The regular course was taken for two purposes: to allow him the right to
practice unmolested, and, as he declared, that he might the more clearly
“detect errors of the modern practice.” Armed with the certificate of right
to practice and of good moral character, he set out to follow his chosen
art, but not in the regular way. He leaned strongly toward the use of
vegetable medicines as against what were then termed mineral
medicines. In order to pursue his calling and also to spread abroad his
views and practice, he opened a clinical school known as the United...
We have di f f e red from the standard NRC style in this volume in two minor ways. First, because the
book is intended as a ready reference, we have spelled out all abbreviations the first time (and only
the first time) they appear in each chapter and in each of the very lengthy main subheadings of
Chapter 9. A list of abbreviations is included on page viii. Second, we have provided all measures
of radiation and/or radioactivity as conventional units followed in parentheses by the equivalent
measure expressed in Système Internationale units.
The recent charges faced by two healers from Ecuador for “criminal negligence causing
death and administering, trafficking in and importing into Canada a controlled substance,”
(Carr: 3 November 2002, Canadian Press) have widespread implication for traditional
healers. The two medicine men are currently facing lengthy court cases as a result of the
death of an individual during a ceremony in the community of Wikwemikong. The case of
the men from Ecuador rests in the notion of “trafficking controlled substances.
When I was asked by Timber Press to write a new book on resins, including
amber—Howes’s 1949 Vegetable Gums and Resins was the most recent such
effort—the breadth of interdisciplinary coverage seemed too ambitious for an
individual person. There have been so many advances in resin research in the
past half century, including the development of new fields of research such as
chemical ecology, and the exploration of other interesting facets about resins
made possible by new chemical, molecular, and microscopic techniques.
Flavonoids constitute a large family of polyphenols that contribute to the aroma, taste, and color of fruits and vegetables. Major groups of dietary flavonoids include anthocyanidins in berries; catechins in green tea and chocolate; flavonols (e.g., quercitin) in broccoli, kale, leeks, onion, and the skins of grapes and apples; and isoflavones (e.g., genistein) in legumes. Isoflavones have a low bioavailability and are partially metabolized by the intestinal flora.
The retinol activity equivalent (RAE) is used to express the vitamin A value of food. One RAE is defined as 1 µg of retinol (0.003491 mmol), 12 µg of βcarotene, and 24 µg of other provitamin A carotenoids. In older literature, vitamin A was often expressed in international units (IU), with 1 RAE being equal to 3.33 IU of retinol and 20 IU of β-carotene, but these units are no longer in current scientific use.
Liver, fish, and eggs are excellent food sources for preformed vitamin A; vegetable sources of provitamin A carotenoids include dark green and deeply colored...
On the other hand, PHI does not play as significant a role as might be expected in some other
countries without universal public coverage or where there are significant out-of-pocket payments. For
example, while the Korean National Health Insurance system pays 44% of total health cost, a significant
degree of out-of-pocket expenditure remains (41%).
Focusing on women, girls, and gender equality: A core objective of GHI is to improve health outcomes among
women and girls, both for their own sake and because of the centrality of women to the health of their families and
communities. Over the long term, improving the health of women enhances their productivity and social and eco-
nomic participation. Improving women’s health also benefits, now and in the future, the social and economic develop-
ment of families, communities and nations.
For accounts with managed rates, we can make rate changes immediately if the change is of benefit to you.
For accounts with managed rates where the account is a fixed term deposit or denominated in US dollars or another non
European Economic Area (EEA) currency, we will personally notify you at least 30 days before making a change to the rate
which is not favourable to you.
For accounts with managed rates where the account is denominated in sterling, euros or another EEA currency or is not
a fixed term deposit, we will personally notify you at least 2 months before...
Each of the four P’s is a variable you control in creating the
marketing mix that will attract customers to your business.
Your marketing mix should be something you pay careful
attention to because the success of your business depends on
it. As a business manager, you determine how to use these
variables to achieve your profit potential. This publication
introduces the four P’s of marketing and includes worksheets
that will help you determine the most effective marketing mix
for your business. Your product bundle should meet the needs of a particular
Aprofession is characterized by skill based on a unique body of knowledge, a
code of ethics, and a social contract with society or government that grants it a
certain degree of autonomy in exchange for self-regulation. The responsibilities
of self-regulation in the medical profession are complex and involve many
levels of oversight aimed at guaranteeing the continuing competence of
practicing physicians. Today, professional associations in the United States play
a significant role in upholding the ethical, educational, scientific, and practice
standards of the medical profession.
Nitrogen, found in commercial fertilizers and manure, is applied in many different chemical forms. Bacteria can
convert all of them to nitrate, a form of nitrogen that can be taken up by plant roots. Nitrate is very soluble in
water and is easily carried from farm fields into streams and rivers. Perforated pipes called tiles, which farmers
bury under their fields to manage water drainage in an effort to maximize crop production, make the situation
Even if the spouse is working full or part-time in the business, the primary owner usually retains
primary responsibility for the functions of the business, or to a lesser extent, shares responsibility
with the spouse. The only area where the spouse is more likely to have primary responsibility
instead of sharing it with the primary owner is in accounting and finance (27 percent of spouses
have sole control; 22 percent share), but it is still more likely the owner has primary responsibility
Harrison's Internal Medicine Chapter 118. Infective Endocarditis
Infective Endocarditis: Introduction
The prototypic lesion of infective endocarditis, the vegetation (Fig. 118-1), is a mass of platelets, fibrin, microcolonies of microorganisms, and scant inflammatory cells. Infection most commonly involves heart valves (either native or prosthetic) but may also occur on the low-pressure side of the ventricular septum at the site of a defect, on the mural endocardium where it is damaged by aberrant jets of blood or foreign bodies, or on intracardiac devices themselves.
The Duke Criteria
The diagnosis of infective endocarditis is established with certainty only when vegetations obtained at cardiac surgery, at autopsy, or from an artery (an embolus) are examined histologically and microbiologically. Nevertheless, a highly sensitive and specific diagnostic schema—known as the Duke criteria—has been developed on the basis of clinical, laboratory, and echocardiographic findings (Table 118-3).
Table 118-5 Indications for Cardiac Surgical Intervention in Patients with Endocarditis
Surgery required for optimal outcome
Moderate to severe congestive heart failure due to valve dysfunction
Partially dehisced unstable prosthetic valve
Persistent bacteremia despite optimal antimicrobial therapy
The retail sector spearheaded the evolution of Turkey’s commercial
property market. Within a few years, domestic retailers expanded
and consolidated to form regional and national chains. Cross-border
retailers entered the market, benefiting from the country’s strong
economic growth, limited legal barriers to entry and attracted by high
In the current model, there is an integrated furniture manufacturer located in Tupelo, MS.
To simplify the model, the manufacturer is assumed to produce only one type of finished
product which requires only one type of raw material (e.g. plywood). To reduce costs of
buying raw materials, the manufacturer would prefer to order everything from the Asian
supplier since the Asian supplier offers a much cheaper unit price.
For all classes of antidepressants, people must take regular
doses for at least 3 to 4 weeks, sometimes longer, before
they are likely to experience a full effect. They should
continue taking the medication for an amount of time
speciied by their doctor, even if they are feeling better, to
prevent a relapse of the depression. he decision to stop
taking medication should be made by the person and her
doctor together, and should be done only under the doc
tor’s supervision. Some medications need to be gradually
stopped to give the body time to adjust.
This session will be an opportunity to reflect on how development cooperation actors can best hold each other to account
for commitments made on gender equality, women’s rights and the empowerment of women at sub-national, sector,
national, regional and global levels.