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V; 4 9 5 7 - 8 5 5 - 6 5 r e b m u N S - N - U - D; a tl a M, i q ei w S, l a l a B -l a T, d a o r g g a r b I, 3 1/ 6; a tl a M, 2 3 4 1 N G S n n a w G n a S, d a o R aji s n e M 2 2; a tl a M, r u h g r a h G, e g ar a G yrr a u Q 0 1, ) L O Z Z A R B - L I. A e s o J / e 5 6 5 # a n e P xil e F; a b u C, s uti ri p S it c n a S, s otl a, r u S 1 7 1 # a i c n e d n e p e d nI; a b u C, oi R l e d r a ni P, 3 3 6 # a ni d e M o d r a r e G;ab u C, s az na ta M, o i R y o ide M / e o tne i ma tnuy A ell a C; a b u C, s a z n at a M, o r e d a r a V. P Y 2 1 0 1 a c a y o B; eli h C, o g ait n a S, o r t n e C o g a it n a S a n u m o C - 7 2. E G N A H C X E N G I E R O F: n oit a m r of ni 6 4 8 3 1 r e d r O e vit u c e x E; m o c. U;) s et a t S d e ti n U (8 5 8 9 - 2 9 - 6 5 1 N S S;) q a rI (5 2 9 7 8 8 0 M t r o p s s a P. U;) s e t a t S d e ti n U (8 5 8 9 - 2 9 - 6 5 1 N S S;) q a rI (5 2 9 7 8 8 0 M t r o p s s a P. 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S S E R O T C U R T S N O C O R A M A J o / c; o ci x e M, a ol a ni S, n a c a il u C. R;) o ci x e M (6 2 8 2 3 0 0 4 0 t r o p s s a P; o ci x e M n e zit i c; o ci x e M ytil a n oit a n; o ci x e M, a o l a ni S B O P; 7 4 9 1 g u A 1 0 B O D; o ci x e M, a ol a ni S, n a c a il u C. C; o c i x e M, a ol a ni S, o i c a n gI n a S B O P; 0 4 9 1 b e F 4 0 B O D; o dl o p o e L, Z E M O G A T E U Z A Z. C; o ci x e M, a ol a ni S, n a c ail u C B O P; 0 6 9 1 b e F 3 0 B O D; o ci x e M, 0 1 1 4 4 o c sil a J, n a p o p a Z, y c n e g e R e u q r a P. S E T N E N I T N O C O R E A o / c, ) o d r a ci R, S E L A Z N O G S O L L A V E Z. S, al e u z e n e V e d s o e l o rt e P r of e c n a ni F f o t n e di s e r P e ci V;) al e u z e n e V (4 2 3 4 4 5 6 1. C;) o ci x e M (7 0 1 0 1 3 6 1 G t r o p s s a P; e l a m e F r e d n e G; o ci x e M n e ziti c; o ci x e M, a o l a n i S B O P; 6 9 9 1 l u J 9 2 B O D; o c i x e M, a i r a M a gl O, A Z R A P S E A D E P E Z. F / 3, 8 2 3 m o o R; a ni h C, 0 2 1 0 0 2 i a h g n a h S, u q ni X g n o d u P, u l n a N g n o d u P, )) il a u H 0 5, 8 0 6 t p A, ):l a n o iti d a r The s e ni h C: d eifil p mi S e s e ni h C (g n oi x n a Y, G N E H Z. P; e w b a b mi Z, e r a r a H, e u n e v A l e h c a M a r o m a S 5 5, e s u o H e et s ur T, r o o l F ht 0 1. U r e m r o F, sr etr a u q d a e H l art n e C e cr o F s d o Q, ) "I R A F A J ". R; o ci x e M, a ol a ni S, a ol a ni S e d oi p i ci n u M, a d a r t s E o r a n e G o d al b o P; o c i x e M, 0 6 9 1 8.

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The Hippocratic writings produced in Greece in the fifth and fourth centuries bc contain m uch that relates to surgery medications 7 discount 40 mg zerit overnight delivery, including a treatise on wounds (De U lceribus) and another on head injuries (De C apitis Vulneribus) medications to treat anxiety order 40 mg zerit amex. In the latter treatment centers zerit 40 mg free shipping, five different types of injury are recognized and trepaning is described: fractures are to be treated by reduction and im m obilization with splints and bandages; the knife is to be used for excising nasal polyps and ulcerated tonsils; and cautery is rec ommended for haemorrhoids medicine knowledge discount zerit 40 mg overnight delivery. In general, however, the picture that emerges is conservative: amputation of gangrenous tissue is accepted as a last resort. Hippocratic recom m endations for the treatment of wounds proved influential for centuries. The theory was that suppuration was indispensable for healing to take place, because it was believed that pus derived from viti ated blood. The Hippocratic Oath (see page 5 9) stated that physi cians should leave surgical interventions to others: this separation formed part o f a medical division o f labour, but surgery was also clearly viewed as an inferior trade, it being the w ork o f the hand rather than the head. Soranus of Ephesus wrote exten sively on obstetrics, discussing the use of the birthing-chair and giving instructions for difficult birth positions. W here the fetus was in a transverse position, A physician about to cauterize, from an eleventh-century m anuscript. Cautery is the treatm ent of wounds with a burning iron to seal them and to prevent fatal infection. The practice was comm on in the Middle Ages, was especially advocated by Islam ic texts, and rem ains common in Arab folk medicine to this day. Belief in the necessity of such painful treatm ents began to he challenged in the sixteenth century. This is not for want of skill; the figure is deliberately schem atic, m uch as would be found in a medical textbook today. Paul o f Aegina in the seventh century, and al-Zahrawi (Albucasis) and Ibn Sina (Avicenna), the illustrious Islam ic physicians of the late tenth and early eleventh centuries, discussed cauterizing with a red-hot iron to stop bleeding. The Hippo cratic Corpus and Celsus had earlier recomm ended cautery as a means o f hinder ing putrefaction. In his great book, A ltasrif (C ollections), Albucasis discussed a multitude o f surgical operations, but placed the greatest faith in cautery. In the medieval W est, the Salernitan school o f m edicine, w hich flourished in Salerno in southern Italy from the eleventh century, paid great attention to surgi cal handicraft, notably the treatm ent of skull wounds. It introduced the idea of dry wound managem ent, a notion expanded in the distinguished treatises on surgery by the Frenchm en Henri de M ondeville and Guy de Chauliac, whose G ran de C hirurgie (1 3 6 3) - for two centuries the m ost influential textbook - con tained discussion o f the management o f infected wounds. Hospitals and Surgery 205 the battlefield - the school fo r surgery A severe wound to the extremities or the appearance o f gan grene was the chief indication fo r the excision o f limbs. In time, surgeons grew bolder with ampu tations, probably because, with the spread o f cannon and forearms, war wounds grew more plentiful and dangerous. In severing limbs, experience taught surgeons to remove more bone while preserving the maximum amount o f soft tissue, thus permitting the skin to mend over the bone and in due course form a usable stump, to which a wooden leg or a hook m ight be attached. Cautery with boiling oil or a hot iron remained a major way of checking haemorrhage until the eighteenth century, although styptics and compression bandaging were tried out as alternatives. Vascular ligature was pioneered by the great sixteenth-century French surgeon Ambroise Pare (see page 2 0 6). Not surprisingly, it was army surgeons who wrote the most influential reports of such wound sequelae as hospital gangrene, tetanus, and erysipelas (a streptococcal skin infection), while making prominent contributions to controversies about infection (contagionism and miasmatism; see page 102). Lead bullets and other projectiles tore through flesh, shattered bones, and drove foreign m atter deep into wounds. Warfare also led to more amputations, including amputations o f the thigh, which were almost always fatal. In the Roman Army, buildings w ere set aside for treating the sick, staffed b y medici and their assistants. By a d 5 0, a def inite architectural plan had evolved, with individual small room s round a long corridor, a large top-lit hall, and baths and latrines. Good exam ples have been excavated at Neuss in G erm any and Inchtuthil in Scotland. W h en military strategy began to change in the third century, large hospi tals w ithin perm anent fortresses were no longer needed, and the sick and w ounded w ere treated in field hospitals or accom panied the arm y in carts. Traditional surgery was performed by regular barber surgeons, for whom hair-cutting and shaving provided a solid day-to-day incom. It was also under taken by itinerants, often called quacks, specializing in one particular (and often intricate or hazardous) operation. Up to the nineteenth century there were itiner ant tooth-drawers, precursors of modern dentists; travelling oculists would couch for the cataract; and lithotom ists removed bladder stones.

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Polo-like kinase 1 is overexpressed in prostate cancer and linked to higher tumor grades medicine river animal hospital zerit 40mg without a prescription. Prostate botulinum A toxin injection-an alternative treatment for benign prostatic obstruction in poor surgical candidates symptoms hypoglycemia zerit 40mg with mastercard. Relationship between benign prostatic hyperplasia and history of coronary artery disease in elderly men cancer treatment 60 minutes trusted zerit 40mg. Evaluation of the etiology of nocturia in men: the nocturia and nocturnal bladder capacity indices treatment ringworm discount zerit 40mg overnight delivery. In vitro modulation of steroid 5alpha-reductase activity by phospholipases in epithelium and stroma of human benign prostatic hyperplasia. Phospholipase A2 degradation products modulate epithelial and stromal 5alpha-reductase activity of human benign prostatic hyperplasia in vitro. A Vitex agnus-castus extract inhibits cell growth and induces apoptosis in prostate epithelial cell lines. Quality-of-life impact of lower urinary tract symptom severity: results from the Health Professionals Follow-up Study. Video cystometry in young infants with renal dilation or a history of urinary tract infection. White blood cell and platelet counts can be used to differentiate between infection and the normal response after splenectomy for trauma: prospective validation. Increased expression of prostate-specific G-protein-coupled receptor in human prostate intraepithelial neoplasia and prostate cancers. Renal function 16 to 26 years after the first urinary tract infection in childhood. Page 256 134740 121730 109590 121980 134720 164590 132250 119210 116290 100500 106970 136680 137360 163570 127590 105420 139830 September 2010 Appendix 3: Master Bibliography American Urological Association, Inc. Determination of non-alpha1-antichymotrypsin-complexed prostate-specific antigen as an indirect measurement of free prostate-specific antigen: analytical performance and diagnostic accuracy. Incidence and severity of sexual adverse experiences in finasteride and placebo-treated men with benign prostatic hyperplasia. Solitary fibrous tumor of the lower urogenital tract: a report of five cases involving the seminal vesicles, urinary bladder, and prostate. Cardiorenal effects of celecoxib as compared with the nonsteroidal anti-inflammatory drugs diclofenac and ibuprofen. Advances in the treatment of male androgenetic alopecia: a brief review of finasteride studies. Oxytocin, oxytocin-associated neurophysin and the oxytocin receptor in the human prostate. The effect of oxytocin on cell proliferation in the human prostate is modulated by gonadal steroids: implications for benign prostatic hyperplasia and carcinoma of the prostate. Prevalence and clinical correlates of glomerulopathy in children with sickle cell disease. N-acetylcysteine for preventing acute kidney injury in cardiac surgery patients with pre-existing moderate renal insufficiency. Serenoa repens extract for benign prostate hyperplasia: a randomized controlled trial. Metabolic activation of carcinogens and expression of various cytochromes P450 in human prostate tissue. A prostate-specific antigen-activated channel-forming toxin as therapy for prostatic disease. The changing practice of transurethral prostatectomy: a comparison of cases performed in 1990 and 2000. Expression of matrix metalloproteinase-2 and -9 and their inhibitors, tissue inhibitor of metalloproteinase-1 and -2, in primary cultures of human prostatic stromal and epithelial cells. Correlation of power Doppler with microvessel density in assessing prostate needle biopsy. Terazosin for treating symptomatic benign prostatic obstruction: a systematic review of efficacy and adverse effects.

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The law requires Medicare to protect the privacy of your personal medical information symptoms and diagnosis buy zerit 40 mg free shipping. It also requires us to give you this notice so you know how we may use and share ("disclose") the personal medical information we have about you medicine 7 day box buy 40 mg zerit fast delivery. We must provide your information to: You symptoms stroke generic zerit 40 mg with visa, to someone you name ("designate") medications you can take while nursing discount zerit 40mg without prescription, or someone who has the legal right to act for you (your personal representative) the Secretary of the Department of Health and Human Services, if necessary Anyone else that the law requires to have it We have the right to use and provide your information to pay for your health care and to operate Medicare. For example: Medicare Administrative Contractors use your information to pay or deny your claims, collect your premiums, share your benefit payment with your other insurer(s), or prepare your "Medicare Summary Notice. If we disagree, you may have a statement of your disagreement added to your information. The Notice of Privacy Practices for Original Medicare became effective September 23, 2013. Identity theft happens when someone uses your personal information without your consent to commit fraud or other crimes. Personal information includes things like your name and your Social Security, Medicare, credit card or bank account numbers, and your online Medicare account user name and password. Medical identity theft is when someone steals or uses your personal information (like your name, Social Security Number, or Medicare Number) to submit fraudulent claims to Medicare and other health insurance companies without your permission. When you get health care services, record the dates on a calendar and save the receipts and statements you get from providers to check for mistakes. For more information about the Senior Medicare Patrol or to find help in your state, visit smpresource. Plans must follow rules Medicare plans and agents must follow certain rules when marketing their plans and getting your enrollment information. Fighting fraud can pay You may get a reward if you help us fight fraud and meet certain conditions. It takes time to investigate your report and build a case, but rest assured that your information is helping us protect Medicare. An "ombudsman" is a person who reviews questions, concerns, and challenges with how a program is administered, and helps to resolve them when possible. There are several resources to get answers to your Medicare questions and get help with your Medicare coverage, like Medicare. The Medicare Beneficiary Ombudsman works closely with those resources and Medicare to help make sure information and help are available for you and works to improve your experience with Medicare. To request Medicare or Marketplace information in an accessible format you can: 1. You can fill out a "Medicare Authorization to Disclose Personal Health Information" form, so Medicare can give your personal health information to someone other than you. Having access to your information can help you make more informed decisions about your health care. By getting your information through Blue Button, you can: Download and save a file of your personal health information on your computer or other device, including your Part A, Part B, and Part D claims. You authorize each app individually and you can return to your secure Medicare account online at Medicare. Once you authorize sharing of your information with an app (by using your secure Medicare online account information), you can use that app to view your past and current Medicare claims. For Medicare Advantage Plans, only Part D information is available through this service. If you have a Medicare Advantage Plan, check with your plan to see if they offer a similar service to Blue Button 2. Medicare collects information about the quality and safety of medical care and services given by most health care providers (and facilities). Some feature a star rating system to help you compare quality measures that are important to you. You can ask your doctor or other health care provider about the quality of care information you find on Medicare. You can also ask what he or she thinks about the quality of care of other providers. For plans covering health services, this is an overall rating for the quality of many medical/health care services that fall into 5 categories and includes: 1. Staying healthy-screening tests and vaccines: Whether members got various screening tests, vaccines, and other check-ups to help them stay healthy.

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This suggests strongly that it is important medicine x topol 2015 40mg zerit with amex, before creating questionnaires symptoms hyperthyroidism discount zerit 40mg on-line, to establish just what is conveyed by local terminology medications with codeine generic zerit 40 mg otc. A second difficulty arose in the research in Japan because treatment for strep throat discount zerit 40mg amex, as is the case in many other societies, no word exists in Japanese that refers uniquely and specifically to the menopausal hot flush, even though Japanese is a language in which very fine discriminations can be made in connection with bodily states. In fact several words are used to denote a hot flush depending on the location and attributes of the symptom, but these words can also be used to refer to feelings of heat resulting from non-menopausal causes such as cold/flu, soaking in the bath and after effects of drinking too much alcohol (Zeserson, 2001; Melby, 2005a, b). In the comparative study women were asked to recall symptoms that they had experienced over the previous 2 weeks. The rates of multiple symptoms reporting by Japanese women were consistently lower than for North American women. Reporting of night sweats was extremely low and not associated with menopausal status. The westernization and medicalization of menopause is embodied in the language in the terms hotto furasshu and horumon baransu (hormone balance) that often appear in the media ^ (Zeserson, 2001). Given the increased attention to konenki, it is not surprising that reporting of vasomotor symptoms has increased among Japanese women. However, it is significant that despite the medicalization and media attention, rates of vasomotor symptoms among Japanese women continue to be considerably lower than among Caucasian and Japanese Americans ^ (Gold et al. The medicalization of konenki parallels the westernization of the diet as well as lifestyle changes that are reflected in the increase of obesity, diabetes, cancer and cardiovascular disease (Kato et al. An argument can be made that the healthy longevity of Japanese women be attributed in large part to the relatively even distribution of wealth in Japanese society and equal access to good health care and social benefits, added to which is universal public education of a high quality, and a long tradition of both public and familial investment in preventive medicine. These conditions are without doubt much more important in contributing to the good health of middle-aged Japanese women than are any shared cultural beliefs that they have. In addition, it seems highly likely that the Japanese diet-low in fat, high in protein and plant estrogens-plays an important role in low symptom reporting at the end of menstruation, and in longevity. Some additional findings of interest come from the research of Jean Shea with 400 Chinese women. Shea used methods readily comparable with those used in the comparative project reported above. Vasomotor symptom reporting among the Chinese women in this study is low and resembles that of the Japanese sample discussed above. However, the overall symptom reporting of the Chinese women is considerably higher than the Massachusetts, Manitoba and Japanese samples, leading Shea to conclude that sweeping generalizations about East Asia should be avoided (Shea, 1998). In virtually all research paradigms, menopause has been detached from the rest of life, particularly what precedes it. Most research on menopause begins at the earliest in the late premenopause, and often ignores reproductive and dietary history that may be expressed/manifested in the menopausal body. Models need to be developed of the interaction between biological and cultural factors across the lifespan that influence the menopausal experience. Clearly more interdisciplinary, methodologically-rigorous research is required before comparative meta-analyses can be done. Elucidation of systematic patterns is crucial but so too is attention to specific contexts. Obermeyer has argued that we need longitudinally designed studies using standardized questionnaires and an agreed-upon definition of menopause in order to carry out good cross cultural work (Obermeyer et al. However, it is important to acknowledge that, when researching symptom reporting an agreed upon definition of menopause would essentially be something that is imposed on women everywhere in order to achieve apparent objectivity. In reality, many problems would result with data interpretation, as has already repeatedly been the case, and many findings of variation are ruled out as inauthentic because they are assumed to be culturally produced. There is no universal menopausal entity or experience waiting to be exposed through systematic inquiry (although the end of menstruation is, of course, universal). Systematization and rigorous analyses are needed, but these will lead us, not to the essence of menopause, but to what is relevant for comparative purposes. Adlercreutz H (1990) Western diet and Western diseases: some hormonal and biochemical mechanisms and associations. Ё ЁЁ Adlercreutz H, Honjo H, Higashi A, Fotsis T, Hamalainen E, Hasegawa T and Okada H (1991) Urinary excretion of lignans and isoflavonoid Conclusions Research into culture and menopause has undergone several transitions over the years. In the first phase, cultural differences in symptom reporting and the subjective experience of menopause were noted. In the bulk of this research, culture is conceived as layered over an invariant 507 M.

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