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G. William Henry, MD

  • Professor of Pediatrics
  • Division of Pediatric Cardiology
  • The North Carolina Children? Heart Center
  • University of North Carolina School of Medicine
  • Chapel Hill, North Carolina

Two of the main causes of hysteria are irregularity of the menstrual cycle and insanity medicine abbreviations order cabgolin online from canada. It causes good bleeding during the cycle symptoms ruptured ovarian cyst generic cabgolin 0.5 mg fast delivery, cleans the uterus treatment 3rd nerve palsy cabgolin 0.5mg without prescription, tones up the brain and the uterine musculature and keeps the body temperature at a normal level treatment diverticulitis buy cabgolin 0.5 mg low cost. It is advisable to use honey regularly and increase the quantity after the first start treatment for gout order cabgolin 0.5 mg mastercard. Yogasanas which are useful in hysteria are bhujangasana medicine valley high school discount generic cabgolin uk, shalbhasana, matsyasana, sarvangasana, dhanurasana, halasana, paschimotanasana, yogamudra and shavasana. Weak patients, who are not able to take much active exercise, may be given massage three or four times a week. In case of hysterical fit, the clothing of the patient should be loosened and her head lowered by laying her out flat at once. She should not be allowed to assume an erect position for sometimes after the fit. She should be slapped gently in the face and mustard plasers applied to the soles of the feet and the wrists. In ordinary cases no further treatment is necessary and the symptoms will soon pass off or cease if the patient is left alone. In a genuine hysterical attack, the most effective means of interrupting the paroxym is the applicatin of cold water in some form to the head and spine. Either the cold water may be poured or cold pack or ice pack may be applied to the hand and back of the neck. The patient should be provided with plenty of fresh air and some of her clothing should be removed to facilitate easy breathing and to expose the skin to fresh air. In a violent seizure of hysteria, pressure on the ovaries often checks the attack. The patient should be made to lie on the back and the first forcibly pressed into the iliac region. If this is not convenient, a hot foot bath, with cold applications to the head, may be used instead. Following an attack the patient should have rest, quietness, darkness and if possible, sleep until the lost energy has been gradually recovered. Through its secretions, it regulates the day to day activities, maintains homeostatis through periods of stress and strain and provides a fine balance to the regulatory systems of the body. It is more common in women who are over worked and who do not get sufficient rest and relaxation. Symptoms It is difficult to recognise the first symptoms of goitre because they are of a very short duration. These spells of emotional upsets gradually increase in duration, when other symptoms also appear. The thyroid gland may swell but this has no relation to the severity of the ailment because many serious cases have practically no visible swelling. There is always a rapid though regular heart beat and any undue excitement increases this to a quick pulsation which may even be conveyed to the thyroid gland. There is, in most cases, a tremor of the hands and a feeling of extreme tiredness, together with a lack of power to make any real muscular effort. A most alarming symptoms of goitre is the loss of weight which no treatment seems to check, and this can persist till the patient feels extremely weak. All the symptoms appear very gradually and that is why so many women do not complain until the trouble has reached serious proportions. Whenever goitre occurs, it must not be assumed that it is sudden flaring up because disease is not an abrupt derangement of a healthy system nor a sign that there has been a gradual loss of health. In practically every instance a bowel is clogged and there has been a slow poisoning of the entire system over a period of years. The thyroid gland makes use of organic iodine in its secretion and a diet deficient in organic iodine is a predisposing factor towards the appearance of this disease incertain cases, especially if other physical and emotional disturbances are present. People living near the sea rarely contract goitre, because all sea foods are rich in organic iodine. It should, however, be concluded from this that fish and other sea foods are essential to the diet to avoid goitre, or that people who eat plenty of fish are necessarily immune from this disease. Goitre gradually affects those who habitually live on denatured, that is cooked and refined foods, and not those who eat much of their food in the raw or uncooked state. Treatment the only real treatment for goitre is cleaning of the system and adopting of a rational dietary thereafter, combined with adequate rest and relaxation. To begin with, juices of fruits such as orange, apple, pineapple and grapes may be taken every two or three hours from 8 a. After the juice fast, the patient may spend a further three days on fruits and milk, taking three. Breakfast: Fresh acid foods such as apples, grapefruit, oranges, pears, grapes, a glass of whole milk and a handful of raw nuts. Mid-morning: A glass of fruit or vegetable juice to which a table spoon of yeast has been added. Dinner: Vegetable soup, a large bowl of salad of raw vegetables in season such as lettuce, tomato, cabbage, carrot, turnips and celery, sprouts such as alfalfa seeds and mung beans and home made cottage cheese or nuts. The patient should take plenty of rest and spend a day in bed every week for the first two months of the treatment. The appetite of the thyroid patient is usually very large and the weight reduction cannot be prevented for some time. This is because until the heart beat slows down and the tremors stop, there will be incomplete assimilation of the food. To held the absorption of food, a narrow waist compress and, later, a neck compress should be worn for five nights a week. As weight increases, the almost constant hunger will gradually disappear; on no account should any stimulants be administered to create an appetite. Certain foods and fluids are extremely injurious to the goitre patients and this should be avoided by them. These include white flour products, white sugar, flesh foods, fried or greasy foods, preserves, condiments, tea, coffee and alcohol. These are asparagus, cabbage, carrots, garlic, onion, oats, pineapple, whole rice, tomatoes, watercress, and strawberries. Great care must be taken never to allow the body to become exhausted and any irritation likely to cause emotional upset should be avoided. The cure of goitre is not a speed one and there is often a recurrence of symptoms but these should gradually become less pronounced. Half the daily intake of food should consist of fresh fruits and vegetables and the starch elements should be confined to whole wheat products and potatoes. The protein foods should be confined to eggs, cheese, peas, beans, lentils and nuts. The diet outlines here should be strictly adhered to for a year, and the compresses on the neck and the waist applied for five consecutive nights in a week for two months and discontinued for one month. Application of a sponge to the entire body before retiring and a cold sponge on rising will be very helpful. It is most important that the bowels are kept working efficiently to avoid danger of a toxic condition of the blood arising from that source. There may be a light recurrence of this extremely nervous complaint for some time, but the attacks will become less severe and of shorter duration as the treatment progresses. The disease strikes suddenly and fills the intestinal canal with bacilli which die rapidly and leave the person quickly, alive or dead. It comes as a fell epidemic and creates havoc but subsides quickly in the locality. Those who are susceptible to it are carried away and those who are left alive are immuned to it. Thus after an epidemic in a non-epidemic area, there is no re-visitation in the locality for two or three years. It spread from this country during the 19th century in a series of epidemics along the trade routes. The disease spread to Moscow in 1826, Berlin in 1831 and London and Paris in 1832. In the first stage, the patient suffers from mild diarrhoea and vomiting, which worsens rapidly. The patient feels severe cramps in the muscles of the abdomen and limbs, resulting from lack of salts. The temperature rises but the skin is generally cold and blue and the pulse is weak. Taking water to quench thirst dilutes the body salt still further, and makes the cramps worse. In the second stage of collapse, the body becomes colder, the skin dry, wrinkled and purple. Voice becomes weak and husky while the urine looks dark and formation is less, or altogether absent. All the changes seem to reverse themselves, the fluid loss decreases and there is improvment in the general condition. Even at this stage, a relapse may occur or the patient may sink into a condition resembling typhoid fever. During this stage of reaction, the temperature may rise and the patient may be in danger from penumonia. Causes Cholera is caused by a short, curved, rod-shaped germ known as vibrio cholera. The real cause of disease, however, is the toxic and devitalized condition of the system brought about by incorrect feeding habits and faulty style of living. Treatment the treatment should in the beginning aim at combating the loss of fluids and salts from the body. To allay thirst, water, soda water or green coconut water should be given for sipping although this may be thrown out by vomiting. Therefore, only small quantities of water should be given repeatedly, as these may remain for sometime within the stomach and stay of every one minutes means some absorption. Intravenous infusions ofsaline solution should be given to compensate for the loss of fluids and salts from the body. Normally, half a litre of saline, with 30 grams of glucose, should be given per rectum every four hours until urine is passed freely. As he progresses towards recovery, rice softened to semi-solid form mixed with curd, may be given. Liquid and bland foods, which the patient can ingest without endangering a reoccurrence of the malady, are best. Lemon, onion, green chillies, vinegar and mint should be included in the daily diet during an epidemic of cholera. Home Remedies Certain home remedies have been found beneficial in the treatment ofcholera. It is also a very effective and reliable preventive food item against cholera during the epidemic. It is rich in tannis and can be successfully employed in the form of concentrated decoction in cholera. According to Culpepper, an eminent nutritionist for children and young people, nothing is better to purge cholera than the leaves and flowers of peach (arhu). The leaves of drumstick (sanjana) tree are also useful in treatment of this disease. A teaspoon of fresh leaf-juice, mixed with honey and a glass of tender coconut water, can be given two or three times as a herbal medicine in the treatment of cholera. About 30 grams of this vegetable and seven black peppers should be finely pounded in a pestle and given to the patient. The fresh juice of bitter gourd (karela) is another effective medicine in the early stages of cholera. Two teaspoons of this juice, mixed with an equal quantity of white onion juice and a teaspoon of lime juice, should be given Cholera can be controlled only by rigid purification of water supplies and proper disposal of human wastes. In case of the slightest doubt about the contamination of the water, it must be boiled before use, for drinking and cooking purposes. All foodstuffs must be kept covered and vegetables and fruits washed with a solution of potassium permanganate before consumption. Other precautions against this disease include avoiding all uncooked vegetables, thorough washing of hands by all those who handle food, and elimination of all contacts with the disease. The genital areas and the exposed areas such as the eyelids, forearms, face and neck are more prone to it. The cells of the epidermis (the surface layer of the skin) are normally protected from damage by the tightly packed squamae of keratin of the horny layer. This water content can be reduced by evaporation or by removal of the lipid with which it retains moisture. Substances which produce inflammation of the epidermis or dermatitis by mechanical or chemical disruption of the horny layer are called irritants. Degreasing agents like soaps, if used too frequently over a short time, will cause dryness, redness, fissuring and irritation of the skin in almost everyone. Symptoms the appearance of dermatitis varies according to its severity and the stage of its evolution. This is usually followed by swelling of the skin due to oedema(excessive fluid retention).

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Foods that have been processed for storage to avoid spoiling have few nutrients and should be eliminated from the diet medicine identifier generic cabgolin 0.5 mg without prescription. Vitamin C has proved helpful in relieving low-back pain and averting spinal disc operations treatment hemorrhoids discount 0.5 mg cabgolin with mastercard. Hot fomentations in treatment 1 purchase cabgolin 0.5 mg on line, alternate sponging or application of radiant heat to the back will also give immediate relief symptoms for strep throat buy cabgolin paypal. Yogic asanas which are beneficial in the treatment of backache are bhujangasana symptoms 9 weeks pregnancy 0.5 mg cabgolin overnight delivery, shalabhasana treatment of bronchitis quality cabgolin 0.5 mg, halasana, uttanpadasana and shavasana. The back can be strengthened through proper nutrition, exercise and relaxation and in the process general health will also improve. It is more serious than the acute type as permanent changes may have occurred in the lungs, thereby interfering with their normal movements. Chronic bronchitis is more frequent in males than in females and mortality rate is also higher in males. Symptoms In most cases of bronchitis, the larynx, trachea and bronchial tubes are acutely inflamed. Large quantities of mucus are secreted and poured into the windpipe to protect the inflamed mucous membrane. There is usually a higher fever, some difficulty in breathing and a deep chest cough. The habitual use of refined foods such as white sugar, refined cereals and white-flour products results in the accumulation of morbid matter in the system and collection of toxic waste in the bronchial tube. Excessive smoking irritates the bronchial tubes and lowers their resistance so that they become vulnerable to germs breathed in from the atmosphere. Other causes of bronchitis are living or working in stuffy atmosphere, use of drugs to suppress earlier diseases and hereditary factors. Changes in weather and environment are common factors for the onset of the disease. Treatment In acute cases of bronchitis, the patient should fast on orange juice and water till the acute symptoms subside. The procedure is to take the juice of an orange in a glass of warm water every two hours from 8 a. In case of chronic bronchitis, the patient can begin with an all fruit diet for five to seven days, taking each day three meals of fresh juicy fruits. After the all-fruit diet, the patient should follow a well-balanced diet of seeds, nuts and grains, vegetables and fruits. The patient should avoid meats, sugar, tea, coffee, condiments, pickles, refined and processed foods, soft-drinks, candies, ice-cream and products made from sugar and white flour. A teaspoonful of this powder should be administered with a glass of milk two or three times daily. Another effective remedy for bronchitis is a mixture of dried ginger powder, pepper and long pepper taken in equal quantities three times a day. The powder of these three ingredients have antipyretic qualities and are effective in dealing with fever accompanied by bronchitis. One teaspoon of raw onion juice, the first thing in the morning will be highly beneficial in such cases. A simple hot poultice of linseed should be applied over the front and back of the chest. Poultices act by diluting the vessels of the surface and thereby reducing the blood pressure. A poultics should be applied neatly and carefully and should be often renewed, so that it does not hamper respiration. A hot Epsom-salts bath every night or every other night will be highly beneficial during the acute stages of the attack. After applying three hot towels in turn for two or three minutes each, one should always finish off with a cold towel. A cold pack should also be applied to the upper chest several times daily in acute conditions. The procedure is to wring out some linen material in cold water, wrap two or three times round the affected part and cover it with some flannel. Fresh air and outdoor exercises are also essential to the treatment of bronchitis and the patient should take a good walk everyday. He should also perform yogic kriyas such as jalneti and vamandhouti and yogic asanas such as ekpaduttansana, yogamudra, bhujangasana, shalabhasana, padmasana and shavasana. Simple pranayamas like kapalbhatti, anuloma-viloma, ujjai and bhramari are also highly beneficial. It is the most dreaded disease and refers to all malignant tumours caused by the abnormal growth of a body cell or a group of cells. In women, it occurs mostly in the breast tissues, uterus, gall-bladder and thyroid. The American Cancer Society has prescribed seven signs or danger signals in general which may indicate the presence of cancer. These are: a sore that does not heal; change in bowel or bladder habits; unusual bleeding or discharge; thickening or lump in breast or elsewhere; indigestion or difficulty in swallowing; obvious change in a wart or a mole, and a persistent and nagging cough or hoarseness. Other symptoms may include unexplained loss of weight, particularly in older people, a change in skin colour and changes in the menstrual periods, especially bleeding between periods. Certain cancer causing substances, known as carcinogens, however, increase the chances of getting the disease. Forty per cent of male cancers in India are linked with tobacco, a known cancer causing agent. The consumption of pan, bettlenut, tobacco and slaked lime has been linked with lung and throat cancers. Heavy consumption of alcoholic drinks can cause oesophagal, stomach and liver cancers. Occupational exposure to industrial pollutants such as asbestos, nickel, tar, soot and high doses of X-rays can lead to skin and lung cancers and leukemia. Other factors contributing to cancer are vital infections, trauma, hormone imbalance and malnutrition. Many well-known biologists and naturopaths, however, believe that a faulty diet is the root cause of cancer. Investigations indicate that the cancer incidence is in direct proportion to the amount of animal protein, particularly meat, in the diet. Visek, a renowned research scientist explained recently a link between excessive meat-eating and cancer. According to him, the villain is ammonia, the carcinogenic by-product of meat digestion. Treatment the effective treatment of cancer consists of a complete change in diet, besides total elimination of all environmental sources of carcinogens, such as smoking and carcinogenic chemicals in air, water and food. There has recently been a surge of popular interest in the concept that diet is not just a minor, but rather a major factor in both the development and the prevention of cancer. As a first step, the patient should cleanse the system by thoroughly relieving constipation and making all the organs of elimination the skin, lungs, liver, kidneys and bowels active. For the first four or five days, the patient should take only juicy fruits like oranges, grapefruits, lemons, apples, peaches, pears, pineapples and tomatoes. After a few days of an exclusive fruit diet, the patient may be given a nourishing alkaline-based diet. It should consist of 100 per cent natural foods, with emphasis on raw fruits and vegetables. A minimum requirement of high quality protein, mostly from vegetable sources such as almonds, millet, sesame seeds, sprouted seeds and grains, may be added to the diet. Wigmore points out that by furnishing the body with live minerals, vitamins, trace elements and chlorophyll through wheatgrass juice, it may be able to repair itself. She discovered this mode of cure in 1925, while experimenting on herself by fasting and dieting alternately in the course of her nine-year battle with cancer. She recommends a fast for two or three days so as to prepare the system for the change of diet. After the short fast, the patient should have a grape meat every two hours from 8 a. This should be followed for a week or two even a month or two, in chronic cases of long standing. The patient should begin the grape cure with a small quantity of 30, 60, to 90 grams per meal, gradually increasing this to double the quantity. Recent researches have shown that certain vitamins can be successfully employed in the fight against cancer and that they can increase the life expectancy of some terminal cancer patients. According to recent Swedish studies vitamin C in large doses can be an effective prophylactic agent against cancer. Fukunir Morishige, and his colleagues who have been examining the healing potential of vitamin C for the last 30 years, have recently found that a mixture of vitamin C and copper compound has lethal effects on cancer. According to several studies, vitamin A exerts an inhibiting effect on carcinogenesis. Leonida Santamaria and his colleagues at the University of Pavia in Italy have uncovered preliminary evidence suggesting that beta-carotene, a precursor of vitamin A may actually inhibit skin cancer by helping the body thwart the cancer-causing process known as oxidation. Recent studies from all over the world suggest that a liberal use of green and yellow vegetables and fruits can prevent cancer. The 20-years old, ongoing Japanese study found that people who ate green and yellow vegetables every day had a decreased risk of developing lung, stomach and other cancers. A Harvard University study of more than 1,200 elderly Massachusetts residents found that those who reported the highest consumption of carrots, squash, tomatoes, salads or leafy green vegetables, dried fruits, fresh strawberries or melon had a decreased risk of cancer. The other useful measures are plenty of rest, complete freedom from worries and mental stress and plenty of fresh, pure air. The term actually means a waterfall, and refers to the opacity of the crystalline lens of the eye on the assumption that the condition is caused by the humour of the brain falling over the pupil. The crystalline lens, through which light travels into the interior of the eye, is situated just behind the iris, or coloured portion of the eye. In cataract, this lens becomes opaque, hence seriously hampering the entrance of light into the eye. According to the modern medical system, a surgical operation to remove the lens or a major portion of it is the only way to get rid of the disease. The patient is provided with suitable glasses after the operation to enable him to see well enough to carry on his normal duties. At first, vision in twilight may be better than in full daylight since light is admitted round the more widely-dilated pupil in the dark. These are stagnation of the fluid current in the lens resulting from blood condition; deterioration in the nutrition of the lens which diminishes the vitality and resistence of the delicate lens fibres; deposits between the lens fibres of acids and salts which have an irritating effect on the lens tissues and exert an increasing pressure on its delicate fibres, clouding whole lens in the absence of appropriate measures. As in the case of most diseases, poisons in the blood stream due to dietetic errors and a faulty style of living is the real cause of cataract. The toxic matter in the blood stream spreads throughout the body to find shelter in any available weak spot. It strikes the lens if that part has become weak through strain, excessive use of the eyes and local irritation. The condition becomes worse with the passage of time and then a cataract starts developing. Other causes of cataract are stress and strain, excessive intake of alcoholic drinks,sugar,salt, smoking, certain physical ailments such as gastro-intestinal or gall bladder disturbance, diabetes, vitamin deficiencies, especially of vitamin C, fatty acid intolerance, ageing, radiation and side effects of drugs prescribed for other diseases. Some specialists believe that the most important cause of many cataract is poor nutrition. This may be true even in case of the type of cataract commonly called senile or ageing cataract. Morgan Raiford, an opthalmologist who has studied cataracts for many years, considers faulty nutrition to be a basic factor in cataract. He has found from experience that prevention of cataract is initiated by improving nutrition. Treatment Cataract is one of the most stubborn conditions to deal with, if it has become deep-seated, nothing short of a surgical operation will help in overcoming the trouble. If, however, the cataract is in the early stages, there are good chances of getting over the ailment by natural means. To start with, it will be beneficial to undergo a fast for three to four days on orange juice and water. In this regimen, breakfast may consist of oranges or grapes or any other juicy fruit in season. Raw vegetable salads in season, with olive oil and lemon juice dressing, and soaked raisins, figs or dates should be taken during lunch. Evening meals may consist of vegetable such as spinach, fenugreek, drum sticks, cabbage, cauliflower, carrot, turnips, steamed in their own juices, and a few nuts or some fruits, such as apples, pears and grapes. After two weeks on this diet, the cataract patient may start on a fuller diet on the following lines: Breakfast: Any fresh fruits in season, except bananas. Lunch: A large mixed raw vegetable salad with wholemeal bread or chapatis and butter. Dinner: Two or three steamed vegetables, other than potatoes, with nuts and fresh fruit. The short fast followed by a restricted diet should be repeated after three months of the commencement of the treatment and again three months later, if necessary. The bowels should be cleansed daily with a warm water enema during the fast, and afterwards as necessary. The patient should avoid white bread, sugar, cream, refined cereals, rice, boiled potatoes, puddings and pies, strong tea or coffee, alcoholic beverages, condiments, pickles, sauces or other so-called aids to digestion. There is increasing evidence to show that in several cases cataracts have actually been reversed by proper nutritional treatment.

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At Pittsburgh medications hypertension cheap cabgolin 0.5mg amex, he began research on polio symptoms jet lag order cheap cabgolin, an acute viral infectious disease of the 308 7 Jonas Edward Salk 7 nervous system that usually begins with general symptoms such as fever and headache and is sometimes followed by a more serious and permanent paralysis of muscles in one or more limbs medicine vending machine generic cabgolin 0.5 mg amex, the throat medications at 8 weeks pregnant purchase cabgolin without a prescription, or the chest medications made from animals order cabgolin american express. In the mid-20th cen tury hundreds of thousands of children were struck by the disease every year moroccanoil oil treatment buy cheap cabgolin 0.5 mg online. W orking with scientists from other uni versities in a program to classify the various strains of poliovirus, Salk corroborated other studies in identifying three separate strains. He then demonstrated that killed virus of each of the three, although incapable of producing the disease, could induce antibody formation in monkeys. In 1954 Francis conducted a mass feld trial, and the vaccine, injected by needle, was found to safely reduce the incidence of polio. In the following years, the incidence of polio in the United States fell from 18 cases per 100,000 people to fewer than 2 per 100,000. Salk served successively as professor of bacteriology, preventive medicine, and experimental medicine at Pittsburgh, and in 1963 he became fellow and director of the Institute for Biological Studies in San Diego, California, later called the Salk Institute. This theory holds both that the universe is expanding and that matter is being continuously created to keep the mean density of matter in space constant. Three years later, in collaboration with the astronomer Thomas Gold and the mathemati cian Hermann Bondi, he announced the steady-state theory. The notion that the universe on average is not only homogeneous and isotropic in space but also con stant in time was philosophically attractive. New observations of distant gal axies and other phenomena, supporting the big-bang theory (a phrase that Hoyle had coined in derision in the 1940s), 310 7 Sir Fred Hoyle 7 weakened the steady-state theory, and it has since fallen out of favour with most cosmologists. Although Hoyle was forced to alter some of his conclusions, he tenaciously tried to make his theory consistent with new evidence. Hoyle was elected to the Royal Society in 1957, a year after joining the staff of the Hale Observatories (now the Mount W ilson and Palomar observatories). In collabora tion with W illiam Fowler and others in the United States, he formulated theories about the origins of stars as well as about the origins of elements within stars. Hoyle is known for his popular science works, includ ingThe Nature of the Universe(1951),Astronomy and Cosmology (1975), and the Origin of the Universe and the Origin of Religion (1993). He also wrote novels, plays, short stories, and an autobiography, the Small World of Fred Hoyle (1986). This accomplishment became a cornerstone of genetics and was widely regarded as one of the most important discoveries of 20th-century biology. The model consisted of two intertwined helical (spiral) strands of sugar-phosphate, bridged horizontally by fat organic bases. W atson and Crick theorized that if the strands were separated, each would serve as a template (pattern) for the formation, from small molecules in the cell, of a new sister strand identical to its former partner. This copying pro cess explained replication of the gene and, eventually, the chromosome, known to occur in dividing cells. His book Of Molecules and Men (1966) discusses the implica tions of the revolution in molecular biology. For this accomplish ment he was awarded the 1962 Nobel Prize for Physiology or Medicine with Francis Crick and Maurice W ilkins. He learned that scientists working in the Cavendish Laboratories at the University of Cambridge were using photographic patterns made by X rays that had been shot through protein crystals to study the structure of protein molecules. In 1965 he published Molecular Biology of the Gene, one of the most extensively used mod ern biology texts. In 1968 W atson assumed the leadership of the Laboratory of Quantitative Biology at Cold Spring Harbor, Long Island, N. From 1988 to 1992 at the National Institutes of Health, W atson helped direct the Human 314 7 James Dewey Watson 7 Genome Project, a project to map and decipher all the genes in the human chromosomes, but he eventually resigned because of alleged conficts of interests involving his investments in private biotechnology companies. He was the second person in history to have a personal genome sequenced in its entirety. In October of the same year, he sparked con troversy by making a public statement alluding to the idea that the intelligence of Africans might not be the same as that of other peoples and that intellectual differences among geographically separated peoples might arise over time as a result of genetic divergence. Though he denied this charge, he resigned from his position at Cold Spring Harbor and formally announced his retirement less than two weeks later. He was co-awarded the Nobel Prize for Physics in 1965 for this work, which tied together in an experimentally perfect package all the varied phenomena at work in light, radio, electricity, and magnetism. Feynman studied physics as an undergraduate at the Massachusetts Institute of Technology and received his doctorate at Princeton University in 1942. At Princeton, with his adviser, John Archibald W heeler, he developed an approach to quantum mechanics governed by the prin ciple of least action. This approach replaced the wave-oriented electromagnetic picture developed by James Clerk Maxwell with one based entirely on particle interactions mapped in space and time. At Los Alamos he became the youngest group leader in the theo retical division of the Manhattan Project. With the head of that division, Hans Bethe, he devised the formula for pre dicting the energy yield of a nuclear explosive. He observed the frst detonation of an atomic bomb on July 16, 1945, near Alamogordo, New Mexico, and, though his initial reaction was euphoric, he later felt anxiety about the force he and his colleagues had helped unleash on the world. In 1950 he became professor of theoretical physics at the California Institute of Technology (Caltech), where he remained the rest of his career. Five particular achievements of Feynman stand out as crucial to the development of modern physics. First, and most important, is his work in correcting the inaccuracies of earlier formulations of quantum electrodynamics, the theory that explains the interactions between electromag netic radiation (photons) and charged subatomic particles such as electrons and positrons (antielectrons). By 1948 Feynman completed this reconstruction of a large part of quantum mechanics and electrodynamics and resolved the meaningless results that the old quantum electrodynamic theory sometimes produced. Second, he introduced simple diagrams, now called Feynman dia grams, that are easily visualized graphic analogues of the complicated mathematical expressions needed to describe the behaviour of systems of interacting particles. This work greatly simplifed some of the calculations used to observe and predict such interactions. In the early 1950s Feynman provided a quantum mechanical explanation for the Soviet physicist Lev D. In 1958 he and the American physicist Murray Gell-Mann devised a theory that accounted for most of the phenomena associated with the weak force, which is the force at work in radioactive decay. Their the ory, which turns on the asymmetrical handedness of particle spin, proved particularly fruitful in modern particle physics. And fnally, in 1968, while working with 317 7 the 100 Most Influential Scientists of All Time 7 experimenters at the Stanford Linear Accelerator on the scattering of high-energy electrons by protons, Feynman invented a theory of partons, or hypothetical hard par ticles inside the nucleus of the atom, that helped lead to the modern understanding of quarks. In 1961 he began reorganizing and teaching the introductory physics course at Caltech; the result, published as the Feynman Lectures on Physics, 3 vol. After graduating in 1941, she received a fel lowship to conduct research in physical chemistry at Cambridge. Nevertheless, she was able to use this research for her doctoral thesis, and in 1945 she received a doctorate from Cambridge. From 1947 to 1950 she worked with Jacques Mering at the State Chemical Laboratory in Paris, study ing X-ray diffraction technology. From 1953 to 1958 Franklin worked in the Crystallography Laboratory at Birkbeck College, London. He was also the foremost proponent of sociobiology, the study of the genetic basis of the social behaviour of all animals, including humans. In 1955 W ilson completed an exhaustive taxonomic analysis of the ant genus Lasius. Brown, he developed the concept of character displace ment, a process in which populations of two closely related species, after frst coming into contact with each other, undergo rapid evolutionary differentiation in order to minimize the chances of both competition and hybrid ization between them. After his appointment to Harvard in 1956, W ilson made a series of important discoveries, including the determination that ants communicate primarily through the transmission of chemical substances known as phero mones. In the course of revising the classifcation of ants native to the South Pacifc, he formulated the concept of the taxon cycle, in which speciation and species disper sal are linked to the varying habitats that organisms encounter as their populations expand. Hugh Patrick Brown/Time & Life Pictures/ Getty Images 321 7 the 100 Most Influential Scientists of All Time 7 published the Insect Societies, his defnitive work on ants and other social insects. The book provided a comprehen sive picture of the ecology, population dynamics, and social behaviour of thousands of species. This thesis provoked condemnation from prominent researchers and scholars in a broad range of disciplines, who regarded it as an attempt to justify harm ful or destructive behaviour and unjust social relations in human societies. In fact, however, W ilson maintained that as little as 10 percent of human behaviour is genetically induced, the rest being attributable to environment. Therefore, the preservation of the gene, rather than the preservation of the individual, was viewed as the focus of evolutionary strategy. This view was suggested by Charles Darwin himself in On the Origin of Species (1859). Wilson 7 Success, Dominance, and the Superorganism: the Case of the Social Insects (1997). In On Human Nature (1978), for which he was awarded a Pulitzer Prize in 1979, W ilson discussed the application of sociobiology to human aggression, sexuality, and ethics. His book the Ants (1990) was a monumental summary of con temporary knowledge of those insects. In his later career W ilson turned increasingly to reli gious and philosophical topics. In Consilience: the Unity of Knowledge (1998), he strove to demonstrate the interrelat edness and evolutionary origins of all human thought. In Creation: An Appeal to Save Life on Earth (2006), he devel oped further the evolutionarily informed humanism he had earlier explored in On Human Nature. In contrast to many other biologists, notably Stephen Jay Gould, W ilson believed that evolution is essentially progressive, leading from the simple to the complex and from the worse adapted to the better. From this he inferred an ultimate moral imperative for humans: to cherish and promote the well-being of their species. In 1990 W ilson and American biologist Paul Ehrlich shared the Crafoord Prize, awarded by the Royal Swedish Academy of Sciences to support areas of science not cov ered by the Nobel Prizes. She worked as a secretary and as a flm production assistant until she gained passage to Africa. Once there, Goodall began assisting paleontologist and anthropologist Louis Leakey. Her association with Leakey led eventually to her establishment in June 1960 of a camp in the Gombe Stream Game Reserve (now a national park) so that she could observe the behaviour of chimpanzees in the region.

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Consider that infuenza has similar symptoms to other conditions medicine quizlet purchase cabgolin 0.5mg visa, such as the common cold medicine 5 rights order cabgolin with mastercard. To protect friends medications 222 purchase 0.5 mg cabgolin, your co-workers treatment 20 order on line cabgolin, your family medicine 834 purchase 0.5 mg cabgolin with amex, and all those yourself medicine organizer discount cabgolin master card, your friends, and with whom you come in contact. Any of these indicate a healthy normal response that may result in some mild discomfort, but this is different from actually getting infuenza. Checklist of a Successful Infuenza Vaccination Campaign Identify a facility champion as the Flu Coordinator. This person may want to work with the occupational health staff to combine resources and efforts to establish a facility-wide fu vaccination campaign for Veterans and staff. Increase vaccination events and locations where vaccination is available, and take the vaccine to clinics via mobile carts. Ignaz Semmelweis in 1847 before affect patients in any type of setting where they scientists had discovered bacteria and the role receive care and can also appear after discharge. Although microbials, massive additional costs for health both performed approximately 3500 deliveries per systems, high costs for patients and their family, year, 600-800 mothers died each year on wards and unnecessary deaths. Specifcally, hands play a role in the transmission of the infuenza virus when droplets carrying infuenza virus contaminate animate and inanimate objects. It has been shown that a cough or sneeze from an infected person can spread the virus to surfaces 5-6 feet away. A non-infected person touching a contaminated surface can spread the virus to him or herself by then touching his or her eyes, nose, or mouth. Therefore, it is essential to follow hand hygiene guidelines to prevent the transmission of the infuenza virus. Improving adherence to hand hygiene Challenge and Guideline on Hand Hygiene in practice: a multidisciplinary approach. Evaluation of a handwashing intervention to reduce respiratory illness rates in senior day-care centers. Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. Semmelweis and the aetiology of puerperal sepsis 160 years on: an historical review. When an ry illness to determine if they actually need to infected person coughs or sneezes, they generate visit the facility or if droplets that can travel up to 6 feet or more. Even so, there will entrances with instructions on respiratory be people who decline the vaccine or cannot take hygiene and cough etiquette. The elements of standard precautions procedures for standard or not report to that apply to patients with respiratory infections droplet precautions. Options for performing hand ing to work, especially if coughing or sneezing hygiene include alcohol-based hand rubs persists, including wearing a facemask when or soap and water (when hands are visibly performing patient-care activities. Gowns are hematopoietic stem cell transplant patients) and for single patient use and should be changed from other colleagues. Adherence to Droplet Precautions Patients with suspected or confrmed infuenza should be placed under droplet precautions for 7 days after illness onset or until 24 hours after resolution of fever and respiratory symptoms, whichever is longer. Management induction, elective intubation, extubation, and of laundry, food service utensils, and medical autopsies may generate higher concentrations waste should follow standard procedures. Hand hygiene, respiratory touched, and the use of gowns, gloves, and hygiene, and cough etiquette should continue masks per hospital policy. They c) comply with standard, droplet, or other should understand the importance of vaccination, posted respiratory precautions; early treatment with antiviral medication, and d) clean their hands frequently. Intervention Studies for Pandemic Infuenza and htm#stay Current Gaps in the Research. Mask Use, Hand Hygiene, and Seasonal tion of posters for covering coughs/sneezes, etc. Facemasks, Hand Hygiene, and Infuenza Among Young Adults: A Radomized Intervention Trial. Control Institute for Health care Improvement on Infuenza in Healthcare Settings: Early Lessons app. Appraisal of Recommended Respiratory Infection Control Practices in Primary Care and Emergency Jefferson, T. Infection Control Hospital Epidemiology 212 213 Surveillance and 10 Documentation A. It provides public health offcials with the data, information, and tools needed to better coordinate responses to infuenza. These data guide the decisions and actions by public health agencies at local, regional, and national levels. Search and select the individual who is to tion during mass infuenza vaccination clinics can receive the vaccine. Note: You must search be a challenge, but a process should be in place to for volunteers using their last name. Highlight seasonal is role based, and staff who assist Occupational infuenza vaccine. Delaying documentation is a individual has already received the vaccine if patient safety issue. The template is divided into several sections: Helpful Hints: subjective, objective, assessment, plan, and encounter codes. Under the encounter codes tab, staff must data includes as of will include only those select diagnostic and procedure codes. Reports where the date range is have the ability of searching and selecting from and to include any individual who another code, if applicable. Documentation is I entered all of the encounter information, now complete in all the selected records. Make sure you 2014, through March 1, 2015, the person is are using the correct signature code (the same included in the denominator. The Vaccination Administration plication has been completed and confrmed, report can be generated as a summary report. Individuals who are vaccinated generate three main types of reports on infuenza 2. This report includes both vaccinations administered and vaccinations received elsewhere. When generating vaccination rate reports, only employees and volunteers should be selected. Flu on your site and the location of the patient, but and the specifc vaccine vaccinations must be recorded the maintenance of an accurate and up-to-date directly into the Patient using a method that enters immunization list is critical. There is a patient wellness reminder in My HealtheVet for use by in-person authenticated patients. Topic areas include seasonal and pandemic infuenza, pneumonia, hand hygiene, and respiratory etiquette. Manual is available in electronic format only Four short clips are targeted toward a general at. These cover a Two short clips are intended for health care myriad of topics, providers and others within the medical care including fu, setting.

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