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The asked me during his office visit with me purchase 25mg zoloft visa, What are you going mentor achieves this by listening or talking in confidence to to do next in your career and professional life? Mentors are especially helpful that I had been a history major and had thought I would be a when they share personal knowledge discount 100mg zoloft overnight delivery, advice trusted 25 mg zoloft, and experi- history professor. There were better prepared than you think, and if you want to pursue that no physicians in my family, but I was fortunate to find men- path I will help. There is much overlap in these functions, and it is impor- I have been fortunate to have had many excellent tant to recognize that good mentors are all of these things, mentors during my academic career who helped and that they change their techniques and functions over time me through many important experiences and based on the needs of those they mentor. Commit to mentoring Offer guidance and direction Have a clear understanding of regarding professional goals and Professionals must first acquire knowledge and the skills of your motivation to mentor issues their profession through study and experiential learning. Mentor based on a realistic Provide timely, clear, and But true professional expertise comes through practice and assessment of your skills and comprehensive feedback to constant feedback, often from a mentoring relationship with questions leadership abilities a senior colleague. The mentee learns and internalizes the Set goals, objectives, and timetables Recognize barriers to good profession s attitudes and values, most often with a mentor. Although there is no single Set the Principles Teach how to set priorities and how successful mentoring model, there are identified character- to politely say no Develop mutual respect istics of good mentors and mentees. They respect and are respected Ask questions: Communicate hope and by their peers. Some general principles for mentoring are set out in the What gives you the most joy? Celebrate success in the organization When I reflect on the people who had the greatest influ- Be reliable Encourage development of skills and ence on me, I think of my coaches. I experienced the joy of improv- in the New Yorker magazine, Personal Best: Top Athletes and ing, succeeding, and winning. I also learned cess there is a perception that after a defined amount of time about quantitative data, that the final time or score was not a student no longer needs instruction. Decide what you hope to gain Give back to the profession by Most people continue to practice what they are already good from mentoring mentoring others at, but need an outside perspective to learn how to continue Set the Principles to improve. Communicate your expectations Accept criticism Good coaches or mentors can observe a performance and break it down into crucial individual components, then make Be reliable Continually reassess performance suggestions about how to improve. A good coach makes you Be honest Be respectful aware of where you are falling short. Then, with the coach s Follow through Act on your own initiative feedback and suggestions and your own self-effacement and personal practice, you can move forward. Among the After a number of years of practice, a doctor is considered an perceived benefits of mentoring include greater satisfaction expert forever. My rates of complications moved professional development, improved bedside and learning steadily lower and lower. It started to seem that the only direction things could proved professional behavior, broader educational experience, go from here was the wrong one. All mentor who observed him in practice and made many help- of us can use good teachers, mentors, and coaches. We often think about coaching, he was successful in improving performance, and teaching medicine in the traditional sense of lectures, case hopefully patient outcomes. I believe we should view mentoring as a professional effective intervention designed for human performance. Publication status and date: New search for studies and content updated (no change to conclusions), published in Issue 12, 2014. The interventions were herbal medicines which we dened as plants used for medicinal purposes in any form. Data collection and analysis A library scientist with the Cochrane Back Review Group conducted the database searches. We downloaded full references and abstracts of the identied studies and retrieved a hard copy of each study for nal inclusion decisions. Two review authors assessed clinical relevance and resolved any disagreements by consensus. Aromatic lavender essential oil applied by acupressure may reduce subjective pain intensity and improve lateral spine exion and walking time compared to untreated participants (one trial, 61 participants,very low quality evidence). Additional well- designed large trials are needed to test these herbal medicines against standard treatments. Background Back pain is common and up to 35% of the population can be affected in a given month. Herbal medicines taken orally or applied to the skin are being used to treat many conditions including back pain. Study characteristics Researchers from the Cochrane Collaboration examined the evidence available up to August 5, 2013. Two oral herbal medications, Harpagophytum procumbens (devil s claw) and Salix alba (white willow bark), were compared to placebo (fake or sham pills) or to rofecoxib (Vioxx ). The average age of people included in the trials was 52 years and studies usually lasted three weeks. Key results Devil s claw, in a standardized daily dose of 50 mg or 100 mg harpagoside, may reduce pain more than placebo; a standardized daily dose of 60 mg reduced pain about the same as a daily dose of 12. Lavender essential oil applied by acupressure appeared effective in reducing pain and improving exibility compared to conventional treatment. Adverse effects were reported, but appeared to be primarily conned to mild, transient gastrointestinal complaints or skin irritations. Quality of the evidence Most included trials were at low risk of bias and the quality of the evidence was mainly very low to moderate. Authors of eight of the included trials had a potential conict of interest and four other authors did not disclose conicts of interest. There is no evidence yet that any of these substances are safe or efcacious for long-term use. Large, well-designed trials are needed to further test the efcacy of these interventions. S U S T P A S B i li a la k P la : t i i k i S : t i l ii I n : il i i C : O li t (t ls (G P i t i m m i = i t m. Among people reporting back problems, between for health-care systems in many industrialized countries (Mounce 16. A special focus issue of The Spine Journal reviewed 25 cate- Zingiber ofcinale (ginger) (Blumenthal 1998). Return to Work or Work Status (% of population, number of days of absenteeism); 5. Lumbar exibility (measured by Schober method, ngertip- M E T H O D S to-ground distance).
In histological type discount 50 mg zoloft, squamous cell carcinoma was 69% and the adenocarcinoma was 31% discount zoloft 50 mg visa. There were no significant association between celiac lymph node involv- ment and tomour depth cheap zoloft 25 mg amex, length, histological type, site of involvement and histological grading. This study found that, 222 (M: F=127: 95) out of 252 patients had acute appendicitis at operation, which was confirmed by histology. Some facts for clinicopathological correlation are similar with previous research findings but others are not. This paper adds more information on causal agents of stomach cancer in Myanmar and includes information for future clinical tumor vaccine trial and immunotherapy of cancer. Peptic ulcer was the only non-infective medical condition which was studied in some detail. Many of these studies were within the framework of a common theme and some were conducted in accordance with a well planned, coordinated, continuous program. Common acute and non-acute surgical conditions have also been studied but there was no planned program or connecting theme or continuity. Future surgical studies may need to have consistency and continuity in order to have better impact. Key-hole surgery has now started in Myanmar and may need to be compared with conventional surgery regarding usefulness and safety in the local setting. They are now being dealt with by folk medicine and empirical treatment and merit more attention and scientific study. Digestive disorders and food digestion, especially of particular Myanmar foods and meals, such as being undertaken in Thailand, is also a relatively unexplored area for study. Regarding methodology descriptive epidemiological method was easily acquired by many and most frequently used yielding extensive data; analytical epidemiological methods were also employed and gave useful information about causal relationships ;but more sophisticated methods like epidemiological model construction was used only sometimes by very few. Some of the studies have became repetitive and redundant in later years such as the clinical and epidemiological descriptions of intestinal helminthiasis and diarrhoea in different localities and settings, and need no longer be pursued unless a new finding is likely or a new hypothesis is being explored. Routine clinical, radiological and clinical laboratory methods were used at first but gradually large numbers of specific techniques required for special purposes were employed as new, up-to-date technology was acquired in many pre-clinical and clinical disciplines. Gut function studies such as measurement of intestinal absorption and malabsorption were done; but motility studies were few and limited to radiological contrast studies. Studies in some areas have reached the stage of diminishing returns with respect to practical application and use - such as clinical and epidemiological descriptive studies of intestinal helminthiasis and diarrhoea, while some others like epidemiology of dysentery and in-depth investigation of its etiological agents may need more emphasis and acquisition of new up-to-date technology. Methods for the study of food digestion and digestive disorders may need to be introduced. Even simple measurements of gastric and pancreatic enzyme secretions are not easily available here. While the upper and lower gut can now be visualized and accessed by endoscopy, the small intestine in between still remains out of vision and un-accessible in Myanmar, except with the Crosby capsule for biopsy of the proximal ileum. Intestinal capsules that transmit pictures of the gut lumen and other information such as pressure waves are now being used to aid diagnosis in other countries and may be introduced here if financial resources are available. Similarly, expanded studies of normal and abnormal gut motility using electrophysiological measurements and radio capsules are exciting possibilities. We serve the Nation independently, in coordination with other Federal agencies, and in partnership with fre protection and emergency service communities. None of the materials may be sold for a profit under the provisions of public domain. These materials have been copyrighted under the copyright laws of the United States. One of these means is to partner with fre service organizations who share this same admirable goal. Miller Assistant to the General President Occupational Health, Safety & Medicine Richard M. Respiratory disease is the number three killer in North America, exceeded only by heart disease and cancer, and is responsible for one in six deaths. Fire fighters work hard each and every day, proudly protecting and serving our citizens by answering the call for help -- a call to save lives. It may be a response to a hazardous materials incident, a structural collapse or other special operations event. The response may be for emergency medical assistance and transport to the hospital, with potential exposures to a host of infectious disease. Fire fighters have little idea about the identity of many of the materials they are exposed to or the health hazards of such exposures -- whether they are chemical, biological or particulates. Nevertheless, fire fighters and emergency medical responders continue to respond to the scene and work immediately to save lives and reduce property damage without regard to the potential health hazards that may exist. A fire emergency has no engineering controls or occupational safety and health standards to reduce the effect of irritating, asphyxiating or toxic gases, aerosols, chemicals or particulates. It is an uncontrollable environment that is fought by fire fighters using heavy, bulky and often times inadequate personal protective equipment and clothing. It is the result of a career of responding to fires and hazardous materials incidents; it is caused by breathing toxic smoke, fumes, biological agents, and particulate matter on the job; and it is the response to continuous medical runs or extricating victims at accidents. Some health effects are immediate while others may take years and even decades to develop and because some respiratory diseases develop over time, it s impossible to say, This specific emergency response caused my disease, yet fire fighters continue to get sick and die from occupationally- caused respiratory diseases. Variability in exposures among fire fighters can be great; however, a number of exposures are commonly found in many fire scenarios. They are often exposed in their fire stations to significant levels of diesel particulate from the operation of the diesel fueled fire apparatus. Health effects are known to be produced not just by the particulates themselves, but also by certain chemicals adsorbed onto the particulates. Further, the mixture of hazardous chemicals is different at every fire and the synergistic effects of these substances are largely unknown. Such studies that address and link fire fighting with respiratory diseases fall into three main groups laboratory studies, field studies and epidemiological studies. The first, involving animal laboratory experiments, have identified exposure to certain chemicals, biological agents and particulate substances and their contribution to the respiratory disease process. Such studies are invaluable to the understanding of the effect such substances can have on humans and they play a significant role in hazard identification for further risk assessment. The second group, field studies, documents the exposure of fire fighters to these agents through industrial hygiene or biological and physiological monitoring. Industrial hygiene data indicates that the fire environment contains a number of potentially dangerous toxins.
Sensitivity to chloramphenicol was seen in 25% of cases whereas Augmentin order 25mg zoloft with mastercard, Carbenicillin 100 mg zoloft with amex, Sulfizoxazole and Sulfamethcxazole/ trimethoprim all had a 12% sensitivity only order zoloft 50mg on-line. Serctypes O126, O1, O142 and O125 showed multiple drug resistance but serotype O26 did not show any resistance to all the antibiotics tested. Children were stratified according to grade of dehydration (mild, moderate or severe) and the initial purging rates during the first 6h (low (<2ml/kg/h), moderate (2-5ml/kg/h) and high (>5ml/kg/h) purgers). The clinical characteristics of the children in the two treatment groups were comparable. The net intestinal fluid balance and total body fluid balance were similar in the two groups. Amylase (25mg) thinned the gluey rice water when 100g of rice was cooked in 500ml of water for 10 minutes. In study 1, 12 children with diarrhea and mild dehydration were studied to determine the safety of Amylyte. The osmolality of 7,994 packages used to make the Amylyte solution ranged between 277-340mOsm/kg. The mean electrolyte composition was Na+=68mEq/L, 110 Bibliography of Research Findings on Gastrointestinal Diseases in Myanmar K+=20mEq/L, Cl=73mEq/L, the caloric density 425kcal/L and rice proteins 0. It can safely and effectively rehydrate children with acute diarrhea and dehydration. Using a rice test meal, breath hydrogen peaks greater than 10ppm above baseline within 4 hours (indicating rice malabsorption) were seen in 24 out of 55 (44 per cent) Ascaris lumbricoides infected children and 3 out of 18 (17 per cent) non-infected children (age 18-59 months). Seventy children had been regularly dewormed for 2 years (single dose levamisole 50 mg every 3 months) whilst 69 children had been dewormed once in 2 years, 6 weeks before breath testing. Regularly dewormed children showed a lower prevalence of rice malabsorption (33 per cent) compared to the control group (54 per cent) (P<0. These findings suggest that malabsorption of carbohydrate from rice can occur during Ascaris lumbricoides infection in children. Its pathogenic role in chronic type B gastritis and gastric cancer have been established, and its role in nonulcer dyspepsia is now widely investigated. All 50 patients had endoscopic abnormalities; 37 with gastritis, 5 with gastric cancer; 3 with duodenitis, 3 with duodenal ulcer, and 2 with gastric gastric ulcer. Regarding the sex distribution, there were more males (31 males and 19 females) in the study group. All the patients with duodenitis, duodenal ulcer and gastric ulcer had chronis antral gastritis. We undertook a cross-sectional survey comprising 3325 schoolchildren from 13 primary school and 164 non enrolled school age children from neighboring quarters in Tharketa and Mingalardon townships of Yangon during December 1993. Height and weight of the children were measured and a total of 944 stool samples, including 148 non- enrolled children, were examined for the presence of intestinal parsites. Expressing the nutritional status as standard deviation scores for weight for height, the prevalence of wasting among 5-10 years non-enrolled school-age children was 19. In addition, non enrolled school age children had higher than school children in the infection rates of Ascaris lumbricoides (66. The policy implicating of this study is that health and nutritional status of non enrolled school aged children needs to be promoted and this should be partly solved by the provision of regular and periodic mass chemotherapy against the nutrition influencing major intestinal parasitoses. To this end, diarrhoea with subsequent childhood malnutrition, which is prioritized as the fourth national health problem in Myanmar and which demands worldwide concern was selected for a qualitative/quantitative study to assess the effectiveness of health education on the perception and practice of mother regarding diarrhoea. A sample of 345 mothers was selected by systematic random sampling method from a population who had been given self-care sessions. Regardless of the age or educational status most have good knowledge on diarrhoea and its home care procedure (89%). However, maturity, educational status and experience are attributes for the ability to translate knowledge into good practice as 83. This study illustrates the value of primary education in acquiring knowledge of health educational messages. Its also reveals the importance of technical skill of health educators in structuring messages for the public in order to materialize change in the attitude of community and ensure its commitment nd mobilization. Research findings since 1980 on Escherichia coli as an etiologic agent responsible for diarrhoeal diseases in Myanmar are reviewed and presented. The incidence and seasonality of Escherichia coli diarrhea in community and hospital based settings, in adults and children were reported. The review also consisted of studies on pathogenesis of Escherichia coli and on plasmid profiles. They are all sensitive to nalidixic acid but 97 percent to gentamycin, 96 percent to sisomycin and 95 percent to tobramycin respectively. It was observed that one case from diarrhoea cases showed alpha haemolytic activity; none of the control cases showed any haemolytic activity; and 3 cases of urinary tract infection showed beta haemolytic activity. Simultaneously, a set of questions was filled to ascertain the diarrhoea and motion of diarrhoea of children. Random samples of 238 males and 158 females children of age ranging from one month to ten years old were included in this study. From the cases detected, the age range was from ten months to five years and the duration of illness was from 3 to 30 days. It was then serotyped using O antisera by test tube serial dilution technique and found that 33 cases showed agglutination. Most of them were resistant to ampicillin, chloramphenicol, streptomycin, tetracycline and trimethoprim/sulfamethoxazole. Fecal leukocytes were identified under a high power microscope by wet mounting of methylene blue staining method. Those cells clearly identified with either round nucleus or as polymorphonuclear were noted and degenerated cells that could not be clearly identified were ignored. The bacterial pathogens and protozoal pathogens were identified by standard methods. Fecal leukocytes were present 114 Bibliography of Research Findings on Gastrointestinal Diseases in Myanmar in 31. The association between the presence of fecal leukocytes and isolated pathogens from the stools was analyzed. It was found that fecal leukocytes were seen in stools which are associated with shigella (25%), Shigella and Entamoeba histolytica 971. A total of 1805 isolates 115 Bibliography of Research Findings on Gastrointestinal Diseases in Myanmar of E. It was serotyped by using O antisera using test tube terial dilution technique and observed that 93 isolates showed agglutination.
Proceedings of the 3rd International Conference on Gastroenterology Surgery; 2004 May 3-5; Bonn buy cheap zoloft 25 mg line, Germany generic zoloft 25mg without a prescription. The potential role of macrophage migration inhibitory factor in migration of vascular smooth muscle cells [abstract] cheap zoloft 50 mg line. Proceedings of the 1st International Conference on Polyphenols and Health; 2004 Nov 18-21; Vichy, France. Paper also printed as a part of a journal Examples of Citations to Conference Papers 1. Developing electronic patient records: employing interactive methods to ensure patient involvement. Proceedings of the Joint Conference of the Society for Economic Botany and the International Society for Ethnopharmacology; 1996 Jul 1-6; London. Biodiversity & health: focusing research to policy = Biodiversite & sante: de la recherche aux politiques. In: Colloque Energie Solaire et Sante dans les Pays en Developpement = Conference on Solar Energy and Health Care in Developing Countries; 1991 Nov 4-7; Paris. Foot-and- mouth disease in the Americas: epidemiology and ecologic changes affecting distribution. A bifunctional Delta(6)- acetylenase/desaturase from the moss Ceratodon purpureus. Paper from a proceedings in a language other than English, with translation Boetsch G. Neuropsychophysiological profile of children with developmental dyslexia [abstract]. Abstracts of the 12th World Congress of Psychophysiology; 2004 Sep 18-23; Thessaloniki, Greece. Proceedings of a Workshop on Outcome Measures Conference Publications 291 in Early Childhood Asthma and Other Wheezing Disorders; 1995 Sep 21-23; Gerona, Spain. Proceedings of the European Atrial Fibrillation Consensus Conference; 2001 Sep 16; Bologna, Italy. Sample Citation and Introduction to Citing Parts of Conference Papers The general format for a reference to a part of a conference paper, including punctuation: - with a title for the book of proceedings as well as a conference title: 292 Citing Medicine - with only a conference title: Examples of Citations to Parts of Conference Papers Rather than citing a conference paper as a whole, separately identified portions of a paper may be cited. Because a reference should start with the individual or organization with responsibility for the intellectual content of the publication, begin a reference to a part of a paper with the paper itself, then follow it with the information about the part. Medical texts frequently contain charts, figures, and other illustrative material that has been reproduced with permission from other sources. Citation Rules with Examples for Parts of Conference Papers Components/elements are listed in the order they should appear in a reference. Risunok 6 Parartema 4 Romanize or translate titles in character-based languages (Chinese, Japanese). Ichiran-hiyo 3 or [Table 3, ] Ignore diacritics, accents, and special characters in names. Conference Publications 295 Example Entries for Name and Number/Letter of the Part 1. Part of a paper with title containing a Greek letter or other special character 7. Part of a paper with a constructed title Location (Pagination) of the Part of the Conference Paper (required) General Rules for Location (Pagination) Begin location with "p. Box 91 Part paginated separately A part such as an appendix or a group of tables may be given its own pagination and begin anew with page one. Part of a paper with no page number provided Examples of Citations to Parts of Conference Papers 1. Optical multi-channel monitoring of skin blood pulsations for cardiovascular assessment. In: 6th Congress on Equine Medicine and Surgery; 1999 Dec 12-14; Geneva, Switzerland. Appendix B, World Organisation for Animal Health Guidelines on antimicrobial resistance; p. Les fluctuations cycliques fondamentales des economies capitalists - le model [Fundamental cyclic fluctuations of capitalist economies - the model]. Annexe, Definition de la transformation de Laplace (1749-1827) [Appendix, Definition of Laplace transformation (1749-1827)]; p. In: 1986 European Meeting of the Toxicology Forum; 1986 Sep 22-26; Geneva, Switzerland. Part of a paper in a language other than English Morel E, Vialle R, Rillardon L, Guigui. Tableau 4, Comparison du groupe spondylolisthesis (n=53) au group temoin (n=300); p. Tableau 4, Comparison du groupe spondylolisthesis (n=53) au group temoin (n=300) [Table 4, Comparison of the spondylolisthesis group (n=53) with the control group (n=300)]; p. The neuropsychiatric syndrome of 9-tetrahydrocannabinol and Cannabis intoxication in naive subjects. Conference on Marihuana and Medicine; 1998 Mar 20-21; New York University School of Medicine, New York. The neuropsychiatric syndrome of Delta(9)-tetrahydrocannabinol and Cannabis intoxication in naive subjects. In: Pharming the genome: implications of pharmacogenomics for human health and public policy [Internet]. Entire Reports Sample Citation and Introduction Citation Rules with Examples Examples B. Parts of Reports Sample Citation and Introduction Citation Rules with Examples Examples A. Governmental agencies, usually at the federal or state level, issue most technical reports, but reports also originate from universities and other types of research institutions. In citing a technical report, it is important to identify both the sponsoring organization (i.