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Finally and most importantly I would like to medicine cabinet order genuine albenza online thank my mom for always being there for me and supporting me through my academic career medicine ball workouts order albenza 400 mg visa. This accomplishment would not have been possible without my wonderful mother Zaineb Abdillahi symptoms nausea buy discount albenza 400mg on-line. I would also like to thank my younger siblings who have always put a smile on my face during difficult and stressful times. As the first person in my family to study at the Master level I hope that Huda and Zakaria can look to me as an example and go further than I have. Sexual Health includes factors such as mental and emotional health, sexual violence and the prevention of sexually transmitted diseases. Even though, sexual and reproductive health issues are prevalent throughout the world, there are not many studies that have ascertained the extent of these issues among young people in Norway. However, some research findings have highlighted the frequent instances of sexually transmitted diseases contractions and abortion rates suggesting unplanned pregnancies. Along with the prevalence of sexual health problems in Norway there are research findings that suggest that young Norwegian people lack essential knowledge about sexual and reproductive health Justification and Aims: Although, there are research findings that focus on the sexual and reproductive health knowledge and awareness young people have, there is not a lot of recent data that aims to explore personal characteristics that may be linked to poor sexual and reproductive health knowledge and awareness. It is important to consider and explore whether characteristics such as age, gender, ethnic background, socio-economic status and religious beliefs can impact an adolescent�s sexual and reproductive health knowledge and awareness level. Therefore, this project aimed to investigate the sexual health knowledge of young people living in Norway. Specifically, this project focused on identifying factors and characteristics that may be linked to poor sexual and reproductive health knowledge. Methodology: the main method used in this study was an exploratory research design. The study included 61 participants between the ages 12 to 15, who were given a questionnaire assessing sexual and reproductive health knowledge, communication and attitudes. The participants included in this study were all students at Boler Secondary School in Oslo. Findings: the findings of this research project suggest that there is not a gender difference regarding the sexual and reproductive health knowledge of young people living in Oslo, Norway. However, the findings of this project do indicate that there is an age difference in the sexual and reproductive health knowledge young people have living in Norway. The present literature review will provide an outline of the most prevalent descriptions of sexual health including an exploration of the importance of sexual health and the identification of barriers that can prevent sexual health. The current paper aims to highlight certain cultural environments where sexual health awareness and knowledge is less ideal. Mental and Emotional Health: Sexual health does not only include a state of physical well being as related to sexuality but also mental and emotional stability. Sexual Violence: Sexual health also includes the effort to prevent unwanted sexual acts, comments or advances, including sex trafficking to anyone in any situation regardless of the relationship between the victim and the perpetrator. This effort includes preventing sexual extortion, blackmail or other forms of treats. It is important to highlight that sexual violence includes rape, which is defined as the physically forced penetration of a person using a body part or an object (Hakimi, 2001). Sexually Transmitted Diseases: A further aspect of sexual health is the prevention of sexually transmitted diseases. Specifically, according to the World Health Organization there are more than 30 variations of viruses, bacteria and parasites that can be passed on through sexual contact. These pathogens include syphilis, gonorrhoea and chlamydia, bacteria that cause the greatest number of instances of sexually transmitted diseases. All these pathogens are mainly transmitted sexually through oral, vaginal, or anal sex and they can also be transmitted through the placenta from mother to child during pregnancy. It is important to note that an individual can suffer from a sexually transmitted disease without experiencing any obvious symptoms. Furthermore, the contraction of sexually transmitted diseases can lead to a number of serious consequences beyond the immediate symptoms of infection.
Syndromes
- Pancreatic cancer
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Cross References Echolalia; Transcortical aphasias Dysaesthesia Dysaesthesia is an unpleasant medications 8 rights 400mg albenza sale, abnormal or unfamiliar medications quizzes for nurses buy albenza 400 mg online, sensation medicine interactions 400mg albenza fast delivery, often with a burning and/or �electrical� quality. Dysaesthesia differs from paraesthesia in its unpleasant quality, but may overlap in some respects with allodynia, hyperalgesia, and hyper pathia (the latter phenomena are provoked by stimuli, either non-noxious or noxious). There are many causes of dysaesthesia, both peripheral (including small bre neuropathies, neuroma, and nerve trauma) and central. Dysarthrias affect articulation in a highly reliable and consistent manner, the errors re ecting the muscle group involved in the production of speci c sounds. There are various syndromes of dysarthria, which have been classi ed as follows: -115 D Dysarthria � Flaccid or nasal dysarthria: hypernasal, breathy, whining output, as in bulbar palsy. Some authors prefer to use these individual terms, rather than �lump� them together as executive function. De cits in these various functions, the dysexecutive syndrome, are typically seen with lateral prefrontal cortex lesions. Cross References Attention; Frontal lobe syndromes Dysgeusia Dysgeusia is a complaint of distorted taste perception. Dysmetria may also be evident in saccadic eye movements: hypometria (undershoot) is common in parkinsonism; hypermetria (overshoot) is more typical of cerebellar disease (lesions of dorsal vermis and fastigial nuclei). Saccadic dysmetria and �intact� smooth pursuit eye movements after bilateral deep cerebellar nuclei lesions. These phenomena have been associated with bilateral lateral occipital cortical damage. Whether this condition is an agnosia for shape or visual form, or a perceptual problem (�pseudoagnosia�), remains a subject of debate and the term dysmorphopsia has been suggested as a compromise between the different strands of thought. Dysphagia of neurological origin may be accompanied by dysphonia, palatal droop, and depressed or exaggerated gag re ex. The term does not, however, seem likely to come into use, a matter of little regret, since the word has not the merit of unimpeachable exactness, and it has an unfortunate resemblance in sound to �dysphagia�. Hence this is a motor speech disorder and could be considered as a dysarthria if of neurological origin. Recognized causes of dysphonia include � Infection (laryngitis); � Structural abnormalities. Flaccid dysphonia, due to superior laryngeal nerve or vagus nerve (recurrent laryngeal nerve) palsy, bulbar palsy. This may be devel opmental in origin (�clumsy child�), but in adult practice re ects a loss of function (hence apraxia is a better term). Dystonic movements may initially appear with voluntary movement of the affected part (�action dysto nia�) but may eventually occur with voluntary movement elsewhere in the body (�over ow�). The severity of dystonia may be reduced by sensory tricks (geste antagoniste), using tactile or proprioceptive stimuli to lessen or eliminate pos turing; this feature is unique to dystonia. Dystonic disorders may be classi ed according to: � Age of onset: the most signi cant predictor of prognosis: worse with earlier onset. Other treatments which are sometimes helpful include anticholiner gics, dopamine antagonists, dopamine agonists, and baclofen. Drug-induced dystonia following antipsychotic, antiemetic, or antidepressant drugs is often relieved within 20 min by intramuscular biperiden (5 mg) or procyclidine (5 mg). Surgery for dystonia using deep brain stimulation is still at the experimental stage. Cross-Reference Neglect Echolalia Echolalia is the involuntary automatic repetition of an interviewer�s speech. This may be observed in a variety of clinical situations: � Transcortical sensory aphasia: In the context of a uent aphasia with repetition often well or normally preserved, usually as a result of a vascular lesion of the left hemisphere although an analogous situation may be encountered in Alzheimer�s disease; �incorporational echolalia�, when the patient uses the exam iner�s question to help form an answer, may be observed as a feature of �dynamic aphasia� which bears resemblance to transcortical motor aphasia, but may result from a frontal lesion. Patients 126 Emotionalism, Emotional Lability E may develop oculopalatal myoclonus months to years after the onset of the ocular motility problem. Cross References Facial paresis, Facial weakness; Myoclonus; One-and-a-half syndrome; Palatal myoclonus Ekbom�s Syndrome Patients with Ekbom�s syndrome or delusional parasitosis believe with abso lute certainty that insects, maggots, lice, or other vermin infest their skin or other parts of the body. The patient may produce skin fragments or other debris as �evidence� of infestation. Treatment should be aimed at the underlying condition if appropriate; if the delusion is isolated, antipsychotics such as pimozide may be tried.
The disease is usually spread by contact with nose or throat secretion of an infected person symptoms ear infection generic 400 mg albenza amex. Haemophilus influenzae type b can cause a range of serious infections medicine and technology order 400mg albenza, depending on the organ that it affects medicine 319 purchase 400 mg albenza with mastercard. The most common clinical manifestations caused by invasive Hib infection include meningitis, pneumonia, bacteraemia, epiglottitis, septic arthritis, cellulitis and osteomyelitis. The annual notifications varied from zero to six cases, corresponding to an incidence rate of 0 to 0. All cases were sporadic infections, eleven (85%) of which acquired the infection locally while two were imported from Mainland China and the Philippines. Cases of invasive Hib infection occurred in all ages from 25 days up to 92 years (median: 21 years). Six of these cases (46%) were children, five of whom were less than two years of age. As for the seven adult cases (aged 21 to 92 years), six of them had one or more pre-existing medical conditions, including diabetes mellitus, hypertension, hyperlipidemia, and Figure 1 Noti cations of invasive Hib infection in Hong Kong, 2012-2017 (*as of September 24, 2017). Sepsis due to Hib was the most common presentation, accounting for 69% (9/13 cases) of the cases overall. Meningitis was reported in seven (54%) cases, pneumonia in four (31%) and suppurative pericarditis with pericardial effusion and empyema in one case (4%). The diagnoses of eight (61%) cases were confirmed by blood culture, three (23%) by positive culture or detection of Hib antigen in cerebrospinal fluid, one by positive pleural fluid culture (8%), and one by culture from both blood and tracheal aspirate (8%). All of the cases were hospitalised for treatment, six of whom required intensive care. One occurred in 2013 involving a 32-year-old man with pre-existing medical conditions and was living in a residential care home for the disabled. The second death was recorded in 2016 involving an 85-year-old man with underlying illnesses, who presented with pneumonia and sepsis. Ten patients recovered and were discharged after 11 to 62 days of hospitalisation. The remaining patient who is still hospitalised is a 25-day-old neonate born prematurely at 32 weeks of gestation, who presented with sepsis and meningitis and required prolonged ventilator support. In Hong Kong, the Hib vaccines are available in either monovalent form, or in combination with other vaccine components. In general, a two or three-dose primary series is given at the age of two to six months, followed by a booster dose at 12 to 18 months. Members of the public may consult their family doctors for Hib vaccination for personal protection of their children. In addition to active immunisation, good personal and environmental hygiene are essential in preventing the spread of disease. She was born on September 9 by emergency Caesarean section in a private hospital at 34 weeks of gestation for reduced fetal movement. She developed respiratory distress and hypotension at birth and was intubated and required inotropic support. Her blood culture collected on September 9 and 10 both grew Listeria monocytogenes. Her condition gradually improved and was transferred to special care baby unit since September 22. Investigation revealed that the baby�s mother had uneventful antenatal course and had diarrhoea on the day of delivery. Cultures of her high vaginal swab and breast milk were negative but blood and stool specimens were not collected for culture then. He presented with fever and shortness of breath on September 7 and was admitted to a public hospital on September 8. He worked as a butcher in wet markets and had handled raw pork during the incubation period. He recalled laceration injury over his left ring finger two weeks before illness onset.
Latvia Introduction In the second half of the seventeenth century medications for gout cheap albenza 400 mg on-line, the territory of Latvia was ruled by several different monarchs and was therefore divided into areas of various influences symptoms zinc deficiency discount 400 mg albenza. From the middle of the sixteenth century medications and pregnancy order albenza 400 mg line, the western part was ruled by the Duke ofKurzeme an Zemgale; after the Polish-Swedish war the southeastern part (Latgale) was subject to the Polish king and the north� eastern part (Vidzeme) to the Swedish king. Created by artists coming from various parts of Europe, general styles and tendencies were interpreted in various ways (1). Therefore, the objects ofthis survey-the churches and their pulpits in Nur� muizha and Burtnieki, both decorated in the 1680s and representative of the Baroque-illustrate two different styles using very different techniques and materials. The church of Nurmuizha is located in the territory of Kurzeme and was fo unded in 1594; however, the present interior dates from the 1680s. Tw isted columns with rich decorative carvings and many sculptures portraying dis� ciples of Christ decorate the pulpit and the church interior. Later repairs are relatively extensive, including additional wood carv� ings and paintings executed by different craftsmen, such as gilders and interior painters (Fig. The church ofBurtnieki is located in the northeastern part of Latvia which was under the rule of the Swedish king. Here, the basic construction of the pulpit is very similar to construction of the pulpit in Nurmuizha, but the decoration is more restricted, rational, and even classical. Baroque infuences arrived here by many different routes, thus resulting in a large variety of interpretations. The sides of the stairs are decorated with panels separated by pilasters instead of columns. Instead of sculptures, there are paintings on the panels between the columns, all representing scenes from the New Testament. In contemporary documents (1691), it is noted that the altar and the pulpit were painted and outlined with silver. The pulpit of the Burtnieki church painting was removed, revealing the original decorative painting, which shows biore restoration. Poriete and Choldere 155 marbled columns, multicolored paintings on the panels, and blue and silver paintings on the podium. Methods Analysis of the pigments was carried out combining optical microscopy, mi� crochemical tests, and emission spectroanalysis (2, 3). Media were determined by the use of thin-layer chromatography, infrared spectroscopy, and micro� chemical tests (4, 5, 6). Materials and results The chnical analysis from paint samples was executed to reveal the original layer of the pulpit of the Nurmuizha church. The results indicate that the ground layer consists of an unpigmented calcium carbonate bound with an animal glue, as was shown by staining tests. In the cross section, the ground layer is shown as a white layer with some small brown glue particles. On a thin transparent layer in which protein has been fo und, there is a black layer with occasional particles of a blue pigment. The few blue particles present are transparent; a positive identification of the pigment was impossible. In the cross section, a layer of brown hematite is visible and the presence ofglue particles was determined with staining tests. On top of the gilding there is a layer of mordant gilding: oil pigmented with ochre and minium, the latter probably acting as a drying agent. Samples were taken from the clothes, hair, and flesh color of one sculpture on the pulpit (Fig. Cross section i paint sample from in a water-gilding technique, while the dress itself was originally blue. The part i the flesh color on a sculpture in the blue layer consists oflead white and smalt with tempera as a binding medium Nurmuizha church. Analysis of the samples taken suggests that (1) thin pink ground, (2) main paint layer the pulpit had water-gilded, wood-carving details on a blue background. The containing lead white and ochre, (3) transpar� ent layer containing oil, (48) overpaints. The results of the analysis show that the pink background contains hematite and occasional particles of calcium carbonate (CaC03) in oil (Fig.
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