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Ethical Clearance: All experimental protocols were approved under the College of Medicine blood pressure numbers close together discount calan online american express, Iraq and all experiments were carried out in accordance with approved guidelines arrhythmia course certification purchase genuine calan. Validity and Utility of Dundee Ready Educational Environment Measure in the context of Iraqi Medical Education blood pressure quick reduction buy cheap calan 120 mg line. Stress blood pressure chart metric proven calan 120 mg, stressors, and stress responses of student nurses in a government nursing school. Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia. Prevalence of emotional disorder among medical students in a Malaysian university, Asia Pacific Family Medicine 2003; 2: 213-217. Perceived stress and physio-psychosocial status of nursing students during their initial period of clinical practice: the 1190 Medico-legal Update, January-March 2020, Vol. Prevalence and sources of stress among Universiti Sains Malaysia Medical students. Study of stressors among undergraduate medical students of a teaching medical institution. Stress in nursing students: study on sociodemographic and academic vulnerabilities. Anxiety, Depression and Stressful Life Events among Medical Students: A Prospective Study in Antalya, Turkey. Many researchers have been sought complex association between depressions with self-esteem. The levels of severity of such factors can play role in the causes, recovery and predictor of depression. Objectives: the main objective of this study is to assess the levels of self-esteem. Methods: A quantitative descriptive design, conducted at psychiatric clinic in Ali Kamal medical consultation center in Sulaimani City. A non-probability, convenient sampling was recruited of 150 patients with major depressive disorder attending the psychiatric clinic. The data were collected from December, 21st, 2017 to April 1st, 2018 by the researcher of current study through the utilization of structured Face-to-Face interview guided by the questionnaire. Result: the result shows that the patients with major depressive disorder experience low self-esteem. Conclusions: the study conclude that high self-esteem value on its own the strongest significant factor may represents emotional source and possibly used to handle or cope with depressed mood by the patients. Keywords: Self-esteem, Depression Introduction Research findings indicated an association between self-esteem with major depressive disorder 5. Depression has become one of the most common mental disorders with high prevalence throughout a lifetime 4. In the view of 14 self-esteem can both lead to and result from clinical depression. It is the personal judgment of worthiness that expressed in attitude the person hold toward himself 30. Higher self-esteem tends to report more positive affective states, grater wellness and more life satisfaction 27. Recent empirical studies using longitudinal data and cross-lagged regression models have consistently supported the idea that self-esteem negatively predicts depression 19. It contributes to the development of a poor or negative self-image 29 and its partial mediator of the relationship between hopelessness and depression 27. Understanding self-esteem is important for interventions and prevention of depression 1. The contemporary models of depression emphasized the role of low self-esteem in the etiology of depressive disorder (9, 17). In addition, other studies suggested that self-esteem fluctuation is a factor in the etiology and maintenance of depression. Low self-esteem is more prevalent among depressed people and can predict a depression onset 14. However, a major problem exists in examining the relationship between self-esteem and depression, self-esteem may be part of definition of an illness and in no way a causal 27. The findings by 12, revealed that low self-esteem on 1192 Medico-legal Update, January-March 2020, Vol. Nonetheless it may do so interaction with other factors such as stress, hopelessness.

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Most poisoning incidents are accidental and occur at home hypertension vitamins purchase calan 80 mg fast delivery, most often involving children <6 years understanding prehypertension buy calan cheap. The mechanism of tissue damage varies with the nature of the offending substance and the mode of entrance into the body prehypertension 131 purchase calan 120 mg with amex. Agents may be directly toxic to human tissue or may require enzymatic conversion to an active heart attack hill purchase cheap calan online, injurious metabolite. Toxin-specific antidotes or antivenoms, when available, are promptly administered. Forced acid or alkaline diuresis is used to promote the renal elimination of ionized agents that are not strongly bound to proteins. Very early initiation of the treatment (within the first 24-48 hours) is recommended. Technical notes the replacement fluid chosen should be one that contains enough protein to draw toxin into the blood compartment for elimination; albumin is such an agent and generally acts as an effective replacement fluid. Ibuprofen plasma concentration profile in deliberate ibuprofen overdose with circulatory depression treated with therapeutic plasma exchange: a case report. Medications in patients treated with therapeutic plasma exchange: prescription dosage, timing, and drug overdose. Acute severe organophosphate poisoning in a child who was successfully treated with therapeutic plasma exchange, high-volume hemo-diafiltration, and lipid infusion. Those antibodies target antigens that are expressed by both the tumor and the nervous system and mainly recognize intracellular antigens. Aggressive immunosuppression early in the course is recommended in patients who are identified prior to a tumor diagnosis. Paraneoplastic tumefactive demyelination with underlying combined germ cell cancer. Therapy for paraneoplastic neurologic syndromes in six patients with protein A column immunoadsorption. Neurologic paraneoplastic antibodies (anti-Yo; antiHu; anti-Ri): the case for a nomenclature based on antibody and antigen specificity. Therapeutic plasma exchange in treatment of neuroimmunologic disorders: review of 92 cases. Paraneoplastic syndromes associated with gynecological cancers: a systematic review. Polyneuropathy can present as an acute, subacute, or chronic process with initial sensory symptoms of tingling, prickling, burning or band-like dysaesthesias in balls of the feet or tips of toes, usually symmetric and graded distally. Nerve fibers are affected according to axon length, without regard to root or nerve trunk distribution (stocking-glove distribution). Disease progression is variable, some may take years or decades and others may have acute accelerations. Another trial in 54 patients failed to reach the primary endpoint but did show improvements in several secondary outcomes (Leger, 2013). Placebo-controlled trial of rituximab in IgM anti-myelin-associated glycoprotein antibody demyelinating neuropathy. Treatment experience in patients with anti-myelin-associated glycoprotein neuropathy. Placebo-controlled trial of rituximab in IgM anti-myelin-associated glycoprotein neuropathy. The major clinical manifestations include involuntary choreoathetoid movements, hypotonia and emotional lability. Magnetic resonance imaging studies have demonstrated striatal enlargement in the basal ganglia in both, especially in caudate, putamen, and globus pallidus. An atypical presentation of pediatric acute neuropsychiatric syndrome responding to plasmapheresis treatment. Treatment of pediatric acute-onset neuropsychiatric disorder in a large survey population.

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Poultry has been accepted as one of the most important sources of animal protein for humans in the world arrhythmia in 5 year old generic 120 mg calan free shipping, As well as consumers have high preferences for poultry products particularly during festivals blood pressure 9070 buy calan australia. Moreover pulse pressure 36 purchase calan in united states online, the parasites can make the herd less resistant to disease and exacerbate existing of disease in herd (8-10) blood pressure medication vertigo buy 240mg calan. Cryptosporidia are protozoan parasites classified within the class sporozoa and the subclass coccidian, They inhabit the brush border of the small intestinal mucosa of a variety of mammilians 11. This parasite is not confined to the cryptosporidia of birds and can infect other animals, even mammals and chickens. Cryptosporidia is often spread from one animal to another on the feet of people and animals and can be borne by overland birds. Cryptosporidiosis can be contracted by inhalation, leading to more severe respiratory inflammation of the intestinal form. Providing supportive treatment and protection from secondary infection are the only workflows. Once recovered, the birds are immune to future infections, There are a great diversity of Cryptosporidium species and genotypes recorded from fish,amphibians, reptiles, birds and mammals (12,13) Haemosporidians are intracellular protozoan parasites found within the blood cells and tissues of their avian hosts, they are worldwide distributed and occur in a variety of avian species, including domestic chicken, the avian haemosporidian parasites (PhylumApicomplexa) are taxonomically diverse and cosmopolitan in distribution infecting most bird families 14. The greatest important groups of haemoparasites that infected chickens are Leucocytozoon, Haemoproteus and Plasmodium. The chickens haemoparasites have been recorded in the different countries of the world such as Bolivia, Pakistan, Italy,Czechoslovakia, Nigeria, Tanzania, Kazakhstan, India and South and East-Southern Asia, (16,17). Helminth parasites A-The cestode parasites Chickens is greatly susceptible to the contagion by a multiplicity of intestinal helminthes which leads to severe commercial losses during meddling with fit development in the system of late growth chiefly the chickens, making adult chickens exposure to secondary contagions, actually reduced chickens production 18. Parasitic worms are common in large-scale poultry, while intensive infections are common in heavily managed stocks that cause severe pain that affects the natural activities of birds that lead to death. B- the nematode parasites recovered included Ascaridia galli Shrank 1788, Heterakis gallinarum Shrank 1788, Hartertia gallinarum Theiler 1919, Gongylonema ingluvicola Ransome 1904, Syngamus trachea Montagu 1811 out of which only A. These helminthes affect on the metabolism of the host, causing in lowly feed utilization, thus imparing 866 Medico-legal Update, January-March 2020, Vol. The Arthropoda parasites Common ectoparasites of village chickens range from lice, mites, fleas and ticks 6. They may constitute a clinical problem and transmit a number of infectious diseases and can also act as transport/ intermediate hosts of a range of helminth parasites (22-25). Some of the ectoparasites, especially tick and mites acts as vectors of poultry diseases such as Pastuerellosis, Fowl Pox, Newcastle disease and possibly chlamydia (26,27). Anthers and year Parasites Site of isolation samples parasites the prevalence % country Al-Zughaybi and Al-Gharawi (2010) (28) Worms and Protozoa digestive tract 250 10. Table (2): the prevalence of parasitic infection in domestic chickens in different sites of the world. Ethical Clearance: All experimental protocols were approved under the college of Education for Pure Sciences, Al Muthanna University, Samawah, Iraq and all experiments were carried out in accordance with approved guidelines. Holocene Cultural History of Red Jungle Fowl (Gallus Gallus) and Its Domestic Descendant in East Asia. A cross-sectional survey on parasites of chickens in selected villages in the sub humid zones of South-Eastern Nigeria. Department of Animal Health and Production, Faculty of Veterinary Medicine, University of Nigeria, Nsukka, Nigeria. Demonstration of Eimeria tenella in Bursa of Fabricius of chickens Avian Diseases Journal. Influence of Ascaridia galli infections and anthelmintic treatments on the behaviour and social ranks of laying hens (Gallus gallus domesticus). Prevalence of External parasite of poultry in intensive and backyard chicken farm at Wolayta Soddo town, Southern Ethiopia. Prevalence of Ectoparasite Infestation in Chicken in and Around Ambo Town, Ethiopia. Prevalence of bird Louse, MenacanthusCornutus (Pthiraptera: Amblycera) in Four Selected Poultry Farms in Kano State, Nigeria. A Diagnostic Survey of External Parasites of Free-Range chickens, in the rural areas of Eastern Cape, South Africa. Epidemiological Study of Distribution of Parasites in the Digestive Tract of Backyard Chicken in Babylon province, University of Karbala Scientific Journa, 2010;l8(2):161-163. Prevalence of Blood Parasites in Local Chickens in Qaradagh District, Sulaimani,Iraq the Iraqi Journal of Veterinary Medicine, 2013;37(1): 17 ­ 21.

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The analogy might be further extended to include the lesions made about the neck by the straps or the edge of the helmet blood pressure medication infertility buy calan 240 mg line, paralleling the abrasions and contusions that might be associated with a rope having encircled the same structures arrhythmia tutorial cheap calan amex. Characteristically blood pressure chart diabetes purchase calan without prescription, the posterior arch is fractured and normal blood pressure chart uk buy calan with a mastercard, interestingly enough, the odontoid process is not involved. One interesting and compelling aircraft accident investigated by the Naval Safety Center, Norfolk, Virginia, served to emphasize the practical application of this theoretical exercise (Colangelo, 1974). A Navy A-4 jet aircraft experienced difficulties in flight which caused the pilot to eject at an altitude, attitude, and airspeed that were within the operating envelope of the ejection seat. Supported by a fully blossomed, functioning parachute, however, the pilot reached the ground severely injured and died shortly after the accident as a result of a transverse laceration of the cervical spinal cord. The investigation established that the energy responsible for the fatal lesion was transmitted through the helmet and its inferior edge into the posterolateral neck, A vertebral dislocation of C-2 and C-3 resulted, which in turn severed the spinal cord. Similar observations had prompted an earlier modification of the helmet to incorporate a thicker protective edge roll. It is often tacitly assumed when a helmet which has been subjected to a large impact force exhibits only slight damage the head which is designed to protect should remain proportionally secure. The pathology itself was distinctive in that a dislocation without fracture occured at the C-2/C-3 level of the cervical spine. Histologic sections made through the C-2/C-3 vertebrae confirmed that no fracture was present, despite common observations in the literature that fracture is the usual, if not an invariable accompaniment, of such severe dislocations (American Academy of Orthopaedic Surgeons Symposium, 1969). The concept of the "cervicocranium" as an entity constituted by the cranium, the atlas, and the axis suggests that this functional segment above C-3 tends to move as a single unit, in dislocation as well as in flexion, extension, and rotation. The implied mechanical 25-12 Aircraft Accident Autopsies weakness at C-3 or the junction of the cervicocranium with the lower cervical spine makes it a likely site for dislocations in injuries sustained by mechanisms resembling that presented in this particular accident. Mason (1962) notes that decelerative pulmonary lesions of the severity seen in aircraft accidents should be more akin to blast injuries than to those sustained in motor accidents. When a heavy blunt force is applied to the lungs, there is extensive hemorrhaging, probably as a result of internal shearing forces. Mason review the experimental literature describing specific patterns of hemorrhaging found with deceleration forces. Unfortunately, there is little information available on the pattern of lung damage to be found in aircraft accidents, although damage of this type can be noted in over 50 percent of all fatalities. An important point in dealing with lung trauma is to be able to separate accident damage from evidence of preexisting lung pathology. As the vasculature is torn during an accident, blood enters pulmonary alveolae, as does serum. The serum in alveolar spaces can resemble edema fluid, thus presented a confusing picture to a pathologist. Whether this fluid is there as a direct result of the accident or as part of an earlier disease process can only be determined by reviewing the location of lacerations in lung tissue, other pathological findings in the cardiorespiratory complex, and the clinical history. Attempts should be made to define restraint and other impact blunt force injuries, decelerative injuries, penetrating and perforating wounds. Such injuries often define the forces applied to the victim as a result of seat and restraint system failures, loss of occupiable space, or cargo shifts. Extremity injuries while quite evident should always be documented radiographically. Dissections disclosing hemorrhage about the fracture or dislocation often support the contention that the injury is premortem rather than postmortem artifact. The radiographs in addition to documenting the site of injury usually shed light on the mechanism of injury and the direction of applied forces. Such techniques may well define the so-called control surface injuries on the hands and feet of the pilot in command at ground impact. Evidence of survival during the fire includes the immediatedly fatal injuries, soot in the airways, pulmonary congestion, and frequenttoxicology studies such as elevated carboxyhemoglobin saturations. Cases involving water immersion and the possibility of drowning or hypothermia often are difficult to evaluate.

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