, tempeh, longer, begins with "Alan Davidson: A tribute" (p. Entries in the 1st edition are generally on a green vegetable soybeans (edamame), soy sprouts, full-fat different page in this edition. Tofu, for example, formerly soy our, defatted soy our, textured soy our, soy protein on pages 798-99, is now on pages 801-02; however the concentrate, soy protein isolate. The marvelous illustrations in both Tables: (1) World soybean production by major editions are by the same artist. Microbial dynamics during contains several basic errors concerning the early history barley tempeh fermentation. The reference to soybeans in Chinese literature does not date chapter on "Entrees" (p. Edamame, whole Shurtleff 2005, "Debunking soybean myths and legends in soybeans, tamari, and soy cheese are included. Natto, tenpe, chongutchan [Delicious recipes that make you beautiful: Believe in the power of soybeans: 3908. Japanese pickles, common side has many ne color photos) is a long, interesting entry for dishes, sekihan made with glutinous rice, mochi, tempeh, "Indonesian sweet soy sauce (kecap manis, p. Tokyo: Nosan Gyoson Bunka soy sauce is hugely popular in the cooking of Indonesia Kyokai. Okowa refers to a festive dish made by or sauce, from which we get the word ketchup. It was boiling glutinous rice with azuki beans (which are red and probably handed over by traders from southern China who add a festive color to the dish). Sekihan is usually made by long ago traveled extensively to the Indonesian islands. Microbial biotechnology: Indonesian sweet soy sauce is mixed with sliced red chiles principles and applications. He golden brown, misolike condiment made of fermented advocates eating soybeans and soy products; because of soybeans, rice our, sugar, and salt). No other legume can a long and very interesting introduction about the authors be used in so many delicious ways" (p. One of visit to Rahmat, a traditional tempeh maker and his shop his 15 "power foods" is soy (p. He likes juicing and raw in Yogyakarta, Java; he wanted to learn how tempeh is foods; in the chapter on beverages he sometimes adds 1-2 made. Recipes: Garlic-marinated tempeh (Tempe goreng, tablespoons soy protein powder, or a cup or so of soymilk or Indonesia). Caramelized tempeh with chiles Fermentation (along with cooking) helps to reduce the phytic (Tempe kering, Central Java, Indonesia). Soy foods do not contain reliable vitamin vegetables in coconut milk (Sayur lodeh, Malaysia). The author states several times that soy protein is not cooked tofu with coriander (Tahu goreng bacem, Central complete protein. She discusses the important part well, thoughtfully and fairly written; the author has written that soy plays in the Okinawan diet, where the people have for Time magazine and comes with very good credentials the highest longevity in the world. She lists the many traditional soyfoods opened the rst farmers market in London on June 6, 1999.
Pfaller M A impotence specialist cheap kamagra soft 100 mg line, Messer S A erectile dysfunction nursing interventions purchase genuine kamagra soft, Houston A erectile dysfunction doctor in chennai discount 100mg kamagra soft overnight delivery, Rangel-Frausto M S erectile dysfunction cvs discount kamagra soft 100 mg, Wiblin Singh N: Antifungal prophylaxis for solid organ transplant recipi T erectile dysfunction products order genuine kamagra soft, Blumberg H M erectile dysfunction quad mix discount 100mg kamagra soft otc, Edwards J E, Jarvis W, Martin M A, Neu ents: seeking clarity amidst controversy. National epidemiology of mycoses survey: a Solomon S L, Alexander H, Eley J W, Anderson R L, Goodpasture multicenter study of strain variation and antifungal susceptibility H C, Smart S, Furman R M, Martone W J. Epidemiology and preven Pinner R W, Teutsch S M, Simonsen L, Klug L A, Graber J M, Clarke tion of invasive aspergillosis. Candida parapsilosis: epidemiology, pathogenicity, Pittet D, Tarara D, Wenzel R P. Nosocomial bloodstream infection clinical manifestations, and antimicrobial susceptibility. Weems J J Jr, Chamberland M E, Ward J, Willy M, Padhye A A, Rangel-Frausto M S, Wiblin T, Blumberg H M, Saiman L, Patterson Solomon S L. Candida parapsilosis fungemia associated with par J, Rinaldi M, Pfaller M, Edwards J E, Jarvis W, Dawson J, Wen enteral nutrition and contaminated blood pressure transducers. Con fections due to Candida species in seven surgical intensive care struction activity: an independent risk factor for invasive as units and six neonatal intensive care units. Discovered in the late a heptaene macrolide consisting of seven conjugated 1950s, it was approved for human use as an antimy double bonds within the main ring, a connecting my cotic in 1960. Initial formulations of amphotericin B cosamine through a glycoside side chain, and a con were plagued with impurities. Amphotericin B sumably secondary to these impurities, and endotoxin is relatively insoluble in water and derives its name like infusion-related reactions were common. Although from its amphoteric property to form methanol solu improvements in purification and fermentation over the ble salts under both basic and acidic conditions (Gal last 30 years have enhanced tolerability, infusion lis et al, 1990; Lyman and Walsh, 1992). Formulations using a lipid carrier have cholate, which results in formation of a micellar dis significantly improved tolerability. Safety aside, am persion upon reconstitution in 5% dextrose or water photericin B remains the most effective, broad-spec (Gallis et al, 1990; Patel, 1998). Alternative formula trum, fungicidal agent with the greatest experience for tions of amphotericin B have been devised in an effort the treatment of systemic mycoses. The treatment failures ter-soluble methyl ester preparation showed promise seen with amphotericin B are multifaceted. These can initially as higher doses of the drug could be adminis be attributed to delays in diagnosis of invasive mycoses, tered without associated nephrotoxicity. Unfortunately the immune compromised state of the patient being several patients developed leukoencephalopathy in clin treated, the unique pharmacokinetic/pharmacodynamic ical trials and the product was abandoned (Schmitt, properties of the different formulations, and dose lim 1993). In an effort to enhance an Recently three lipid-based preparations of ampho tifungal efficacy and reduce toxicity, amphotericin B tericin B have been developed. These authors opinion that combination therapy will be used amphotericin B lipid preparations are discussed in de increasingly for the treatment of systemic mycoses. Where appropriate we compare and contrast these dif Mechanisms of Action ferent formulations with an emphasis on unique phar the primary antifungal activity of amphotericin B is macologic properties or clinically relevant differences mediated by its preferential binding to ergosterol in the in toxicity or outcome that favor one preparation over fungal cell membrane. The latter prob Amphotericin B is a polyene antifungal that, along with ably plays an important role in its associated toxicity amphotericin A, is produced by the soil actinomycete (Abu-Salah, 1996). There is also evidence to suggest that amphotericin and Pollack, 1989; Cleary et al, 1992; Rogers et al, B-mediated cell killing may be due in part to the oxi 1998), and increases nitric oxide synthesis in human dizing properties of the drug that results in the pro monocytes (Mozaffarian et al, 1997). Inhibition of both spon lase and superoxide dismutase (Sokol-Anderson et al, taneous and antigen-induced transformation, as well as 1986). The presence of seven conjugated double bonds antibody-dependent cellular toxicity of human lym in the chemical structure of amphotericin B renders it phocytes has been reported with amphotericin B prone to auto-oxidation (Sokol-Anderson et al, 1986; (Roselle and Kauffman, 1978; Nair and Schwartz, Osaka et al, 1997), leading some investigators to spec 1982). Finally, amphotericin B also has been Schwartz, 1982; Hauser and Remington, 1983). While the munomodulatory effects of amphotericin B have been direct antifungal activity of amphotericin B has been found to be diverse and contradictory. The reported extensively validated, the in vivo role of its im differences in amphotericin B-induced immunomodu munomodulatory properties has not been sufficiently lation may be the result of a number of factors including defined. Amphotericin B has been shown Spectrum of Activity to act as an immunoadjuvant by stimulating cell pro Amphotericin B is active against most of the common liferation and cell mediated immunity in murine mod yeasts, moulds, and dimorphic fungi causing human els (Bistoni et al, 1985). Amphotericin B has also been infection including: Candida species, Cryptococcus shown to enhance the phagocytic and antibacterial ac neoformans, Blastomyces dermatitidis, Histoplasma tivity of macrophages and to increase colony-stimulat capsulatum, Coccidioides immitis, Paracoccidioides ing factor concentrations in mice (Lin et al, 1977). This polyene also has enhances macrophage tumoricidal activity that was in some degree of activity against the protozoa Leishma dependent of its ionophoretic properties (Chapman and nia brasiliensis, and Naegleria fowleri (Gallis et al, Hibbs, 1978). Following an intravenous infusion, ampho selective laboratory techniques or after clinical usage, ap tericin B is bound primarily to lipoproteins, cholesterol, pears to be uncommon. Others have suggested that resist cluding the lungs, spleen, liver, and kidneys (Collette ance to amphotericin B in yeasts may occur through et al, 1989). The volume of distribution is 4 liters/kg increased catalase activity, impairing amphotericin and appears to follow a three-compartment model of B-induced oxidative damage (Georgopapadakou and distribution. Unfortu Susceptibility Testing nately, the measurement of lean body mass is not al Routine susceptibility testing for amphotericin B is ways practical. Interpretive break points that correlate in obese patients should be based on calculated ideal body vitro activity with clinical outcomes are limited (Van weight. Amphotericin B is bound extensively in tissues den Bossche et al, 1998; White et al, 1998a; Ghannoum and can be detected in the liver, spleen, and kidney for and Rice, 1999). The use of in vitro susceptibility stud months after treatment has been terminated (Chris ies is further complicated owing to the variable results tiansen et al, 1985). The recent efforts sue concentration and clinical efficacy or toxicity has of the National Committee of Clinical Laboratory Stan not been clearly established. Although clinical efficacy of routine use of susceptibility testing of clinical isolates amphotericin B has been repeatedly documented for the to amphotericin B is not recommended. Susceptibility treatment of central nervous system fungal infections testing of clinical isolates may be helpful for patients. For example, clinical els are low, usually less than 5% even in the presence failure using amphotericin B to treat serious candidal of inflamed meninges. It should be noted, however, that clinical has been documented in animal models of meningitis failure in amphotericin-treated patients is not neces (Gallis et al, 1990). Susceptibility testing may also be clinically useful metabolites have yet been identified. Less than 5% of in guiding treatment of rare pathogens where resistance the administered dose is excreted in the urine and bile. When patient samples can be Serum concentrations, as such, are not changed and processed in a clinically relevant time frame and accumulation of amphotericin B does not occur in stronger clinical correlations are developed, routine sus patients with hepatic or renal failure. For a modialysis or peritoneal dialysis does not influence more complete discussion, see Chapter 1. Amphotericin B 37 son and Bennett, 1978; Daneshmend and Warnock, Initial studies evaluating amphotericin B pharmaco 1983; Gallis et al, 1990; Patel, 1998; Gussak et al, dynamic models in vitro and in vivo have been con 2001). B are different in children as compared to adults (Starke In a study of neutropenic mice infected with Candida, et al, 1987; Benson and Nahata, 1989). Data on these important pa Pharmacodynamics rameters affecting antimycotic pharmacodynamics and Pharmacodynamics involves the integration of several clinical outcome have not been adequately defined. Additionally, using selecting the optimal anti-infective treatment regimens non-linear regression, a strong relationship was also for bacterial infections. Amphotericin B has tradi property is characteristic of a nonconcentration tionally been portrayed as a concentration-dependent dependent. Specif ratios of amphotericin B and their relationship to clin ically, the enhanced tissue storage and long elimination ical outcome in human infections is incomplete. The rates of amphotericin B confound traditional dynamic lack of standardized antifungal susceptibility testing has estimates and the release of free drug from tissue sites also hindered studies exploring amphotericin B phar is difficult to discriminate from the residual effects of macodynamics. Additional studies are required to evaluate the the utility of amphotericin B is hindered by significant predictive value and clinical usefulness of these phar toxicity. Although amphotericin B has a greater affin macodynamic parameters in optimizing therapy of hu ity for ergosterol, its affinity for cholesterol in the mam man infections. Additionally, nor tion of mammalian cells is believed to be the underly mochromic, normocytic anemia is frequently observed, ing cause of most of the adverse effects associated with likely in response to decreased erythropoietin produc this drug (Andreoli, 1973; Hsuchen and Feingold, tion (Lin et al, 1990). Reversible renal impairment occurs within 2 found in the renal tubule lumen, tubule cells, and in weeks of therapy in more than 80% of amphotericin terstitium upon histopathologic examination of renal B treated patients (Butler et al, 1964). Infusion-related tissue specimens obtained from patients treated with fever and chills are observed in over half of the patients amphotericin B (Sabra and Branch, 1990; Carlson and receiving amphotericin B. Many thrombophlebitis, nausea, vomiting, headaches, myal clinicians accept an endpoint at which some interven gias, and arthralgias. Less frequently, cardiac arrhyth tion is required as a rise in serum creatinine of greater mias and pulmonary toxicities have been reported. For patients with a serum creatinine above fusion-related, dose-related, or idiosyncratic reactions. The action taken is vari of fever, chills, nausea, vomiting, headache, and hy able and ranges from amphotericin B discontinuation potension. Cardiac arrhythmias may occur when high or dosage reduction, stopping concurrent nephrotoxic concentrations are rapidly infused, especially in patients drugs, changing to an alternate day infusion schedule with heart disease, patients with renal failure and those and pretreating patients with normal saline. There are receiving an accidental drug overdosage (Cleary et al, no clinical trials that identify the optimal therapeutic 1993). Dose the mechanism of amphotericin B-induced nephro related reactions occur with longer courses of treatment toxicity is multifaceted. Examples include renal strated the vasoconstrictive properties of amphotericin dysfunction with secondary electrolyte imbalances and B, particularly with regard to the afferent arteriole anemia. Increased tubule permeability has include anaphylaxis, liver failure, hypertension, and res also been demonstrated (Cheng et al, 1982). Conversely, experience is that patients having severe infusion reac damage to the medullary thick ascending limb by am tions often have undiagnosed adrenal insufficiency (es photericin B was ameliorated by ouabain in a rat kid pecially those with disseminated histoplasmosis); con ney model, suggesting an alternative role for this pump sequently, adrenal function should be evaluated in these in amphotericin B-induced nephrotoxicity. These infusion-related effects are believed suggested a role for amphotericin B-induced release of to be due to the production of proinflammatory medi prostaglandins and leukotrienes as well as oxidative in ators by monocytes and macrophages in response to jury in this process (Carlson and Condon, 1994). The patient to quent impairment of glomerular filtration (Sabra and patient variability of amphotericin B infusion-related Branch, 1990). Dehydration and sodium depletion ac toxicity may correlate with quantitative differences in centuate this response and exacerbate amphotericin cytokine production in vivo (Gelfand et al, 1988). Sodium loading with intravenous the clinical manifestations of amphotericin B administration of 500 mL to 1000 mL of normal saline induced nephrotoxicity include decreased glomerular fil prior to initiation of amphotericin B, when tolerated tration, decreased renal blood flow, and renal tubular by the patient, is recommended in order to decrease the acidosis. Secondary consequences such as hypokalemia likelihood of renal toxicity (Branch, 1988). Amphotericin B 39 Drug Interactions hance curariform effects related to the hypokalemia Drugs that interact with amphotericin B are best cate (Tatro, 1998). Amphotericin B-induced hypokalemia gorized by the effect they have on a clinical outcome can also enhance the cardiac effects of digitalis glyco of amphotericin treatment. In these cases, patients suffered car agents as (1) those that alter therapeutic outcome, (2) diac dysfunction that would be difficult to differenti those that alter toxicity, and (3) those that have mis ate from the direct effects of amphotericin B on the cellaneous outcomes. Amiloride has come include those that exert a direct synergistic or been suggested for concomitant administration to de antagonistic effect on the microbiologic activity of am crease the hypokalemia in patients receiving digitalis photericin B and those that improve therapeutic out glycosides. However, the effect is difficult to predict come indirectly by enhancing the patients immunity. Controversy exists concerning the risk:benefit addition, the infusion of amphotericin B formulations ratio of corticosteroids for prevention of infusion concomitantly with other antiinfectives (amikacin, related reactions. Clinical experience overwhelmingly ampicillin, aztreonam, carbenicillin, clindamycin, co supports the therapeutic benefit of administering hy trimoxazole, fluconazole, gentamicin, linezolid, nitrofu drocortisone to patients suffering infusion-related re rantoin, penicillin G, and pipercillin) may induce pre actions. Although further investigation of this therapeu tivity and/or toxicity profile of amphotericin B is its ad tic issue is required, it seems prudent to limit the dose ministration in combination with another antifungal or and duration of corticosteroids by a therapeutic taper pharmacologic agent. Anti be avoided owing to their potential to enhance am tumor necrosis factor or interleukin-1 beta antibodies photericin-induced renal insufficiency. A more traditional meperidine has proven useful in abrogating infusion approach would be to use another antimycotic in com related rigors (Burks et al, 1980). For example, pretreatment with an im pentamidine (Antoniskis and Larsen, 1990) and other idazole prior to the administration of amphotericin B nephrotoxic agents such as aminoglycosides or radio has been reported to be antagonistic (Sugar, 1995). Diligent monitoring of re Other studies, however, have documented additive or nal function is warranted in patients treated concur synergistic activity when triazoles were combined with rently with these nephrotoxic agents. Owing to these A variety of other therapeutic agents may result in differing results, the routine use of an azole with am amphotericin B-associated adverse events that require photericin B has not been recommended. Pulmonary leukostasis and respi may be reexamined in light of the completion of a re ratory failure associated with concomitant leukocyte cent trial comparing amphotericin B in combination transfusions or indium-labeled leukocyte scanning can with fluconazole to amphotericin alone for the initial be life-threatening (Wright et al, 1981; Dutcher et al, treatment of candidemia (Rex et al, 2003). However, the incidence of this reaction has to studies with the azoles, the clinical benefit of using markedly decreased with less frequent use of autoinfu amphotericin B in combination with flucytosine for the sion of leukocytes.
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Using preservative solution solution is properly used, fowers can be harvested helps open more fowers per stem but doesnt with no color showing and subsequently opened. If the neck of fowers is bent upward, they have been transported at warm temperatures Special Considerations and have responded to gravity. Premature fower fall is caused mainly by ethylene, especially for immature fower buds. Grading and Bunching the common blue cultivar Mooreanus is much less prone to premature fower fall than the white No formal grade standards have been established. Lily, Asiatic Lily, Oriental Lily Ethylene Sensitivity Scientifc Name and Introduction Ethylene exposure results in loss of forets from Lilium spp. The brightly Pretreatments colored fowers of hybrid lily cultivars have become increasingly popular as cut fowers and the vase life of freshly cut agapanthus fowers have excellent vase life, especially if pretreated was shown to be signifcantly extended by to prevent effects of ethylene. Avoid bunches with a number of open fowers, since they Packing probably have been held at warmer temperatures during marketing. Grading and Bunching Special Considerations Although there are no grade standards for lilies, the number of buds per stem, the stage of Proper cultivar selection (van der Meulen maturity, and the color and quality of the foliage Muisers et al. Lily Ethylene Sensitivity pollen can stain almost anything; removing stamens containing the pollen does not affect Exposure of lilies to ethylene results in petal fower life. Introduced into cultivation preservative solution containing 10% sucrose can from Texas, production of lisianthus has increased improve subsequent bud opening, and it is also dramatically, spurred by development, mostly in possible to reduce postharvest leaf yellowing in Japan, of excellent cultivars with a wide range of susceptible cultivars by pretreating them overnight colors and single and double forms. Borne on a perennial bush, fowers have long been Ethylene Sensitivity an inexpensive staple for forists, often dip-dyed to provide different colors for special holiday Lisianthus is slightly sensitive to ethylene. Their postharvest life is relatively long Exposure of mature fowers to ethylene will but often limited by wilting or yellowing of the decrease their ultimate vase life, but the effect is foliage. The specifc epithet frutescens means relatively slight and does not warrant treatment bushy. Purchase when at least two to three fowers per stem are fully open with no yellow foliage Lisianthus fowers are sensitive to gravity, and present. Marguerites are usually bunched in the feld, and the bunch will contain fowers of varying maturity and size. The cost of grading fowers in a packing Special Considerations shed precludes this practice in such a low-return crop. Each bunch has 20 stems, or sometimes Lisianthus is sensitive to some of the biocides 10 stems when sold to supermarkets. Quality in preservatives, which may cause browning of marguerites have strong stems, healthy dark green 1) and the stems. Orchid fowers are usually harvested 3 to 4 days after opening because fowers cut prematurely will fail to develop normally off the plant. Early Packing and late in the season, individual fowers are cut from the spike as they develop because prices Marguerites are normally packed in special "daisy are high at these times. With plant to plant during harvest, so cutting tools present cooling systems, it is almost impossible to should be sterilized before being used on the next cool fowers packed in this way. Preservative solutions offer varying degrees of beneft depending on Ethylene Sensitivity brand. The family Proteaceae includes fowers and should be standard practice for these a diverse range of species of trees and shrubs in fowers. Storage Conditions the fowers are normally pollinated by birds and produce copious amounts of nectar, explaining Temperature can range from 0 to 12. Many cultivars family name refers to the diversity of forms are not chilling sensitive and therefore can be of the fowers. If feasible, leaving fowers on the plants at room temperature is a good storage procedure. Be careful not to remove or knock off the pollinia Quality Characteristics and Criteria (anthers) as this causes an immediate surge in ethylene production, which in turn causes Foliage is cut when mature (no soft tips), and the premature death. The two most common ethylene induced symptoms are fower discoloration and premature wilting and fower fall. Packing Quality Characteristics and Criteria Proteas are normally packed in horizontal fberboard boxes. Flowers harvested before the sepals refex may fail Leaves turn black due to lack of carbohydrate to open or may be more susceptible to bent neck. Roses should be purchased Rose, Spray Rose, Sweetheart Rose and sold by cultivar name. Defects on the outer "guard" Packing petals are not normally a cause for down-grading, because these petals are removed by the retail Rose bunches are routinely sleeved in plastic, forist. This "spiral" bunch used by many off-shore producers operation has little effect on vase life if fowers are increases the diffculty of precooling the fowers, placed in an effective preservative. Botrytis infection is layer, staggered two-layer) depend on market a common result of the presence of free moisture preferences. Ethylene Sensitivity Special Considerations Some cultivars are ethylene sensitive. The fungus shipped through distribution centers, and also treat Botrytis represents a major problem for roses. Rehydrate after cutting, Snapdragon storage, and on arrival at the retail outlet with a rehydration solution. Commercial rehydration Scientifc Name and Introduction solutions are effective, as is clean water containing 1 hypochlorite, preferably below pH 5. Snapdragons used to be considered very sensitive to ethylene, but the newer cultivars have been selected for ethylene resistance, and ethylene Storage Conditions normally causes a problem only when present in moderate concentrations. A less mature stage Pulse treatments with naphthylpthalamic acid or is desirable for shipping and short-term storage. Avoid fowers with excessive stem bending and yellowing foliage, which indicate poor temperature management after harvest. Bud-harvested fowers are ones in which the bottom two or three forets have colored petals emerging about one-quarter of an inch above Ethylene Sensitivity the calyx. Pretreatment with naphthyphthalamic acid can overcome this bending, but it is not registered for this purpose. When grown as a garden plant, this effect is not apparent since the "fowers" are treat the fowers as an annual, although many will papery bracts surrounding the true fowers. In respond as a perennial, depending on location and hybrid statice cultivars, effective treatments to cultivar. Statice, German Statice Pretreatments Scientifc Name and Introduction Hybrid statice benefts enormously from Limonium spp. Other species of present in the preservative extends the life of Limonium are sold in the trade as German, individual forets and promotes fower opening, latifolia, sea foam, and caspia statice. Hybrid resulting in up to 3-fold increases in longevity of Limonium cultivars, grown from tissue culture, inforescences (Burge et al. Their vase life is greatly improved by pretreatments to prevent the effects of ethylene and to improve bud Storage Conditions opening. Storing statice under lights can retard Quality statice is of the correct maturity and is leaf yellowing, but this may be hard to do in free of defects and disease. A very traditional feld fower with spikes of aromatic fowers in a wide range Packing of colors, stock continues to be a staple foristry item. Somewhat sensitive to ethylene and prone to Stock are frequently packed in hampers or bacterial contamination of the vase solution, stock aquapacks but may also be packed in horizontal fowers respond to proper postharvest care. The specifc epithet incana means hoary (hairy) in Special Considerations reference to the plants whitish fuzz or hair. Use a preservative solution to Quality Characteristics and Criteria keep the growth of microorganisms in check. Smaller cultivars of sunfower Grading and Bunching have become a very popular forist item, and a range of forms and colors are now widely Quality stock has long straight spikes of uniform available. Once important cut fowers, may be bunched in groups of 10 or 12, and large prized for their aroma and range of colors, sweet fowered types are normally packed individually. Packing Grading and Bunching Sunfowers are normally packed in standard horizontal fower boxes. Exposure to ethylene results in accelerated wilting of petals, abscission of fowers, and failure of developing buds to open. Flowers should have at least the outer whorl Proper pretreatment greatly improves the vase of forets open. Cultivars vary in the intensity of their aroma, one of the characteristic and appealing features of Storage Conditions sweet peas. The specifc epithet barbatus means bearded or barbed in reference to the As with many fowers grown in the feld, fungal beardlike growth emerging from the petals. Spikes of ivory fowers solution augmented with 20% sucrose (Naidu and much prized in the East for their fragrance Reid 1989). This pretreatment will signifcantly and by western forists for accents and bridal improve vase life and opening of buds on the bouquets, tuberose fowers bear as many as 50 fower spikes. The postharvest way should preferably be harvested dry; graded, life of these fowers typically is limited by failure bunched, and recut; then placed immediately in of developing buds to open, so that the life is the pulsing solution. Quality Characteristics and Criteria Pulse pretreatment with sucrose overcomes this problem, and after 6 days storage, fowers open as the fowers are normally harvested with two to well as on freshly cut spikes. Flowers for the local market may be harvested with more open Tuberose may be packed in hampers or fowers on the spike. Special Considerations Florists often use individual tuberose blooms in Grading and Bunching corsages and boutonnieres. Proper pretreatment of the spikes will ensure continued opening of the Tuberose are sold in bunches of 10 stems. Packing Quality Characteristics and Criteria Tulips may be packed in hampers or in regular the entire tulip plant, with bulb attached, is fberboard fower boxes. Special Considerations Grading and Bunching End-user life is very species and cultivar dependent, as is the fower maturity stage when Tulip blooms are graded for uniform maturity sold. Preservative solutions are recommended; (degree of opening), stem length, and freedom benefts vary from 0 to 150% increase in vase life, from defects. Defects include fower bud blasting, depending on cultivar, fower food brand, and greening of fower buds, and toppling. Do not place in the same bucket then removed and the bases of stems are cut to with daffodils that have been just recut, as the ensure adequate water uptake. Tulip fower stems (scapes) often continue to elongate after harvest and will often grow out of the arrangement. Stems should be Ethylene Sensitivity maintained in an upright position during handling to prevent stem bending. Tulips show no response to ethylene nor any response to inhibitors of ethylene actions or Some people may get dermatitis from continual synthesis (Sexton et al. Pretreatments Waxfower, Geraldton Waxfower No pretreatments are required for tulips. Various techniques that fowers stored dry in bunches can keep up have been developed to manipulate the fowering to 7 weeks if sealed in polyethylene bags or season, and the availability of substantial volumes kept in boxes overwrapped with polyethylene. The specifc epithet uncinatum means "hooked 704 at the point," in reference to the leaves which are Storage Conditions hooked at their ends. The main problem particularly an issue for growing areas with during storage is from growth of Botrytis on erratic rainfall. Special Considerations the major storage problems are fower shatter Grading and Bunching (fowers fall off) and premature leaf yellowing and desiccation. Waxfower bunches from Australia weigh 300 g per bunch, whereas California bunches usually weigh 400 g.
It also has a potent efect as Lastly erectile dysfunction doctor pune generic 100mg kamagra soft free shipping, this is an excellent remedy in the upper respiratory sphere each drop (0 erectile dysfunction in the military order kamagra soft 100 mg with mastercard. If you are pregnant or breastfeeding impotence after robotic prostatectomy discount kamagra soft master card, do not use erectile dysfunction nyc discount kamagra soft 100mg visa, unless directed by your healthcare recommended dose: each drop (0 impotence problems buy 100mg kamagra soft with amex. Gemmotherapy Remedy to be used on the advice of your npn 80010993 healthcare practitioner erectile dysfunction protocol amino acids purchase 100mg kamagra soft otc. It is one of those rare trees survive outside its native land when most imported trees over to Europe during the Crusades. The lemon fruits of this tree are rich in mineral salts, this is a unique tree in which the leaves emerge only enduring qualities. It is particularly benefcial for dry, dehydrated skin the arterial and cardiovascular systems by reducing arterial the inner bark of the stem is useful in fuidifying venous conditions such as dry eczemas, rebellious psoriasis and infammation, spasms and circulatory fow. It also acts as a blood thinner Sclerodermas 283 285 Arterial Circulation Juvenile Arteritis to fuidify and improve circulation. Painful Tics Venous Fluidifer breastfeeding, do not use, unless directed by your healthcare practitioner. It is Based on this doctrine of signatures, this tree has a There is a high concentration of glycosides in its young an anti-sclerotic remedy used primarily for pulmonary strong afnity with issues of the heart, ranging from blood shoots which help regulate heart rate via cardiac impulses fbrosis to restore the elasticity lost in chronic obstructive re-absorption from traumatic hemorrhages306 to assistance and myocardial tonus. Crataegus Oxyacantha has positive ionotropic properties It has a tonic action on the liver parenchyma and is used to Its primary actions are to clear clogged arteries especially where to reinforce the force and amplitude of ventricular treat hepatic insufciencies due to hepatic sclerosis. If you are pregnant or Gemmotherapy Remedy to be used on the advice of your npn 80010916 breastfeeding, do not use, unless directed by your healthcare healthcare practitioner. If you are pregnant or 125 ml breastfeeding, do not use, unless directed by your healthcare practitioner. If you have cardiovascular disease, consult your healthcare practitioner prior to use. Many parts of this tree contain an acrid and caustic milky into the infnite, rendering this tree with an evaporating substance that refects the trees doctrine for treating acidic this is a great remedy for treating post-lesional quality. For it was this doctrine of signatures is refected in its medicinal Fagus Sylvatica will stimulate renal function by increasing under this fg tree that Buddha reached enlightenment properties. For Fraxinus Excelsior has two main areas of urinary output, decreasing uric acids, ureas, creatinine 370 and Ficus gained the reputation of being the "friend of impact; the kidneys and the articulations. Through the and renal lithiasis as well as addressing renal sclerosis and 357 philosophers" for its calming actions on the mental sphere. It is especially benefcial 349 in treating Heberdens and Bouchards nodes in cases of Acquired Hypogammaglobulinemia Ficus Carica has been defned as the psychosomatic regulator deformative arthritis due to its elastic properties. Facial Neuralgia Psychosomatic Difculties recommended dose: Gemmotherapy Remedy to be used on the advice of your (adults and children over 12 years old) healthcare practitioner. If you are pregnant or non-medicinal ingredients: Glycerin, ethanol (beet), Gemmotherapy Remedy to be used on the advice of your breastfeeding, do not use, unless directed by your healthcare purifed water healthcare practitioner. If you are pregnant or (adults and children over 12 years old) breastfeeding, do not use, unless directed by your healthcare 125 ml Take 50drops (1. If you are pregnant or breastfeeding, do not use, unless directed by your healthcare practitioner. They are typically hot and subject to There are two primary sites of action for Juniperus Therapeutically, Ilex Aquifolium aids in improving retinal 397 metabolic illnesses. Firstly, it has depurative and vulnerary properties circulation and slows the thickening of crystalline that leads 414 382 that aid in hepatic regeneration. Primarily, it actions, Juniperus Communis can aid in the treatment of helps to restore the microfora especially post-antibiotic Ilex Aquifolium also works on the level of the adrenal glands 398 functional liver and gallbladder problems ranging from use with subsequent diarrheas. When combined with Betula to cirrhosis, steatosis, biliary lithiasis and parenchymal properties, to increase microbial and viral resistance due to 415 Pendula, Ilex Aquifolium helps treat benign breast cysts and 399 sclerosis. This Gemmotherapy also eases portal congestion, 384 its immunoglobulin stimulating properties. It is through these deep and depurative 417 and aids in the elimination of uric acids. Gemmotherapy Remedy to be used on the advice of your recommended dose: healthcare practitioner. If you are pregnant or breastfeeding, do not use, unless directed by your healthcare purifed water Gemmotherapy Remedy to be used on the advice of your practitioner. If you are pregnant or 125 ml breastfeeding, do not use, unless directed by your healthcare water, or as recommended by your healthcare practitioner. Gemmotherapy Remedy to be used on the advice of your npn 80010980 healthcare practitioner. It buccal infections ranging from alveo-dental pyorrhea, arterial terrain in both the cerebral and cardiovascular 426 is less powerful then Juniperus Communis in respects to 459 chronic tracheo-bronchitis and stomatitis. Olea Europaea also has great anti-sclerotic properties to in alleviating pain associated with arthritis and trophic 443 facilitate in the break down of scar tissues aiding in the deformations. Bed Sores428 Stomatitis433 Through its general hepatic, renal and nervous system 429 434 In Bach Flower Therapy, Olive is a remedy used to treat both Bronchitis Tonsillitis actions, Lonicera Nigra is indicated in cases of colibacilosis, 463 physical and mental exhaustion post convalescence. Chronic Intestinal Problems430 Ulcerations435 tonsillitis, emphysema as well as urinary and hepatic manifestations and splenic infammation. If you are pregnant or non-medicinal ingredients: Glycerin, ethanol (beet), non-medicinal ingredients: Glycerin, ethanol (beet), breastfeeding, do not use, unless directed by your healthcare purifed water purifed water practitioner. Gemmotherapy Remedy to be used on the advice of your Gemmotherapy Remedy to be used on the advice of your healthcare practitioner. If you are pregnant or breastfeeding, do not use, unless directed by your healthcare breastfeeding, do not use, unless directed by your healthcare practitioner. This 500 Platanus Orientalis is one of the main remedies used to Nigrum as supportive Gemmotherapy remedies. If you are pregnant or breastfeeding, do not use, unless directed by your healthcare water, or as recommended by your healthcare practitioner. Gemmotherapy Remedy to be used on the advice of your npn 80011019 healthcare practitioner. However, there are some main distinguishing Druids, Quercus Pedunculata embodied the strength of the ancient times. In relation to the adrenal glands, to help combat states of hyperviscosity and aid in smooth 522 Quercus Pendunculata stimulates 17-hydroxycorticoides the buds of this Gemmotherapy help tonify the sanguinous circulatory fow before incidents arise. This Quercus Pedunculata is also an excellent tonic in combined in the treatment of high blood pressure, nervous Gemmotherapy is indicated in cases of renal sclerotic 524 malnourished, fatigued, hypoadrenal and convalescent states phobias and obsessive compulsive disorders. If you are pregnant or npn 80011007 breastfeeding, do not use, unless directed by your healthcare practitioner. Its primary action is on the sphere of digestive stimulant for its cholagogue actions and on biliary action to promote an increase in cortisone-like actions the ear, nose and throat as an anti-infammatory and 583 545 lithiasis. The increase in regenerator of these upper respiratory tract mucous cortisol helps the immune system in warding and fghting membranes. Primarily, the adreno-stimulant actions have strong anti Due to the livers actions in the steroidogenic pathway, It has tremendous efects in fatigued children and infammatory and anti-allergenic properties that act on the Rosmarinus Ofcinalis also assists with the processing convalescent adults by stimulating the defences in viral mucosal membranes of the respiratory, digestive and urinary of hypercholesterolemia and elevated triglycerides and 548 etiologies with repeated rhinopharyngitis as well as nasal 585 tracts. Ribes Nigrum can be utilized in cases of acute 571 balances the sex hormones in both men and women. Hepatic Insufciency Gemmotherapy Remedy to be used on the advice of your each drop (0. If you are pregnant or purifed water breastfeeding, do not use, unless directed by your healthcare non-medicinal ingredients: Glycerin, ethanol (beet), practitioner. Rubus Idaeus is the main female Jaundice Psoriatic Dermatitis anti-senescence remedy. Therefore, Rubus Rye (Secale cereale) Rootlet Extract (1:200) Decalcifcation Syndrome608 Rheumatoid Polyarthritis612 Idaeus can be used for dysmenorrhea and for uterine spasms non-medicinal ingredients: Glycerin, ethanol (beet), 609 613 during childbirth to facilitate the efciency of contractions. In men, Sequoia Gigantea acts on In Gemmotherapy, the Sorbus Domestica buds are used. As a venous tonic, Sorbus 678 of chronic prostatitis and at the onset of prostatic adenoma Extreme caution must be exerted when using this remedy. Domestica works on the venous plethora to reduce heaviness (must be confrmed via lab assessment to be of a non 664 Low doses only are to be used in the elderly due to the positive 642 and varicosities of the veins. Lilac (Syringa vulgaris) Bud Extract (1:200) the secondary action of Sequoia Gigantea is a remineralizer, non-medicinal ingredients: Glycerin, ethanol (beet), hepatic drainer and tonifer. Menopausal Circulatory Disorders Gemmotherapy Remedy to be used on the advice of your Sequoia Gigantea works well when combined with Quercus healthcare practitioner. Service Tree (Sorbus domestica) Bud Extract (1:200) risk information:If symptoms persist or worsen, consult your healthcare practitioner. Acute Prostatitis649 Prostatic Adenoma Onset655 recommended dose: npn 80010949 Adrenal Insufciency650 Trophic & Psychic Disorders (adults and children over 12 years old) 125 ml 651 of Senescenes656 Take 50 drops (1. Mental & General Tonic 654 risk information:If symptoms persist or worsen, consult Osteoporosis (Senile & Menopausal) your healthcare practitioner. Ulmus Campestris exerts it efects via its catabolic actions on Tamarix Gallica as Gemmotherapy accelerates the 712 When combined with Ficus Carica, Tilia Tomentosa nucleoproteins, uric acids, metabolites and excess lipids. If you are pregnant or Gemmotherapy Remedy to be used on the advice of your breastfeeding, do not use, unless directed by your healthcare risk information:If symptoms persist or worsen, consult healthcare practitioner. If you are pregnant or breastfeeding, do not use, unless directed by your healthcare risk information:If symptoms persist or worsen, consult npn 80010946 practitioner. If you are pregnant or 125 ml breastfeeding, do not use, unless directed by your healthcare npn 80011031 practitioner. It can break down fbrocystic conditions of the or Rosmarinus Ofcinalis in the treatment of allergies. On the 753 certain types of sciatic neuralgia, hypertension with renal plane, this Gemmotherapy breaks down glomerular and Anxiety-Induced Eczema Respiratory Distress750 albuminuria, certain osteoarthritis and deafness due to tubular hyalinization and aids in the elimination of oxalo-calfcic Smokers Cough/ 729 751 Bronchial Spasms754 sclerosis of the airdrum or oslets. Vaccinium Vitis-Idaea Chronic Allergies 730 must match the main biological syndrome in order to can also treat recurrent female urinary colibacilosis infections. If you are pregnant or breastfeeding, do not use, unless directed by your healthcare recommended dose: practitioner. Colibacillosis734 Menopausal Osteoporosis739 125 ml Gemmotherapy Remedy to be used on the advice of your Colitis735 Nephritis740 healthcare practitioner. Dermatomyosis736 Periarthritic Nodes741 risk information:If symptoms persist or worsen, consult your healthcare practitioner. If you are pregnant or Hyalinization Conditions737 Pericarditis Sequelae742 breastfeeding, do not use, unless directed by your healthcare 738 743 practitioner. Henry,Gemmotherapie: Therapeutique par les extraits Embryonnaires Vegetaux, (Belgique: St. Daniel Scimeca,Rajeunir nos tissus avec les bourgeons: Guide practique de gemmotherapie familiale, (Paris: Guy Tredaniel Editeur, 2005) 71. Joe Rozencwajg, Dynamic Gemmotherapy: Integrative Embryonie Phytotherapy, (2008) 36. Vitis Vinifera also aids in the break down of fbrotic tissues prevent further deterioration. Max Tetau,Nouvelles cliniques de Gemmotherapy as high doses of Zea Mays may gemmotherapie, (Editions Similia, 1987)153. Grape (Vitis vinifera) Bud Extract (1:200) Corn (Zea mays) Rootlet Extract (1:200) 55. Gammadyn Oligotherapy is a method of furnishing the body with the ions it cannot synthesize and which are indispensable for cellular enzymatic functions. This functional therapeutic modality requires the use of trace elements in precisely measured, small doses in a highly bioavailable form. These trace elements are co-factors in a multitude of biochemical reactions where they accelerate the speed of these reactions without ever modifying the important equilibrium that exists and that must reign within the body to maintain optimum health. Plexes Plex Remedies are condition-specifc homeopathic specialties prepared in low dilutions and are recommended for acute and chronic ailments. The product range helps support: the digestive, hormonal, immune, musculoskeletal, nervous, respiratory, skin, oral and vascular systems. Products come in a variety of formats: creams, liquids, lozenges, sachets, spray, gum, paste and dissolvable tablets. Each remedy has its own fngerprint and is combined synergistically based on the integrated principles and theories of anthroposophy, oligotherapy, botany, Traditional Chinese Medicine and homeopathy. The mandate of Seroyals professional education program is to provide healthcare practitioners with world-class, clinically relevant information to assist in the integration of therapeutic modalities for a more complete, holistic approach. International experts in natural medicine and science will share knowledge, clinical experiences and reference materials to help expand your therapeutic capabilities and support your practice. The conference is held in conjunction with the National Oral Health Conference, thereby creating a synergy of opportunities for formal continuing education and networking with other professionals who have expertise in community public oral health program operations, research, policy, and funding. This document integrates oral health into each of the 10 essential public health services accepted by the National Association of City and County Health Officers. The document provides a conceptual framework and theoretical support for the integration of oral health and public health. The Guide is the result of the commitment and efforts of a broad spectrum of oral health and public health experts including state, county, and city oral health directors and consultants, a representative of the Indian Health Service, and the chief dental officer of a multi-site rural community health center system. Oral Health Consultant, Massachusetts League of Community Health Centers and Lutheran Medical Center Former Dental Director, City of Boston Patrick Blahut, D. State Executive Dental Consultant, Oral Health Program, Office of Family Health, Oregon Department of Human Services Lawrence F. Program Manager, School and Community Dental Health, Multnomah County Health Department, Oregon Harvey Wallace, Ph. National Association of Local Boards of Health Head, Department of Health, Physical Education, and Recreation, Northern Michigan University Scott Wolpin, D. Chief Dental Officer, Choptank Community Health System, Eastern Shore of Maryland Past President, Association of Clinicians for the Underserved this project could not have been completed without the support of the Health Resources and Services Administrations Maternal and Child Health Bureau, and, specifically, without the assistance and encouragement of Mark Nehring, D. A Guide for Developing and Enhancing Community Oral Health Programs ii Table of Contents Acknowledgements i Executive Summary iv Overview of the Guide 1 Step 1. Resources Organized by Steps in the Process of Developing, Integrating, Expanding, or Enhancing Community Oral Health Programs 39 B.