...flour absent of fiber became the staple of most flour products from that time forward. Another theory on the advent of these two conditions was a change in consumption to increased refined sugar and meats in western diets during the same time period. SYMPTOMS: The majority of people with diverticulosis will have no symptoms and will not require any treatment. If the condition is symptomatic, cramping and abdominal pain, typically in the lower left abdomen, within the large intestines or colon can occur. When diverticulitis develops due to material in the divertulum, the inflammation or infection may produce inflamed areas which can result in pus or abscesses which can rupture and cause high fever. Other symptoms may be constipation and bowel obstruction. Also, bright red or dark colored blood in stools can occur as a result of diverticular bleeding when a blood vessel inside the diverticulum becomes exposed as a result of tissue degradation, abrasion or internal pressure of constipation, or straining during passing stools. Blood clots may be visible in stools without having symptoms of abdominal pain. If the bleeding is...
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...Crohn's Disease Nicole DeMase Health and Chronic Management Nur 427 December 6, 2010 Tiffany Fitch, MSN, FNP-C Crohn's Disease Patient information: A 21 year old Jewish-American presents to the emergency department with severe diarrhea and complaints of abdominal pain, decreased appetite for over two weeks and weight loss of 10lbs. The young Jewish man has no other medical problems and denies any family history other than an older brother that was diagnosed with Crohn’s when he has 20 years old. Currently, the young man is enrolled in college pursuing a career in criminal justice and did advise the emergency department staff of a learning disability. The young man requested that any information about his diagnosis should be put into writing so he can reference the information any time he has any questions. With that saying, I have provided informational facts about the disease and what a person just being diagnosed with the disease should know. Crohn’s disease that affects more than 500,000 people in the United States is a chronic inflammatory disease that causes inflammation of the gastrointestinal tract. Crohn’s does can affect any area of the GI tract, from the mouth to the anus, but often affects the small intestines also known as the ileum. The inflammation causes abdominal pain and makes the intestines empty frequently causing severe diarrhea and also malnutrition. Sign and symptoms of Crohn’s disease often range from mild to severe and also can have periods...
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...Patient Education Plan: Crohn’s Disease NUR/427 Health and Chronic Disease Management Patient Education Plan: Crohn’s Disease Patient Case History The patient is a 24-year-old, Caucasian, female who was recently diagnosed with Crohn’s Disease. She is single and currently lives alone in Philadelphia, Pennsylvania. The patient admits to eating a poor/unbalanced diet; she cites her busy schedule as the main factor contributing to her poor nutrition. She is not a smoker. Her father’s sister also has Crohn’s Disease but no one else in the immediate family, at least no one that she knows of, has the disease. She was diagnosed after coming to the emergency room with blood in her stool; she has also experienced bouts of diarrhea off and on for the past several weeks. She takes Advil for headaches daily and complains of constant fatigue, which she attributes to stress. Stress can be attributed to her lifestyle; she is a college graduate who is currently enrolled in a Masters program working toward her MBA. She also works as a teller at a local bank. The field is extremely competitive and between the demand of her job and her schoolwork she has limited time left for a social life. She goes on occasional dates and goes out with girlfriends fewer than two nights a week. Because she is a full-time student she spends a large portion of her time on the computer; she is extremely comfortable using the Internet. The patient has a very busy life and a very full...
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...Clinical Indications for Probiotics: An Overview Abstract Probiotic bacteria are used to treat or prevent a broad range of human diseases, conditions, and syndromes. In addition, there are areas of medical use that have been proposed for future probiotic applications. Randomized double-blind studies have provided evidence of probiotic effectiveness for the treatment and prevention of acute diarrhea and antibiotic-induced diarrhea, as well as for the prevention of cow milk–induced food allergy in infants and young children. Research studies have also provided evidence of effectiveness for the prevention of traveler's diarrhea, relapsing Clostridium difficile–induced colitis, and urinary tract infections. There are also studies indicating that probiotics may be useful for prevention of respiratory infections in children, dental caries, irritable bowel syndrome, and inflammatory bowel disease. Areas of future interest for the application of probiotics include colon and bladder cancers, diabetes, and rheumatoid arthritis. The probiotics with the greatest number of proven benefits are Lactobacillus rhamnosus strain GG and Saccharomyces boulardii. Probiotics have been defined as “live microorganisms which when administered in adequate amounts confer a health benefit on the host” . Probiotics have been used to treat a wide range of diseases, ailments, and conditions that affect humans and animals. Additional medical applications have been proposed for potential future uses, depending...
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... penicillin, Vancomycin. The patient lives at home with her spouse and has a few friends she sees on a regular basis. The patient states she has never smoked, nor has she ever drunk alcohol and no one in the house does either. She does consume 3-4 diet pops a day that contain caffeine. The patient states she has no medical training or knowledge other than the conditions, which she has a history of. She seems to have memory deficits of unknown etiology and very high anxiety issues with very high dependency or separation issues (needing someone near her at all times and demanding). The patient’s medical history consists of kidney stones, urinary tract infection (UTI), high cholesterol, irritable bowel syndrome, diabetes mellitus (Type 1), acid reflux, allergic rhinitis, addison’s disease, osteoporosis, osteopenia, anxiety, and depression. She has a surgical history of: cholecystectomy, colonoscopy, liver biopsy, and hysterectomy. After asking the patient how she learns best, she states “I learn better with a hard copy and someone going over the information me and my husband.” Also assessed were her needs. The acute stage she needs IV access, pain meds, a strict diet of nothing by mouth or minimum, sips of water, IV fluids for dehydration, glucose control, urine sample, stool sample. The next stage of care would most likely consist of a gastroenterologist consult, x-ray (abdomen), CT scan (abdomen), colonoscopy, gastroscopy, and eventually a...
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...“Effects of nutrition choices and lifestyle changes on the well-being of cats, a Carnivore that has moved indoors” Debra L. Zoran and C.A. Tony Buffington Journal of the American Veterinary Medical Association, Vol. 239, No. 5, September 1, 2011 Genevieve Ball Animal Nutrition 505, Dr. Shapiro October 13, 2011 Main Summary The domestication of cats can be perilous as their nutritional changes in dietary protein and caloric intake effects their metabolism, muscle mass, water intake, urine acidity levels, and immunity against diseases, all of which effect their overall feeding behavior, well-being, and physical health. 70% protein intake is considered adequate in a cat’s daily diet, however studies show that a more accurate formula for protein intake should reflect 3.3 times the cat’s body weight in kilograms (Zoran, 2011, p. 597). Adversely, persistent insufficient protein intake results in deficiencies such as loss of muscle mass and a weakened digestive and immune system, all of which result in an increased susceptibility to disease and a shortened lifespan. In order for a cat to sustain its preferred body condition and avoid obesity, whether a cat is active versus inactive and neutered versus intact, veterinarians prefer controlled meals of 25% to 35% caloric intake versus free-feeding in order to supervise the caloric and protein intake (Zoran, 2011, p. 603). Furthermore, female neutered cats only require 60 to 70 kcals to maintain a decent body condition...
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...lunch he eats a bagel with cheese and some whole milk. Every Wednesday Larry eats cereal for breakfast and has pasta for lunch. He has a history of abdominal pain for the past 10 years. Mr. Garcia’s preferred learning style is visual as he explained in the initial interview. He learning style is visual because he prefers to read the material independently. He does not absorb verbal information easily. Introduction to the disease process for the Patient Education Plan: The disease process usually begins in the rectosigmoid area and spreads proximally. Pathologic change starts with degeneration of the reticulin fibers beneath the epithelial mucosa. This causes occlusion of the subepithelial capillaries and infiltration of the lamina propria with lymphocytes, leukocytes, eosinophils, mast cells, and plasma. The result eventually is abscess formation, necrosis, and ulceration of the epithelial mucosa. This in turn reduces the colon’s ability to absorb sodium and water. (Ludwig, 2007). Ulcerative colitis is a form of colitis, a chronic disease of the intestine, specifically the large intestine or colon, that includes characteristic ulcers, or open sores, in the colon....
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...Bridget Acosta Anatomy and Physiology RHEUMATOID ARTHRITIS * INTRODUCTION Rheumatoid arthritis (RA) is an inflammatory disease that exerts its greatest impact on those joints of the body that are lined with synovium, a specialized tissue responsible for maintaining the nutrition and lubrication of the joint. The distribution of joints affected (synovial joints) is characteristic. It typically affects the small joints of the hands and the feet, and usually both sides equally in a symmetrical distribution, though any synovial joint can be affected. In patients with established and aggressive disease, most joints will be affected over time. Joint inflammation is characterized by redness, warmth, swelling, and pain within the joint. In addition to affecting the joints, rheumatoid arthritis may occasionally affect the skin, eyes, lungs, heart, blood, or nerves. * SIGNS AND SYMPTOMS The initial trigger for RA is unknown. There is evidence to suggest abnormalities in components of the immune system that lead to the body developing abnormal immune and inflammatory reactions, particularly in joints. These changes may precede the symptomatic onset of RA by many years. Whatever sets the pathology in motion results in a large increase in blood flow to the joint (giving heat and sometimes redness), proliferation of the synovial membrane with an increase in synovial fluid (swelling), and pain (due to stretching of pain receptors in the soft tissues around, and the bone...
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...S C I E N T I F I C S T A T U S S U M M A R Y Probiotics This Scientific Status Summary addresses the scientific basis of the hypothesis that consumption of probiotics can positively influence human health. Product and regulatory issues are also briefly addressed. A PUBLICATION OF THE INSTITUTE OF FOOD TECHNOLOGISTS’ EXPERT PANEL ON FOOD SAFETY AND NUTRITION P robiotics are defined as live microbial food ingredients that have a beneficial effect on human health (Salminen et al., 1998). The concept of probiotics evolved at the turn of the 20th century from a hypothesis first proposed These include Bengmark (1998), Elmer et al. (1999), Fonden et al. (1999), Holzapfel et al. (1998), Lee et al. (1999), Naidu et al. (1999), Salminen et al. (1996), Sanders (1998a), Sanders and Huis in’t Veld (1999), and Tannock (1999a). by Nobel Prize winning Russian scientist Elie Metchnikoff (Bibel, 1988), who suggested that the long, healthy life of Bulgarian peasants resulted from their consumption of fermented milk products. He believed that when consumed, the fermenting bacillus (Lactobacillus) positively influenced the microflora of the colon, decreasing toxic microbial activities. The historical association of probiotics with fermented dairy products, still true today, stems from these early observations. Investigations in the probiotic field during the past several decades, however, have expanded beyond bacteria isolated from fermented dairy products to those of intestinal...
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...Caucasion | # of days since admission: 7d | Allergies: Latex PCN | Code Status: FULL CODE | Diet: TPN | Rationale: Small bowel obstruction and resection benefit TPN over tube feedings is that all the nutrition is delivered at a cellular level making it immediately available for the body to utilize rather than making the body breakdown and absorb nutrients in the GI tract. It makes it easier on the digestive tract by giving the GI a chance to rest and heal without causing more harm. The patient also has to expend energy to breakdown foods/nutrition through the GI tract. Getting it TPN conserves the much needed energy the patient needs to heal their tissues and gain strength. | Activity: bedridden w/slight mobility with a walker | Rationale: Post surgical abdominal surgery, pt age, weakness, and recent foot surgery limiting her mobility. | Behavior/Affect: My pt was anxious when I first arrived due to her elevated B/P, N&V, and pain intolerance. By the end of shift my patient was very calm and communicative. | Isolation: | Yes | No | Culture: ⦵ | Source: ⦵ | Type of Isolation: ⦰ ⦵ | Height: 5’ 7.5” | Weight: 133 | BMI: 20.5 (BSA 1.71) | General Survey | Age: 85 | Sex: F | Ethnicity: Caucasion | # of days since admission: 7d | Allergies: Latex PCN | Code Status: FULL CODE | Diet: TPN | Rationale: Small bowel obstruction and resection benefit TPN over tube feedings is that all the nutrition is delivered at a cellular level making it immediately...
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...a tea and smoking. As a recreationally drug it spread to India were the Muslims too used instead of alcohol consumption. It was the Muslims who introduced hashish, whose popularity spread quickly throughout 12th century Persia (Iran) and North Africa. It made its way to the new land in the mid 1500’s. Marijuana became a major crop like tobacco through the 1600’s in James Town. It stayed that way for over two hundred years until it was replaced by cotton in the 1890’s. It was used as medicine, intoxicant and a social drug through 1930, where it was considered a “Gateway” drug. (Tagliaferro) Medical uses Supposed benefits of medical marijuana are: decrease anxiety, slows Alzheimer's disease, helps multiple pains/muscle spasms, side effects Hepatitis C, treats inflammatory bowel diseases, relieves arthritis discomfort, increases symptoms of lupus, an autoimmune disorder, soothes tremors from Parkinson's and helps with PTSD (Loria, 2014) The State of Oklahoma – Has recently had potions signed to have the legalization of marijuana put on the ballot for this upcoming election, fail do to a technicality. The potion fail by two thousand signatures were not put on the wrong form. This topic has had such an impact on the governor, she is looking at have liquid marijuana legalized for...
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...PROJECT-1 “MARKET ANALYSIS & PERCEPTION ON PRE-PROBIOTICS” PROJECT-2 “MARKET ANALYSIS & PERCEPTION ON FERROUS ASCORBATE” A PROJECT REPORT Submitted By GAYATRI .P. PAWAR Roll No. 35 In Partial Fulfilment For The Award Of The Diploma Of PGDM IN PHARMACEUTICAL MANAGEMENT PROJECT GUIDE: INTERNAL GUIDE : MR .KAPIL.MUDLIAR MRS.SUMANA BOSE (PRODUCT MANAGER) (FACULTY) DUPEN LABORITIES PVT. SIESCOMS. S.I.E.S COLLEGE OF MANAGEMENT STUDIES MAY 2010 - JUNE2010 DECLARATION I hereby declare that the project work entitled “MARKET ANALYSIS AND PERCEPTION ON PRE-PROBIOTICS” –PROJECT 1 MARKET ANALYSIS AND PERCEPTION ON LATEST HEMATINIC (FERROUS ASCORBATE+ FOLIC ACID)- PROJECT 2 submitted to SIES COLEGE OF MANAGEMENT STUDIES, NERUL NAVI MUMBAI is a record of an original work done by me under the guidance of Mrs.SUMANA BOSE, Faculty Member,and Dr. Suhas Tambe ,HOD. this project work has not performed the basis for the award of any Degree or diploma/ associate ship/fellowship and similar project if any. GAYATRI PAWAR ABSTRACT The main goal of the report was to investigate about the PRE-PROBIOTICS molecule, its...
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...Compensatory | * Neural compensation by SNS * Increased HR and Contractiliy * Vasoconstriction * Redistribution of blood flow from nonessential to essential organs * Bronchodilation * Endocrine Compensation (RAAS, ADH, glucocorticoid release) * Renal reabsorption of sodium, chloride, and water * Vasoconstriction * Glycogenolysis | * Increased HR (EXCEPT NEUROGENIC) * Narrowed pulse pressure * Rapid, deep respirations causing respiratory alkalosis * Thirst * Cool,moist skin * Oliguria * Diminished bowel sounds * Restlessness progressing to confsion * Hyperglycemia * Increased specific gravity and decreased creatinine clearance. | Progressive | * Progressive tissue hypoperfusion * Anaerobic metabolism wih lactic acidosis * Failure of sodium potassium pump * Cellular edema | * Dysrhythmias * Decreased BP with narrowed pulse pressure * Tachypnea * Cold, clammy skin * Anuria * Absent bowel sounds * Lethargy progressing to coma * Hyperglycemia * Increase BUN, CREATININE, AND POTASSIUM * Respiratory and metabolic acidosis. | Refractory | * Severe tissue hypoxia with ischemia and necrosis * Worsening acidosis * SIRS * MODS | * Lifethreatening dysrhythmias * Severe hypotension despite vasopressors * Respiratory and metabolic acidosis * Acute respiratory failure * Acute respiratory...
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...Health Promotion in American Indians/Alaska Natives Mona Reed Grand Canyon University: NRS-429V August 02, 2015 Health Promotion in American Indians/Alaska Natives American Indians/Alaska Natives (AI/AN) are people who maintain a tribal or community attachment and are descendants from any of the original inhabitants of North, South and Central America. The U.S. Census Bureau, in 2013, reported that there are greater than 5.2 million AI/AN in the United States, and that number is expected to increase to 11.2 million by 2060 (CDC, 2015a). AI/ANs have experienced a lower health status when compared to the national average of the non-Hispanic white population. The Indian Health Service (IHS), who provides health care services to those who reside on reservations, reports that this is due to inadequate education, discrimination in delivery of health services, disproportionate poverty and cultural differences. Also noted is that less than half of “AI/ANs permanently reside on a reservation and therefore have limited or no access to IHS services” (Indian Health Service, 2015a). In addition, the CDC reported in 2013 that 26.9% of AI/ANs lacked health insurance coverage. This writer will compare and contrast the health status of the AI/AN population with the non-Hispanic White population. Health disparities in the AI/AN population are well documented in research. The Office of Minority Health (OMH) Health Disparities Overview notes that this population suffers from low education...
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...Tropisms, hormones and transport systems Animals grow throughout their lives. But, there are many influences that trigger and hinder their growth such as availability of food and water, oxygen used in metabolism and many other factors. But, what about plants? What makes them grow the way they do, tall or short? Some plants seem to be leaning onto one side. What are the reasons for this? The answer to these questions is tropism. Tropism is a biological phenomenon which creates a growth response to certain environmental stimuli in plants. This growth can be either towards or away from the stimuli. There are several types of tropisms, each trigger a response in plants in a different way and each is in response to different stimuli in the environment. Some common examples of tropisms are Phototropism, Geotropism, Thigmotropism, Heliotropism, Hydrotropism and Photoperiodism. Phototropism is the response in plants to or away from light or colour while Geotropism is the response towards or away from gravity. Similarly, Thigmotropism is the movement of plants due to touch or contact with something else, Heliotropism to the direction of sunlight, Hydrotropism to water, and Photoperiodism to the lengths of darkness in a photoperiod (length of day or night within a 24-hour period). Phototropism and Geotropism act on plant parts in a certain way. Leaves, stems and shoots show positive phototropism (response towards light) to be able to gain sunlight for photosynthesis, while roots show...
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