Paul E. Szmitko, MD

• Chief Medical Resident, Division of General
• Internal Medicine, St. Michael? Hospital
• University of Toronto
• Toronto, Ontario, Canada

She killed Ascaris and sheep liver flukes with the parasite program but promptly got them back due to a benzene buildup I believe due to using products containing an herbal oil medications 44 175 purchase pristiq 50mg online. Her high levels of Streptococcus pneumoniae (cause of fevers) treatment dry macular degeneration purchase pristiq without prescription, Staphylococcus aureus and Nocardia could not be eliminated until her three baby teeth (with root canals) were pulled medicine 666 colds quality 100mg pristiq. She was toxic with arsenic treatment of criminals discount pristiq 50 mg overnight delivery, a substance that replaces en ergy with nervous excitement and exhaustion medicine qd discount pristiq 50mg overnight delivery. She also had a backlog of antimony (using baby oil) symptoms 0f ovarian cancer purchase pristiq 100mg on line, aluminum, rhenium (hair spray), benzalkonium (toothpaste) and radon. In four months, she had the arsenic and three other toxins eliminated and already had more energy. He had the mirac idia of the intestinal fluke, sheep liver fluke, and pancreatic fluke in his thyroid! He had been drinking a great deal of regular tea, which let oxalate crystals deposit in his kidney and slow down the excretion of toxins. The parasites were killed with a frequency generator, he changed his diet to get rid of solvents. Change all detergents (for dishes, laundry, and body use) to borax and/or washing soda. Whether you have cysts or not, it is always a good idea to use borax and washing soda instead. If you test positive for it, stop all commercial soap and detergent for all possible uses. The fungus is hosted by another parasite but finds your skin quite satisfactory for a home, at least while your skin immunity is low. It may be low from wearing metal jewelry, having metal tooth fillings, aluminum (from lotions and soaps), cobalt (from shaving supplies), and zirconium (from deodorant. When all these are removed, the skin will dry up quickly in open air or under a heat lamp. The skin that has rash or fungus should be dried with paper towels, unfragranced and uncolored, in order not to contaminate the cloth towels, and thereby transport the tiny infectious spores to other skin loca tions. The pers are a modern metal is pulled into the body for atrocity, forcing elimination. Allergy to strawberries, perfume, deodorant or chlorinated water, however different they are, can all be expressed the same way, in a rash. The liver has refused (been unable) to detoxify the chemicals in these items and allows them to circulate in the body. Not for long, though, since great damage could be done to brain and other tissues. Try cleaning your liver (page 552) several times or until 1,000 bits of refuse have been washed out of the bile ducts. This relieves the back pressure on that part of the liver, and allows it to do its work again. The day before the liver cleanse you would never eat a strawberry or peanut for fear of a reaction. Experience shows this to be true, although it can take two years to carry out such a program. It is quite destructive to bathe the brain in strawberry chemicals or your toes in maple syrup chemicals. Stay off al lergy-producing foods and products even if you can tolerate a little or can be desensitized to them with shots or homeopathic methods. Use these methods for relief, not license to continue using items that tax your body. Certain childhood diseases produce a rash and this can be diagnosed by testing for the suspected disease with a slide or culture of it. Then use a zapper to kill both the bug and any larger parasites that may have brought it in. Perhaps the true culprit was too big to be seen with a mi croscope or too small (antigen) to be recognized or just too unimaginable. I inevitably find Trichinella, one of the four common roundworms that infect humans. It is generally believed to re side in muscles, especially the diaphragm, but in acne cases it is in the skin. Their molting chemicals are quite allergenic; perhaps it is these that are affecting the skin. Since pets pick these worms up daily, there is chronic reinfection in families with pets. She had been treated since teen age with ultraviolet light, Retin A, and antibiotics. Her skin was toxic with strontium and her kidneys had cadmium, silver and beryllium deposits inhibiting ex cretion. In spite of using parasite herbs for months she got no improvement until the baby was out of diapers. His urinalysis showed amorphous crystals (stones of all kinds) and a trace of protein. He was started on kidney herbs so there would be good excretion after killing the Trichinella. His thyroid and kidneys were full of zirconium and titanium from all the lotions he used for his skin. It took four months to clear his Trichinella although there were no young children or pets in the house. His face was beginning to heal, but three months later he had a recurrence, although his parent was not a carrier. Evan Knight, 36, had psoriasis at elbows and knees from age 9 but now it was spreading to his fingers and scalp. He occasionally had bronchitis and puffy eyelids, indicative of Ascaris but at the time of his visit he had Trichinella fluke stages and Echinostomum in his skin. He was started on the parasite program and in three weeks it was clearing instead of advancing. He switched to milk for his beverage to raise his immunity and removed the arsenic, formaldehyde and thulium (from his vitamin C) by doing the necessary cleanups. He killed it in the office with a frequency generator and got imme diate improvement but four weeks later it was back. This situation would make recovery impossible since he was no doubt reinfecting himself. He also had titanium, platinum and silver accumulated in his tissues and needed to replace his dentalware before expecting a permanent cure. He killed the Leishmanias with a frequency generator and started himself on the kidney herb program. This was discovered decades ago when an outbreak of heart disease occurred in England. It was traced to a pub (where they all partook) where cobalt was added to the beer to make the foam rise higher! Grethe Driscoll, middle aged, wore tons of make up, so skillfully applied that scars from a face lift could never be detected. When she had minor breakouts, which usually occurred while away on a trip, it seemed like a catastrophe. She tried everything available but could not get to her parasite herbs until she was back home several weeks later. After one week on them (5 day high dose plus maintenance) her complexion was perfect again. He had As caris, hookworm and Strongyloides (he also had migraines) all re acting in the skin. He killed parasites electronically and with herbs and got a considerable improvement. Nevertheless, he had seen the connection and he knew it was just a matter of persistence to a clear complexion. But after learning how to get rid of them, you will probably know how you got them. In fact, they might all be different: each one is made up of 5 or 6 different viruses, not just one as we had believed. But also search electronically in your liver, spleen, muscles, stomach, heart, pancreas. Without a zapper, you will need to find the frequency of each virus to completely destroy it. When you find its resonant frequency, kill it by treating yourself for three minutes at 10 volts from a frequency generator. After a week you may lose one or two completely, and find that several more have become smaller. Notice that they are not necessarily gone from the pancreas or other organs at the same time as they are gone from the skin. They may, in fact, ride into the body on some common bacteria, like Salmo nella, or common parasite like pinworms or tapeworm stages. Maybe his benzene buildup was responsible for letting so many parasites (and their viruses) survive and multiply in his body. He was given different chores, too, to reduce his contact with animals and their parasites. Georgianna Mills, a middle age music teacher, broke out with warts all over her hands, at least 30 in total. A few months later she was diagnosed with bone cancer; she always wondered if there was a connection. She cleared up her cancer and killed her viruses and bacteria with a frequency generator. But her indoor pet brought new parasites daily, especially Moniezia tapeworm stages. I concluded that each wart is actually composed of 3 to 6 vi ruses and these viruses are distributed throughout our bodies! How satisfying to be able to rid our bodies of them, once and for all even in internal organs. Tapeworms lead complicated lives, much like insects with their caterpillars, larvae, larval molts, pupae and eventual adults. A vege tarian animal nibbling vegetation near this filth, or licking dirt and dust off its coat, swallows the eggs. The Jewish society discovered the great importance of washing hands before eating, thousands of years ago. In our own relatively short life times we cannot see the whole picture as well as the prophets and seers of ancient cultures could. Dog and cat tapeworms are most prevalent, but sheep, cow, pig, and sea gull tapeworms are also common. Whatever animal species you live near, or once lived near, you probably swallowed some of its filth and some tape eggs. The eggs hatch in your stomach and the tiny larvae burrow into a neighboring organ without any consideration that this is your stomach. The larva is about inch long, surrounded by a sac of wa ters, like a tiny water balloon. Looking very closely at this sac, called a cysticercus, we see a head (scolex), complete with hooks and suckers, turned inside out, inside a bladder. You can find these larval cysts in your organs using slides of the cysticercus stage of various common tapeworms. Search in your muscles, liver, stomach, pancreas, spleen, intestine and even brain. My explanation for this curious finding is that the tapeworm leaves no debris to be cleaned up by your white blood cells. Evidently your body builds a cyst wall around the larva to tightly encase it and prevent toxins and debris from entering your body. Of course, the larva is much too big to be devoured by tiny white blood cells anyway. Yet, it seems that if a pack of white blood cells had attacked the larva just as soon as it hatched from the egg they would have been able to devour it. The short life span of these other hosts might mean that the life span of the cysticercus is also quite short, not 40 years! When they die, the white blood cells do clean them up and we can see them in our white blood cells at this time. It can take several weeks for the cysticercus to be completely gone by this natural method. Some cysticercus varieties consist of many heads, and each head has even more heads inside it! Remember bacteria and viruses are released by killing tapeworms, so always follow with a second zapping in 20 minutes, and a third zapping 20 minutes after that. If you do nothing, your body will be kept busy killing bacte ria and viruses as the tape cysticercus wears down and eventu ally dies. You may not wish to identify all of them (but at least search for Adenovirus, the common cold) and just note where you are being attacked: your nose, throat, ears, lungs, bronchi. It seldom takes more than three weeks, though, for your body to clean up a tape stage even without any help from a zapper. What initiated the death or dying process of the tapeworm stage in the first place

Proper sanitation measures can A roundheaded beetle symptoms sinus infection discount pristiq 50 mg mastercard, commonly known as the old house often eliminate the necessity for other preventative steps medicine - trusted 50 mg pristiq. The larvae reduce the sapwood to a powdery or granu infestation that occurred before the products were placed on lar consistency and make a ticking sound while at work medications erectile dysfunction generic pristiq 50 mg visa. Anobiid powder-post beetles medications used to treat schizophrenia discount pristiq online visa, which make holes is subsequently painted medications kidney stones buy pristiq visa, oiled medicine 44 159 buy pristiq with mastercard, waxed, or varnished. Infested wood should be drenched with a When selecting hardwood lumber for building or manufac solution of one of the currently recommended insecticides in turing purposes, any evidence of powder-post infestation a highly penetrating solvent. Beetles nesting in wood behind should not be overlooked, because the beetles may continue plastered or paneled walls can be eliminated through fumi to be active long after the wood is put to use. A, the northern limit of recorded damage done by subterranean termites in the United States; B, the northern limit of damage done by dry-wood termites. Termites Termites superfcially resemble ants in size, general appear ance, and habit of living in colonies. From the standpoint of their methods of attack on wood, termites can be grouped into two main classes: (a) ground-inhabiting or subterranean termites and (b) wood-inhabiting or nonsubterranean termites. Subterranean Termites Subterranean termites are responsible for most of the termite damage to wood structures in the United States. A, winged termite; B, winged lent in the southern than in the northern states, where low ant (both greatly enlarged). The wasp waist of the ant and the long wings of the termite temperatures do not favor their development. The hazard of infestation is greatest (a) beneath buildings without basements that were erected on a concrete slab enter from ground nests after the building has been con foundation or were built over a crawl space that is poorly structed. An introduced species, the Formosan termite, is drained and lacks a moisture barrier (see Chap. Telltale signs of subterra Subterranean termites develop their colonies and maintain nean termite presence are the earthen tubes or runways built their headquarters in the ground. They build their tunnels by these insects over the surfaces of the foundation or other through earth and around obstructions to reach the wood exposed areas to reach the wood above. They also must have a constant source swarming of winged adults early in the spring or fall. In the of moisture, whether from the wood on which they are feed wood itself, the termites make galleries that generally fol ing or the soil where they nest. The worker members of the low the grain, leaving a shell of sound wood to conceal their colony cause destruction of wood. Because the galleries seldom show on the wood year, usually spring, male and female winged forms swarm surfaces, probing with a pick or knife is advisable if the from the colony, fy a short time, lose their wings, mate, and presence of termites is suspected. The best protection for wood in areas where subterranean the appearance of fying ants or their shed wings is an termites are prevalent is to prevent the termites from gaining indication that a termite colony may be near and causing hidden access to a building. Not all fying ants are termites; therefore, concrete, pressure-treated wood, or other material through suspicious insects should be identifed before investing in which the termites cannot penetrate. The nonsubterranean termites, especially the dry-wood type, If there is a basement, it should be foored with concrete. With the crawl-space type of foundation, ability of dry-wood termites to live in dry wood without out wood foor joists should be kept at least 460 mm (18 in. Moisture condensation on the foor timbers with their tunneling if allowed to work undisturbed joists and subfooring, which may cause conditions favor for many years. Nonsubterranean termites are often moved able to decay and contribute to infestation by termites, can from structure to structure in infested items such as be avoided by covering the soil below with a moisture barri furniture. All concrete forms, stakes, stumps, and wastewood practice to inspect the lumber carefully to see that it was not should be removed from the building site because they are infested before arrival at the building site. Generally, the precautions constructed during the swarming season, the lumber should effective against subterranean termites are also helpful be watched during the course of construction, because in against decay. Because paint is a good protection against the entrance of dry-wood the principal method of protecting buildings in high ter termites, exposed wood (except that which is preserva mite areas is to thoroughly treat the soil adjacent to the tive treated) should be kept covered with a paint flm. Fine foundation walls and piers beneath the building with a soil screen should be placed over any openings to the interior insecticide. As in the case of ground the ground, all soil under the slab should be treated with an nesting termites, dead trees, old stumps, posts, or wood approved insecticide before the concrete is poured. Further debris of any kind that could serve as sources of infestation more, insulation containing cellulose that is used as a fller should be removed from the premises. If the wood is only slightly provides effective protection from ground-nesting termites. Information on current control pesticidal dust or liquid formulation into each nest. Current methods is available from national pest control operator as recommendations for such formulations can be found from sociations. This method is quicker than the use of poisonous liquids To control termites already in a building, contact between and dusts and does not require fnding all of the colonies. This can be done by blocking the runways from soil because no poisonous residue is left in the tunnels. Fumiga to wood, treating the soil, repairing leaks that keep wood tion is very dangerous and should be conducted only by li within the structure wet (for example, plumbing leaks), or censed professional fumigators. Possible reinfesta picture frames, and other small pieces can be individually tion can be guarded against by frequent inspections for fumigated, heated, or placed in a freezer for a short time. In localities where dry-wood termites do serious damage Nonsubterranean Termites to posts and poles, the best protection for these and similar In the United States, nonsubterranean termites have been forms of outdoor timbers is full-length pressure treatment found only in a narrow strip of territory extending from cen with a preservative. The close-grained heartwood of California redwood A favorite nesting site is in unfnished exterior wood not has some resistance, especially when used above ground. The tunnel may be injected with an Carpenter Ants insecticide labeled for bee control and plugged with caulk. Treating the surface around the entry hole will discourage Carpenter ants are black or brown. They usually occur in stumps, trees, or logs but sometimes damage poles, struc reuse of the tunnel during the spring nesting period. One form is easily recognized by paint flm or pressure preservative treatment protects exte rior wood surfaces from nesting damage. Carpenter ants use wood for shelter rather than for food, usually preferring wood that surfaces, such as in garages, can be protected by screens and tight-ftting doors. They may enter a building directly by crawling or may be carried there Marine Borer Damage and Control in frewood. If left undisturbed, they can, in a few years, enlarge their tunnels to the point where replacement or ex Damage by marine-boring organisms to wood structures in tensive repairs are necessary. The parts of dwellings they salt or brackish waters is practically a worldwide problem. Decaying or in New England States, the rate of attack is slower because fested wood, such as logs, stumps, or retaining walls, should of cold water temperatures but is still suffciently rapid to be removed from the premises, and crevices present in the require protection of wood where long life is desired. Con the decay that may result makes the wood more desirable to trol measures discussed in this section are those in use at the ants. Regulations should be When carpenter ants are found in a structure, any badly reviewed at the time control treatments are being considered damaged timbers should be replaced. In wood not suffciently damaged Shipworms are the most destructive of the marine borers. The group includes several species of nests are relatively easy to fnd because they keep their in Teredo and several species of Bankia, which are especially ternal nest sites very clean and free of debris. These mollusks are readily distinguishable on wood are removed to create galleries or as pieces of insects close observation but are all very similar in several respects. Upon fnding suitable lodgment on wood, they quickly develop into a new form and bury themselves Carpenter Bees in the wood. A pair of boring shells on the head grows rap Carpenter bees resemble large bumblebees, but the top of idly in size as the boring progresses, while the tail part or their abdomen is hairless, causing their abdomens to shine, siphon remains at the original entrance. The females make large (13-mm (1/2 grows in length and diameter within the wood but remains in. It lives on the wood borings and the organic mat pollen and nectar for a single egg. Because carpenter bees ter extracted from the sea water that is continuously being reuse nesting sites for many years, a nesting tunnel into a pumped through its system. The entrance holes never grow structural timber may be extended several feet and have large, and the interior of wood may be completely hon multiple branches. In thin wood, such as siding, the holes eycombed and ruined while the surface shows only slight may extend the full thickness of the wood. When present in great numbers, shipworms wood that has been fnished with a stain or thin paint flm, grow only a few centimeters before the wood is so com or light preservative salt treatments, as well as in bare wood. Lim levels, piles heavily attacked by Limnoria characteristically noria damage to wear within this zone to an hourglass shape. In general appearance and size, they resemble the common sow bug or pill bug that inhabits damp places. Sphaeroma are widely distributed but are not as plentiful as Limnoria and cause much less damage, although damage caused by Sphaeroma action resembles that of Limnoria. The average life of well-creosoted structures in areas sus ceptible to marine borer attack is many times the average crowded, they can grow to lengths of 0. The spots Another group of wood-boring mollusks is the pholads, with poor protection are attacked frst, and from there, the which clearly resemble clams and therefore are not included borers spread inward and destroy the untreated interior of with the shipworms. The Martesia are the best-known species, When wood is to be used in salt water, avoidance of cutting but another well-known group is the Xylophaga. Like the or injuring the surface after treatment is even more impor shipworms, the Martesia enter the wood when they are very tant than when wood is to be used on land. No cutting or small, leaving a small entrance hole, and grow larger as they injury of any kind for any purpose should be permitted in burrow into the wood. This may be accomplished by in-place United States appear to be confned to the Gulf Coast, San application of a wood preservative followed by a suitable Diego, and Hawaii. Limnoria and Sphaeroma Protection from Marine Borers Another distinct group of marine borers are crustaceans, No wood is immune to marine-borer attack, and no com which are related to lobsters and shrimp. The principal bor mercially important wood of the United States has suffcient ers in this group are species of Limnoria and Sphaeroma. The Martesia in that the bore hole is quite shallow; the result is heartwood of several foreign species, such as greenheart, that the wood gradually is thinned from the surface inward jarrah, azobe, and manbarklak, has shown resistance to through erosion by the combined action of the borers and marine-borer attack. Also, the Limnoria and Sphaeroma do not ever, do not always show uniform results and are affected by become imprisoned in the wood but may move freely from local conditions. Although they preservative and treatment retention to protect the structure can change their location, they usually continue to bore in from surface erosion. When great numbers of Limnoria are present, Protection of Permanent Structures their burrows are separated by very thin walls of wood that are easily eroded by the motion of the water or damaged by the best practical protection for piles in sea water with ship objects foating upon it. This erosion causes the Limnoria to worms and moderate Limnoria hazard is heavy treatment burrow continually deeper; otherwise, the burrows would with coal-tar creosote or creosote coal-tar solution. Because erosion is greatest between tide arsenate-containing waterborne preservatives followed by coal-tar creosote) is recommended. It is best to treat such piles by the full-cell process to fouling paints are diffcult to apply over creosoted wood. For highest retentions, it is necessary to air or only while the coating remains unbroken. Details of treatments fcult to maintain an unbroken coating of antifouling paint, are discussed in Chapter 15. Navy has found it desirable to impregnate the hull the life of treated piles is infuenced by the thoroughness of planking of some wood boats with certain copper-containing the treatment, the care and diligence used in avoiding dam preservatives. Differences in exposure condi against marine borers and should help to protect the hull of tions, such as water temperature, salinity, dissolved oxygen, a boat during intervals between renewals of the antifouling water depth, and currents, tend to cause wide variations in coating. These copper preservatives do not provide protec the severity of borer attack even within limited areas. Ser tion equivalent to that furnished by coal-tar creosote; their vice records show average-life fgures of 22 to 48 years on effectiveness in protecting boats is therefore best assured if well-treated Douglas-fr piles in San Francisco Bay waters. The leach-resistant piles are estimated to last 10 to 12 years and frequently wood preservatives containing copper arsenates have much longer. Metal armor and concrete or plastic jacketing have been Plywood as well as plank hulls can be protected against used with various degrees of success for the protection of marine borers by preservative treatment. The metal armor may be in the form of sheets, presents a surface that can be covered successfully with a wire, or nails. Sheathing of piles with copper or muntz metal protective membrane of reinforced plastic laminate. Such has been only partially successful, owing to diffculty in coverings should not be attempted on wood that has been maintaining a continuous armor. Theft, mechanical damage treated with a preservative carried in oil, because the bond from driving, damage by storm or driftwood, and corrosion will be unsatisfactory. Unfortunately, they are readily damaged by ship termites, their prevention and control in buildings. Department of for fender piles than for foundation piles that are protected Agriculture. Fungicides to prevent Jacketing piles by wrapping them with heavy polyvinyl sapstain and mold on hardwood lumber. Appraising deterioration in Wood barges have been constructed with planking or submerged piling. A climate index for estimating potential above-water parts of waterfront structures.

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At an assigned time after the final judging medications gerd order generic pristiq on-line, the displays will be available for public viewing for 1 hour symptoms syphilis 100 mg pristiq sale. Failure to attend or remain with the display during viewing time will result in a 10-point deduction from the total score medicine norco cheap 50 mg pristiq otc. Work Plan/Summary (complete both sides) Names of Team Members: Title of Project: Description of Project: Materials and Equipment Used: Explanation of Processes Used: (Procedures medications ending in ine order genuine pristiq, Lab Experiments) Results of Study/Research: Self-Evaluation: Resources Used/Works Cited: Documentation/Signature of Adviser: Evaluation Food Science/Technology Assigned No medications migraine headaches order 50 mg pristiq with visa. Make comments on the following form to help participants identify strengths and suggestions for improvements treatment whiplash discount pristiq 50mg with mastercard. Work Plan/Summary* Mastery of Science & Home Economics principles Detailed information 2. Lab Experiment(s) Scientific methodology Home Economics principles & application Results 4. Community Impact Product/process affects on health Need met Formal Presentation 6. Oral Summary** Clarity & organization Highlights important points Visual aids 7. When reporting laboratory results, be sure you are aware of the definitions of the following terms and how they relate to writing the laboratory report form. Purpose A statement defining the goal for the experiment or the problem to be solved. Procedure A brief summary of the steps in which the experiment is to be performed. Write your observations in descriptive statements that are brief and to the point. Observations are made through the use of the five senses: sight, sound, odor, touch, and taste. Sometimes you may find your observations do not agree with the expected outcome of the experiment. You will find data tables have been designed for use with each experiment in this guide. Answer the questions based on results from the experiment or information gathered to perform the experiment. The following examples show a distinction between observations and conclusions: a. If you taste a white, crystalline substance, your observations will be that it tastes sweet your conclusion is that it is sugar. You can observe properties of substances, but you conclude the identity of substances. Student Data: Name: Class Period Date Performed: Lab Partners: C. To ensure your personal safety and the safety of others, you need to reduce the risks associated with laboratory work. By examining these hazards, you will understand why the following rules have been developed for working in scientific laboratories. Chemical hazards result from exposure to hazardous chemicals from absorption through skin or eye contact, inhalation, ingestion, or injection. Loose clothing should not be worn because it may dip into chemicals or fall into a flame and catch fire. Sandals and open-toes shoes do not protect your feet from broken glass that is frequently found in science laboratories. Smell a chemical only if your teacher specifically tells you to do so, then use your hand to fan the vapor to your nose. Remember that hot and cold glassware look the same, so allow ample time forcooling. Dangling hair can fall into a Bunsen burner and catch fireor can fall into a chemical solution. Know the location of eyewash fountains, safetyshowers, fire blankets, fire extinguishers, first-aid kits, and emergencyexits. In case of a problem, you may need another personto prevent injury or even save your life. Obey all safety instructions given by your instructor orfound in your experimental procedure. If you are uncertain how to clean up a spill or if a large spill occurs,notify your instructor immediately. Before leaving the laboratory, returnequipment and chemicals to their proper places. I, a student in science at High School, have read and agree to follow all safety rules and regulations given by my teacher. I realize that following these rules is necessary to ensure the safe operation of the school laboratory and to provide a safe environment not only for myself, but for my fellow students and my teachers as well. I will, therefore, cooperate fully with teachers and students to assure that all of us work safely. I will act responsibly to look for possible safety hazards and will immediately point out these hazards to the instructor. I realize that, as a student, much of the responsibility for safety is in my hands. I understand that violation of these rules may result in the loss of laboratory privileges and possible disciplinary measures. Contact Lens Wearers Wearing contact lenses in the laboratory is the subject of controversy because of the extra risk they create in case chemicals enter the eye. If yes, I realize the hazards associated with the use of contact lenses and will strictly adhere to the eye protection requirement. Signed: (student) Date: I, parent or guardian of have read this safety contract and the attached rules. Classroom Assessment List for Oral Presentation Activity Assessment Points PossibleEarned 1. The presentation is organized with a beginning, body of information, and conclusion. The main ideas support the focus and the transitions between the main ideas are clear. Total Oral Presentation Rubric for Activity Superior the presentation is outstanding. The speaker is confident and at ease and has a clear understanding of the concept. Excellent the presentation is organized with a beginning, a body of information, and a conclusion. Poor the presentation is not well organized or focused to communicate the concept. Total Writing Rubric for Activity Superior the work is complete, clear and unusually thoughtful. It shows a very high level of conceptual understanding and ability to communicate with a specified audience. All, however, use a logical approach that is generally termed the scientific method. As part of this approach, researchers gather information about prior investigations of the same type of problem. Not only does this help focus the investigation, but it helps eliminate unnecessary duplication. Hypothesis Regularities in data may be used to propose a trial explanation of a natural phenomenon. Sometimes researchers must investigate quite extensively before forming a hypothesis or many hypotheses may be formed and disproved before one is found that can be supported by investigation. Negative controls are those that show the effect of the absence of the suspected cause agent. Positive controls show what happens if another, established cause is present but not our new suspect. Independent variables are those that are influenced by the experiment (time, weather, etc. Measurement Precise, quantitative measurements using accurate instruments make our observations more reliable and make it possible for others to check our scientific accuracy. Theories Explanations that apply to a broad range of observations are called theories. Reporting Careful records of our research findings including related research by prior investigations, our experimental design, observed measurements, and the reasoning used to interpret them allow others to learn and, if they want, to repeat our experiment. Produced in collaboration with the Ethiopia Public Health Training Initiative, the Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education. Important Guidelines for Printing and Photocopying Limited permission is granted free of charge to print or photocopy all pages of this publication for educational, not-for-profit use by health care workers, students or faculty. The Center has not only supported the team financially, but also stood behind it firmly throughout the entire period of this experience. Thus Carter Center has become the pioneer in the field of preparing teaching material and also in training a team of authors for future endeavors of the kind. In addition, the task would have been impossible without the directing of the Federal Democratic Republic of Ethiopia, Ministry of Education. It is also not out of place to thank the administration of Gondar University, Debub University and Jimma University for extending cooperation whenever it was needed. D) Associate professor of Biochemistry, Medical Faculty, Addis Ababa University and Ato. Daniel Seifu, Lecturer of Medical Biochemistry, Medical Faculty, Addis Ababa University for their highly professional editing and most helpful comments about many aspects of the text. Contemporary Biochemistry plays a crucial role in the Medical field, be it metabolic pathways, storage diseases, mechanism action of varied biomolecules or inter and intra cellular communications. A lecture note on Medical biochemistry integrates and summarizes the essentials of the core subject. Topics are carefully selected to cover the essential areas of the subject for graduate level of Health sciences. Conformation of biomolecules, structure and their relationship to biological activity 2. Molecular events in gene expression and regulation Enzymes: Body proteins perform a large number of functions. They direct the metabolic events and exhibit specificity toward substrates, regulate the entire metabolism. Thus, they play key role in the degradation and synthesis of nutrients, biomolecules etc. They assist to know damaged tissues, the extent of tissue damage, helps to monitor the course of the disease and used as a therapeutic means of diagnosing a vast array of diseases. Proteins are the molecular instruments in which genetic information is expressed, Hormones, Antibodies, transporters, the lens protein, the architectural framework of our tissues and a myriad of substances having distinct biological activities are derived. The type, nature and number of amino acids impart characteristic properties to the proteins. Acid base properties of amino acids are important to the individual physical and chemical nature of vi the protein. The structural organization of proteins could be primary, secondary, tertiary and quaternary. The unfolding and disorganization of the proteins results in denaturation, the process is mostly irreversible. Many amino acid derived peptides are of biological importance and special products formed from them are of critical importance to the body. They contain more than one hydroxyl group (polyhydric) In addition to aldehyde or ketone group. Carbohydrates can be classified in to Monosaccharide, disaccharide, and polysaccharides. Mono is the smallest sugar unit, disaccharide is made up of two monosaccharides joined by glycosidic linkages. Serve as cell membrane components and mediate some forms of communication between cells. The failure of Galactose and fructose metabolism due to deficient enzymes leads to turbidity of lens proteins (Cataract). People suffer from Diabetes if the insulin hormone is less or not functioning well, such people are prone to atherosclerosis, vascular diseases, and renal failure. Integrative Metabolism and Bioenergetics Oxygen is utilized for the conversion of glucose to pyruvate. The main breakdown product of pyruvate is acetyl CoA, which is the common intermediate in the energy metabolism of carbohydrates, lipid and amino acids. It enters central metabolic pathway, the Citric acid cycle in the mitochondrial matrix. Lipids are water insoluble, but can be extracted with non-polar solvents like Benzene, methanol, or ether. Some lipids act as storage molecules for example triglycerides stored in adipose tissue. Transport forms of lipids (Lipoproteins),are present in combination with proteins Building blocks of lipids are fatty acids.

During the conference and webinar symptoms migraine discount pristiq online american express, we distribute new treatment yeast infection home order pristiq uk, updated and important regulatory information to our contracted healthcare providers medicine lock box generic 100 mg pristiq with visa. Network Communications Presbyterian uses a variety of publications and communication methods to provide the network with accurate medicine natural pristiq 100mg amex, timely symptoms 8 months pregnant cheap pristiq 100mg visa, relevant and engaging information about changes and initiatives at the health plan and other important news affecting the network medications names buy pristiq 100 mg on-line. Presbyterian publishes a bimonthly practitioner and provider communications program newsletter titled Network Connection. This will ensure that providers receive the Network Connection newsletter regularly. This is an opportunity for providers to help Presbyterian effect positive changes to its organizational policies and procedures as they relate to member care processes. We collect all responses to determine and address areas of need to improve the provider experience. They focus on the total well-being of the member and provide a medical home, where the member can readily access preventive healthcare services and treatment in order to reduce the need for episodic or crisis healthcare treatment. Members are encouraged to be involved in their healthcare decisions and to build a healthy lifestyle. If a request is made on or before the 20th calendar day of a month, the change will be effective as of the first following business day of the receipt of the request or at the date requested by the member, provided the date is not retroactive. If the request was made by the 20th of the month, it becomes effective on the first day of the following month. If the request is made after the 20th calendar day of the month, the change will be effective on the first calendar day of the second month following the request. If providers are terminating their contract, they must provide Presbyterian with sufficient notice of termination so that we can notify our members in writing within 15 calendar days. Providers must inform members about hours of operation and provide instruction for accessing care after hours. When unavailable to provide on-call support, providers must provide members with after-hours messaging about how to access after-hours care. Referrals to Non-participating Practitioners and Facilities A member will not be held liable for payment of services if the specialist has made a one-time referral to a non participating practitioner or facility provider, until the member is notified in writing concerning their use of non participating practitioners and facility providers, and informed the member that Presbyterian will not be responsible for future payments. Providers who continually refer out of network may be subject to penalties, including and up to termination. All other Presbyterian plans require that the practitioner or facility provider submit requests to the Health Services department via fax, online, mailed or by telephone. For behavioral health, the request may come in writing directly from a behavioral health practitioner or facility provider. Out-of-network practitioners or facility providers must have approval via certification from Presbyterian before the member receives care. The specialist accepts referrals from other contracted providers to render more specialized services for the member. Please see the Care Coordination chapter of this manual for more detailed information on referrals. In addition, specialty care providers are responsible for verifying member eligibility before rendering services. Outside of these five counties, provider must refer members to a contracted in-network lab. Referrals to Non-participating Practitioners/Facilities A member will not be held liable for payment of services if the specialist has made a one-time referral to a non participating practitioner/facility provider, until the member is notified in writing concerning the use of non participating practitioners/facility providers and informed the member that Presbyterian will not be responsible for future payments. If Presbyterian elects to utilize this right, these amounts are withheld automatically and offset against any future claims payments owed by Presbyterian to the provider. In the rare event that medically necessary covered services are not reasonably available in plan, Presbyterian may approve certifications to non-participating practitioners or facility providers. All other plans require that the practitioner or facility providers submit requests to the Health Services department via fax, online, mail or by telephone. For behavioral health, the request may come in writing directly from the behavioral health practitioner or provider facility. Certifications to out-of-network practitioners or facility providers must have approval from Presbyterian before the member receives care. Other Information for Primary Care Providers and Specialists Practitioners are able to freely communicate with patients about treatment options available to them, including medication treatment options, regardless of benefit coverage limitations. Accessibility of Services Standards As required by our regulators and the National Committee for Quality Assurance, Presbyterian is required to provide and maintain appropriate access to primary care, specialty care and behavioral healthcare services. Presbyterian requires the hours of operations that providers offer to Medicaid members to be no less than those offered to Commercial members. However, delivery of the notice should be closely tied to the impending end of coverage so a beneficiary will more likely understand and retain the information regarding the right to an expedited determination. This exception is limited to cases where a beneficiary receiving home health services is found to no longer be homebound, and thus ineligible for covered home health care. We expect that in the vast majority of cases, in all settings, the decision of a provider to end care will be based on medical necessity, and thus, foreseeable by the provider within the required time frames for notice delivery. Note: For purposes of these instructions, the term beneficiary means either beneficiary or representative when a representative is acting for the beneficiary. Please see chapter 13 of the Medicare Managed Care Manual for Medicare Advantage instructions. Also, it must be delivered no later than 36 hours after observation services begin. Please note that these instructions apply to hospitals and critical access hospitals per section 1861(e) and section 1861(mm) of the Social Security Act. Hospitals must notify Medicare beneficiaries who are hospital inpatients about their hospital discharge appeal rights. Hospitals must issue the Important Message from Medicare within two calendar days of admission, must obtain the signature of the beneficiary or his or her representative, and provide a copy at that time. Hospitals will also deliver a copy of the signed notice as far in advance of the discharge as possible, but not more than two calendar days before discharge. Preventive Health Care Guidelines Guidelines Preventive Healthcare Services and Guidelines Preventive healthcare guidelines are evidence-based, systematically developed statements that are designed to give providers and members age and gender-based recommendations about services that providers should routinely incorporate into primary medical care. Adoption of preventive guidelines is accomplished through provider review at the Presbyterian Clinical Quality and Utilization Management Committee. All preventive healthcare guidelines are reviewed at least every two years and are updated when clinically appropriate. All member households receive preventive healthcare guideline information as part of their member handbooks or summary of benefits and coverage, which are generally available online at Presbyterian also informs providers of updates to the preventive healthcare guidelines through the Network Connection provider newsletter. Written copies of the preventive healthcare guidelines are available upon request. Presbyterian adopts clinical practice guidelines that are relevant to the enrolled population and are evidence based. Clinical practice guidelines are approved by providers at the Presbyterian Clinical Quality and Utilization Management Committee. Guidelines reviewed at least every two years and are updated when clinically appropriate. This data provides feedback on the preventive health and health maintenance services members receive. Along with the scores, Presbyterian includes lists of members who might not be receiving the care needed according to these clinical guidelines. Providers are encouraged to use these lists to engage members in their care and to provide Presbyterian with updated information that may correct the data reported, such as lab results or a qualifying event. The results of these assessments enable Presbyterian to determine if new members may benefit from care coordination, case management, or disease management program services. The results of these assessments enable Presbyterian to determine if members would benefit from care coordination or disease management program services. The public health objective is to have a seamless vaccine distribution system for providers and patients to easily access childhood vaccines. The Care Coordination team is here to assist providers with coordination of care and services for their patients with chronic or catastrophic illnesses and injuries and in promoting healthy lifestyles. Care coordination gives providers and their Presbyterian patients proactive tools and resources to help them improve their health, stay healthy and live with a chronic disease. The organization does not specifically reward practitioners or other individuals for issuing denials of coverage. Our care coordination model provides our members with timely, appropriate services in the least restrictive and most cost-effective setting possible. This care coordination model assists and supports providers and members to improve the continuity of care. Activities and interventions are based on the needs of each member across this integrated care continuum. The care management system maintains regularly updated membership, claims, pharmacy and lab data. Members who are identified for further intervention receive a comprehensive needs assessment and are assigned to a care coordination level. Comprehensive Needs Assessment Members who are identified for further intervention receive a comprehensive needs assessment and are assigned to a care coordination level to identify and prioritize their clinical, behavioral, functional and social support needs. If Presbyterian is unable to reach members through telephone or mail contacts, a member of the Presbyterian Care Coordination team may request providers help in engaging their patient in the assessment process. Similarly, providers may request our assistance for care coordination for a member. This customized care plan allows members to understand which services are available and creates a foundation for discussions about their health with them and their caregivers, care coordinator and providers. Members are encouraged to actively participate in the care planning process and are provided with tools and resources that allow them to take personal responsibility for their care management. The care plan is reviewed, modified if necessary, approved and then signed by the member. Services referred to non-participating and out-of-state providers require review and/or prior authorization. For a complete list of services that require prior authorization, please reference Appendix E. The referring provider should notify the treating provider of the authorization number to be submitted on a claim. This ensures that the provider and member know which services require prior authorization. Presbyterian involves appropriate practitioners in developing, adopting and reviewing criteria.