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Bilberry: Treachery. Birch: Meekness . Bittersweet: Truth; Platonic love. Black Locust: Platonic love. Blackthorn: Difficulty. Bluebells: Fidelity; Loyalty; Humility; Constancy; Sorrowful; Regret. Bluebottle: Delicacy. Bluets: Contentment. Borago Borage ; : Bluntness; Talent. Box: I believe in your constancy. Bramble: Holiness; Remorse. Broom: Humility; Neatness. Bryony: Prosperity. Bulrush: Docility . Burdock: Importunity. Buttercup: Riches; You are rich; Childishness; Ingratitude . Butterfly Weed: Let me go; Cure for heartache. C Cactus: Grandeur; Warmth; Affection . Calla Lily: Beauty . Calycanthus: Benevolence. to a Man. Camellia red ; : Unpretending excellence; Innate warmth; Alas my poor heart; Beauty. Camellia white ; : Perfected loveliness; Without blemish; Worth . Camellia Japonica: Surpassing excellence. Campanula: Thankfulness. Candytuft: Indifference. Canterbury Bells: Gratitude; Acknowledgment; Obligation. Cardamom: Paternal error. Cardinal Flower: Distinction. Carnation: Pride; Beauty; Fascination; Admiration; My heart aches for you; Pure and deep Camellia: My destiny is in your hands; Gratitude; Admiration; Perfection; Good Luck; Gift.
Symptoms such as foul smelling, large volume vomits, abdominal discomfort, and colic. Single-site obstruction may be amenable to surgery or the insertion of a stent. Chemotherapy may also be useful in sensitive tumours e.g. in ovarian disease ; . In advanced cancer, intestinal obstruction usually occurs at multiple sites and requires medical management. Metoclopramide may increase gastric emptying in the early stages, but colic can be a problem. Subcutaneous therapy with anti-emetics e.g. haloperidol with cyclizine ; in combination with hyoscine hydrobromide and diamorphine are often needed. Seek advice from the palliative care team.
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References 1. Bassey EJ, Rothwell MC, Littlewood JJ, Pye DW 1998 ; Pre- and post-menopausal women have different bone mineral density responses to the same high-impact exercise. J Bone Miner Res 13: 1805-1813 2. Bradney M, Pearce G, Naughton G, Sullivan C, Bass S, Beck T, Carlsson J, Seeman E 1998 ; Moderate exercise during growth in prepubertal boys: changes in bone mass, size, volumetric density, and bone strength: a controlled prospective study. J Bone Miner Res 13: 1814-1821 3. Chai JK, Blaha V, Meguid MM, Laviano A, Yang ZJ, Varma M 1999 ; Use of orchidectomy and testosterone replacement to explore meal number-to-meal size relationship in male rats. J Physiol. 276: R1366-R1373 4. Danielsen CC, Moskilde L, Andreassen TT 1992 ; Long-term effect of orchidectomy on cortical bone from rat femur: bone mass and mechanical properties. Calcif Tissue Int 50: 169-174 5. Erben RG, Eberle J, Stahr K, Goldberg M 2000 ; Androgen deficiency induces high turnover osteopenia in aged male rats: a sequential histomorphometric study. J Bone Miner Res 15: 1085-1098 6. Frost HM 1983 ; Bone histomorphometry: Analysis of trabecular bone dynamics. In Recker RR ed. ; Bone Histomorphometry: Techniques and Interpretations. CRC Press Boca Raton Florida, pp 109-131 7. Frost HM 1999 ; On the estrogen-bone relationship and postmenopausal bone loss: A new model. J Bone Miner Res 14: 1473-1477 8. Fuchs RK, Bauer JJ, Snow CM 2001 ; Jumping improves hip and lumbar spine bone mass in prepubescent children: a randomized controlled trial. J Bone Miner Res 16: 148-156 9. Haapasalo H, Sievanen H, Kannus P, Heinonen A, Oja P, Vuori I 1996 ; Dimensions and estimated mechanical characteristics of the humerus after long-term tennis loading. J Bone Miner Res 11: 864-872 10. Horcajada MN, Coxam V, Davicco MJ, Gaumet N, Pastoureau P, Leterrier C, Culioli J, Barlett JP 1997 ; Influence of treadmill running.
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Notably, of 36 patients who received a transplant in CR, only 3 patients 8% ; had died from causes other than relapse at 1 year and the cumulative rate of NRM remained at 8% by 2 years and beyond. Two of the 3 patients died from infections while in CR on day 42 and 232, respectively. One 64-year-old patient who received a transplant in CR2 with reduced renal function and invasive fungal infection died early on day 14 due to severe septicemia. The cumulative rates of NRM for patients with active disease non-CR ; who received a transplant were 20% n 7 ; at day 100 and cycloserine.
Follow-up Physical examinations and laboratory studies were performed pretreatment then weekly. Routine laboratory studies included complete blood cell counts with differential white blood cell WBC ; and platelet counts, chemistry, electrolytes, blood urea nitrogen, creatinine, glucose, total protein, albumin, calcium, phosphate, magnesium, uric acid, alkaline phosphatases, total bilirubin, ALAT, ASAT, and urinalysis. An electrocardiogram was performed pretreatment. When a patient experienced a grade 3 and 4 neutropenia, the determination of hematologic parameters was recommended daily until the recovery of an ANC 2000 ul and a platelet count 5 100, 000 ul. Toxicity was assessed according Word Health Organization WHO ; criteria [16]. Tumor measurements were performed after two courses, and patients were allowed to continue treatment until progression. Responses were evaluated following standard WHO criteria [16], A complete response was defined as the disappearance of all known disease, maintained for four weeks. A partial response required a 50% or greater reduction in the sum of the product of the bidimensional measurements separated by at least four weeks. Disease progression was defined as greater than a 25% increase in the sum of products of measurable lesions, appearance of any new tumor lesion, or reappearance of lesions.
For ommissions or concerns with any of the information in this manual please contact: Kathleen Eckert, ART Transfusion Safety Officer LLSG 519-685-8500 ext 55303 Kathleen.Eckert lhsc.on For information about the Blood Transfusion Laboratory, please contact: Jeff Kinney, ART Technical Specialist LLSG 519-685-8500 ext 52195 Jeff.Kinney lhsc.on For Medical or Clinical information regarding blood transfusion, please contact: Dr Ian Chin-Yee, Medical Director, Blood Transfusion Laboratory LLSG 519-685-8500 ext 55192 Ian.Chin-Yee lhsc.on and cyclosporine.
One of the key aspects of personal power is the inner confidence to know that you can do anything you want to do. You can achieve the sales that you deserve because you have all the skills and techniques that you need to be successful. When you have personal power you have the assertiveness to do what's best for you and your recovery from addiction. It's this combination of confidence and assertiveness that is going to push you towards your goals and a help you achieve them. Tip #72: Night Time Stretching If you are having trouble sleeping, the following stretches will help you relax: Lie on your back, bring your knees in, and put the soles of your feet together, then let your knees fall open, making a diamond shape with your legs, rest your arms on the bed. Lie on your back, bring your knees into your chest, and hug them. If you like, you can gently rock from side to side. Breathe deeply into your lower back and with each exhalation, allow your entire back to relax just a little bit more. If this position hurts your knees, roll up two washcloths and place one behind each knee. Lie down with your buttocks at the wall or at least as close as possible ; . Extend your legs up the wall. Flex your toes toward you and work on getting your knees straight by extending the hamstrings. Stay in this position for a minute or two, and then go on to the next pose. Widen your legs. Go slowly since you don't want to overstretch your inner thigh muscles. You can place rolled-up blankets under your upper thighs to help support your legs. You will be able to stay in the pose longer this way. Keep flexing your feet toward you and trying to straighten your knees. Use your hands, if necessary, to keep your thighs pressed against the wall. Roll up a blanket or thick towel. Lie down with the roll placed under your upper middle back. If you would like, use a pillow or a folded blanket under your head. Close your eyes and relax. Stay in this position as long as you like. Lie on the floor with your calves on a chair seat. Place a blanket under your head if you like. Cover your eyes with a small towel or other soft piece of fabric, and insert earplugs if you wish. With each exhalation, relax a little bit more. Stay in this position as long as you like; you may even fall asleep. Tip #73: The Value of Internal Cues.
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He Queensland Museum has identified a new species of the world's most venomous spider, the funnel web, in remote bushland in far north Queensland 1000km further north than any previously recorded funnel webs. As yet there are no live or female specimens of the new species in the hands of scientists but the dead males which have been examined are significantly 15mm head to tail ; smaller than their southern cousins 35mm ; . It is also believed their venom may be even more toxic than that of other funnel webs. The spider was identified and named Hadronyche anzes ; by Dr Robert Raven, the museum's expert in arachnids. The `new' funnel webs were found in two locations in steep, mountain terrain over 500m ; inland from Mossman. The sites were about 5km apart, but separated by a deep river gorge and a raging river. The most northerly previous funnel webs in Australia were from a different species and located at Kroombit Tops, near Gladstone. A distance of 1050km separates the two sites. Dr Raven said he was excited by the discovery and anxious to raise funds for a major expedition to try to find live specimens and some females. This would broaden scientific knowledge of the new species and permit studies into the toxicity of its venom to determine whether it might have potential medical uses. Funnel web spiders have been identified as causing 14 known deaths in Australia between 1927 and 1980. More information: uq .au ~xxraven and cylert.
Table I. Patient Characteristics SMCD with associated eosinophilia.
Ing antiemetics according to the mechanism of PONV is a logical strategy, but there are insufficient data available to allow evidence-based recommendations. As there is some evidence that the efficacy of ondansetron for treating opioidinduced PONV is dose-related, 18 our results may have been different had we used a larger dose of ondansetron. Furthermore, our sample size was calculated to show differences overall and not between the two types of laparoscopy. This almost certainly produced type 2 errors when analysing the data for operation type. Our results are different from those in a similar patient group, comparing cyclizine with metoclopramide and ondansetron, 6 which found that the incidence of PONV after cyclizine was similar to placebo approximately 50% ; but was reduced by 50% after ondansetron and metoclopramide. However, this study used a retrospective control group and we noted an unequal distribution of patients undergoing LS between groups more patients undergoing LS in the cyclizine group ; . Economic analyses can also be used to aid clinical decisions about the choice of individual antiemetic for daycase practice.19 However, these analyses fail to address the fact that outcomes in patients undergoing gynaecological laparoscopy after single antiemetic prophylaxis, even if better than placebo, are far from acceptable. In our study, 70% of patients experienced PONV after either treatment and approximately 25% of patients had moderate or severe nausea or vomiting after discharge. Research on the use of antiemetic combinations for PONV is encouraging20 and suggests that this strategy may be the way forward with the persistent problem of PONV. We would recommend that cyclizine should be considered for first-line antiemetic therapy for DL but that ondansetron may be an equally valid choice where a greater amount of tissue trauma is anticipated, such as with LS. Our results may be applicable to other types of surgery and may justify further research to target antiemetics to operation type. Furthermore, as cyclizine is a cheap antiemetic with demonstrable efficacy binding to two receptors involved in the pathogenesis of PONV ; and a good adverse effect profile, it is well suited for use in combination with other antiemetics such as ondansetron in the management of PONV and cytarabine.
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Franco buzzi, Casale Monferrato, Italy Deputy Chairman of the Board of Management of Buzzi Unicem S.p.A. from November 19, 2001 ; gert dyckerhoff, Drolshagen Managing Partner of dy-pack Verpackungen Gustav Dyckerhoff GmbH from November 13, 2001 ; dr. rer. nat. gtz dyckerhoff, Aachen Managing Director of Grnenthal GmbH gunter ernst, Munich Director of Bayerische Hypo- und Vereinsbank ag dr. rer. pol. jrgen frterer, Wiesbaden Chairman of the Board of Management of r + Versicherung ag until November 18, 2001 ; werner ha * , Nordhorn Trade Union Secretary of Industriegewerkschaft Bergbau-Chemie-Energie dr. jur. tessen von heydebreck, Frankfurt Main Member of the Board of Management of Deutsche Bank ag until November 16, 2001 ; karl-heinz horstkotte * , Lengerich Chairman of the Works Council at the Lengerich plant of Dyckerhoff Zement GmbH gisbert huke * , Heilbad Heiligenstadt Chairman of the Works Council of Deuna Zement GmbH from March 7, 2002 ; kerstin lange * , Gllheim Building Materials Inspector from November 1, 2001.
Initial studies were directed at determining HAS expression in several orbital fibroblast strains using nonquantitative RT-PCR. As the gel pictured in Fig. 1 suggests, the pattern of expression of the three HAS isoform mRNAs differs markedly. With regard to HAS1, it would appear that none of the five strains expressed this transcript under basal culture conditions. When the cultures were treated with IL-1 10 ng mL ; for 6 h, three of the five strains expressed HAS1 mRNA, the product of which migrated as the expected 642-bp PCR product. Basal HAS2 mRNA was clearly detected in four of the five strains and was found in all five after IL-1 treatment. HAS3, migrating as a 358-bp product, appears to be expressed in all strains under both basal and IL-1 -treated conditions and cytomel.
Prokinetic 1. Metoclopramide4, 5 2. Domperidone, 5, 6 If colic no response, seek advice Liver metastases or extrinsic compression7 consider dexamethasone 4-6 mg day Gastritis-proton pump inhibitor e.g.lansoprazole ; Stents laser Radio chemotherapy Dexamethasone 6-8 mg day7 Antiemetics often ineffective Medical management if surgery inappropriate. Seek specialist advice early. 2 main types: peristaltic failure metoclopramide 4, 5 mechanical obstruction 1. hyoscine butylbromide if colic ; 2. Levomepromazine3 3.Cyclizine + - Haloperidol 4.Octreotide SC seek advice ; 1. Cyclizine + Dexamethasone 816mg day if raised intracranial pressure ; 7 1. Cyclizine 2. Levomepromazine3 3. Hyoscine hydrobromide patch 1. Levomepromazine3 2. Metoclopramide if no colic ; 4, 5 3. Cyclizine + Haloperidol 4. Trial of Dexamethasone7.
All of the drugs below are commonly given by subcutaneous bolus or infusion in palliative care patients regardless of their licensed routes of administration. N.B. diclofenac only given by CSCI, not bolus. ; Note: If administering cyclizine or haloperidol ensure line is flushed before and after use with water for injection and cytoxan.
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Ideologies? Can we, should we establish new versions, combinations of these, appropriate to the new situation we are in, or can we expect, or indeed desire original new ideologies? The list of open questions which have yet to be answered is endless. Although we are effected by all these things, the reasons for "tolerance stretched to extremes" still tend rather to be domestic ones which originate from each country's unique historical development and cyclizine!
Websites arccancersupport.ie ARC House Cancer Support Centre: cancerbacup Cancerbacup cancer information Centre cancerworld European Oncology Nursing Society EONS ; irishcancer.ie Irish Cancer Society cancer.gov National Cancer Institute ncnm.ie National Council for Nursing and Midwifery ncri.ie National Cancer Registry of Ireland nurse2nurse.ie Nurse 2 Nurse fecs.be Federation of European Cancer Societies ctsnet The Cardiothoracic Surgery Network and dacarbazine.
2. Materials and methods Sediment samples from the Thule accident area Bylot Sound ; , NW Greenland, were used in this study. The sediment samples were taken with a Finnish Gemini Twin Corer delivering two parallel 8 cm diameter cores. An earlier version of the . Gemini Twin Corer, the Niemisto Corer, has been described in the literature [13]. The sediment in part of the Bylot Sound is highly contaminated with unfissioned plutonium from this accident. At the point of impact, the activity concentration of 239; 240 Pu is about 60 kBq m2 and the contamination is measurable up to 56 from this site [10]. The activity concentration in the sediment is very heterogeneous due to the presence of hot particles. There are several reasons for the separation and study of hot particles. To improve the basis for modelling the long-term environmental fate of particulate removal and further, to improve inventory estimates, it is necessary to study the chemical composition as well as the activity distribution and physico-chemical form of the Pu particles. To be able to study these aspects, the particles must be identified as single particles and for that reason a separation method is needed.
When patients come in and want to know if they're fertile, the most common thing that physicians will do is test a hormone level called follicle stimulating hormone, or FSH. This isn't a test that gives us all of the information that we want to know about the ovary, but if the FSH and daclizumab!
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