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By: S. Fasim, M.B.A., M.D.

Assistant Professor, Oregon Health & Science University School of Medicine

Medical Uses: Parsley Roots and leaves have been used to fungus gnats peppermint tea purchase online fluconazole regulate blood sugar and are thought to fungus tinea discount fluconazole 50 mg free shipping be effective in cases of low blood sugar antifungal cream yeast infection baby purchase fluconazole 50 mg otc, if there is adrenal malfunction. Preparations made from Parsley Roots have their major influence on the liver and spleen, and for the last 100 years, clinical physicians have claimed that Parsley Root has been effective in treating liver diseases, helping to dissolve and pass gallstones and kidney stones, if they are not too large. Parsley has been used since ancient times to improve both the digestion and assimilation of food and is said to settle the stomach after a meal. The volatile oil in Parsley increases circulation to the digestive tract, easing stomach problems, indigestion and flatulence. Rich in many nutrients, Parsley contains apigenin, a flavonoid that reduces allergic responses and is considered an effective antioxidant. Treatments: Parsley Root is a natural and effective diuretic that helps to purify the blood and accelerate the excretion of toxins from the body. Parsley may also ease bloating, reduce excess water weight, and improve urination when it is painful or incomplete. Because of its diuretic properties, Parsley is believed to lower blood pressure, reduce the heart rate and relieve hypertension. Parsley is highly nutritious and contains more vitamin C than oranges by weight and also provides a good source of iron (important for the proper formation of red blood cells), potassium (good for lowering blood pressure), calcium and manganese (helpful for osteoporosis) and folic acid (which may help prevent cardiovascular disease). Although pregnant women should not use Parsley, because it stimulates uterine contractions, in normal circumstances the herb is said to have a toning effect on the uterus and is thought to similarly affect the prostate in men. The root may be cooked and added to soups to improve the health of invalids or weakened people. Precautions: Pregnant women should avoid Parsley, because the herb stimulates uterine contractions. This herb helps to relieve indigestion, fluid retention, halitosis, gas and helps to promote kidney, liver and bladder health. Plant Description: Parsley Seed is a biennial or perennial herb that originated as a wild plant in the eastern Mediterranean region but is now found in cultivation everywhere. History: For more than two thousand years, it has been highly regarded as a medicinal herb to treat gastrointestinal disorders and kidney, liver and bladder ailments. Used as a tomb decoration in ancient Greece and Rome, Parsley was thought to possess magical powers and was associated with the underworld and death. He gave Opheltes the surname Archemorus, meaning "the first to die," and the child became the symbol of impending death. On the other hand, garlands of Parsley were used as prizes in both Greek and Roman public games. Among the many constituents included in Parsley are important minerals, beta-carotene, essential oils (including eugenol and apiole), flavonoids, coumarins, chlorophyll, B-vitamins and vitamins A, C, E and K. Parsley actually ranks higher than most vegetables in histidine, an amino acid that is said to inhibit tumors. Medical Uses: Parsley is a natural diuretic that purifies the blood and accelerates the excretion of toxins from the body. The herb can also ease bloating, reduce excess water weight, and improve urination when it is painful or incomplete. The seeds have been valued since ancient times for their soothing, diuretic effect on those with kidney and bladder ailments and are believed to help expel gallstones and kidney stones. Because of its diuretic action, Parsley is thought to lower blood pressure, reduce the heart rate and relieve hypertension. Parsley strengthens and stimulates the normal activity of the digestive system, easing flatulence, indigestion and other stomach problems. Parsley has a drying effect on the respiratory system, thus improving asthma, allergies and bronchitis. Used externally, Parsley is thought to make an excellent dry skin facial when used with steam and is a fine hair rinse. Parsley is said to improve blood circulation, and it is a blood purifier, providing the healthful nutritional material necessary for tissue maintenance. The high histidine (an amino acid) content in Parsley has been thought to inhibit the growth and multiplication of tumor cells. As an emmenagogue, Parsley stimulates the onset of menstruation and helps ease painful menses. Its constituent, apiole, stimulates uterine contractions and has been used in Russia to promote uterine contractions during labor. Precautions: Because large doses of Parsley stimulate uterine contractions, it should be avoided by pregnant women.

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In general fungus gnats with hydrogen peroxide buy 50 mg fluconazole mastercard, this role is about deflecting interruptions away from the rest of the team to anti fungal wash b&q 50mg fluconazole with visa maximise their efficiency antifungal extracts purchase cheap fluconazole online. The Medical Co-ordinator should manage their own clinical workload while overseeing the smooth running of the department. Action is taken when the accepting Specialty team is unlikely to be able to meet normal process within the required time standard due to workload. When carried out improperly it can be a major contributory factor to subsequent error and harm to patients. We need to ensure that the risks involved in the process of transferring clinical responsibility are minimised. Well communicated, clear, accurate and agreed hand over is essential for the safety of our patients. This should be to a colleague who will be on duty for at least the next few hours. When handing over a patient it is important to consider which key points need to be handed over and to how to communicate all relevant information as effectively and clearly as possible. It is always good practice to see and assess the patient yourself before acting on any investigation results or discharge plans. This will usually take place in the clean utility room, with the nursing coordinator and the current staff. It will include discussion of all unwell patients; all breached or delayed patients and all relevant staffing or equipment issues. This help is usually recruited via making a referral, unless it is time critical in which case a 2222 arrest call or trauma call is put out to summon all necessary teams simultaneously. If you are seeking advice make this clear at the outset and generally request this input from a senior doctor who can make the necessary decision in the speciality concerned. Once the referral is made the expectation is that the patient should be reviewed in a timely fashion. Once the patient has been referred they are still the responsibility of the Emergency Department in the event of any ongoing treatment or deterioration. A referral is a request for a speciality team to see a patient and make a management decision. It does not necessarily mean an admission but that decision rests with the speciality doctor dealing with the case. An example might be the patient with abdominal pain who the surgeons believe is not surgical in nature and who attempt to pass the patient back to you for referral elsewhere eg medical team or even discharge home. If a team think that referral to another speciality is appropriate then they must do this because a) they will need to justify why they believe the patient does not fall under their remit and b) you have already made your best attempt at diagnosing the problem. You cannot now refer the same patient to another speciality when you believed the issue was best placed in the first speciality. If the team concerned feel that the patient is suitable for discharge home then they can arrange this themselves. As in point 1, you initially refer to a more senior doctor in the speciality concerned if there is any obstruction to your referral. Logically in this manner referral disputes end up with a Consultant to Consultant conversation if they cannot be resolved. After taking into consideration the work load and care requirements of other children in the Emergency Department, any nursing involvement requested in procedures / treatments. This is a Trust wide standard of care and all efforts should be made to achieve it. This is for the review of certain categories of condition (see list below) and exists partly for the safety netting of patients from overnight where it may be unclear what is the best course of action. It is important not to overload the clinic beyond its slots (a maximum of 12) so that the clinic can continue to function well. Also explain to the parent / carer what they specifically need to look for when deciding if they need a clinic review (see below). This type of appointment may not be appropriate where there are language barriers.

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The herb is said to antifungal cream for face buy cheap fluconazole 200mg line combat chronic degenerative ailments fungus gnats rid discount generic fluconazole uk, increase energy and stamina and has been used as part of a treatment to antifungal ysp fluconazole 200 mg low cost combat environmentally produced allergies and asthma. It is believed to neutralize poisons that involve the liver and may be helpful in treating hepatitis. Chemotherapy has been known to destroy the liver and kidneys, and this may be of great help to patients undergoing such treatments. In laboratory tests, the active ingredient, lapachol, reverses aspirin-induced irritation of the stomach lining, and may possibly have antibiotic effects on Helicobacter pylori, a bacterium associated with gastritis and peptic ulcer. Its antibiotic properties have been useful in the treatment for dysentery, and the Naval Medical Research Institute in Bethesda, Maryland, has found that lapachol is also useful against parasitic infection and may be effective in treating malaria and Chagas disease. People who take prescription anticancer drugs or those on chemotherapy should not use this herb without consulting with a physician. Because it may induce bleeding, people who take prescription blood thinners (Coumadin, etc. A fiber rich diet is thought to provide many healthful benefits, including gastrointestinal well-being, proper bowel function (including relief for constipation and diverticulosis) and may reduce our risk of colon cancer, heart disease and diabetes. History: the modern garden pea is thought to be descended from the field pea that was indigenous to central Asia and Europe, and has been consumed as a healthy dietary addition for thousands of years. Peas are considered legumes, plants that bear fruit in the form of pods, enclosing the fleshy seeds, and are one of the few members of the legume family that are sold and cooked as fresh vegetables. It is interesting to note that high-fiber foods are mostly low in calories and inexpensive. Today, the largest commercial producers of fresh peas are the United States, Great Britain, China, Hungary and India. Medical Uses: Peas provide one of the highest sources of natural soluble and insoluble dietary fibers known, and since the National Cancer Institute suggests that dietary fiber can be protective against some cancer, taking Pea Fiber supplements may provide the fiber that is lacking in our regular diets. Americans generally consume ten grams of fiber per day, and the National Cancer Institute recommends at least twenty grams daily. Fiber is not a miracle food, but adding fiber to your diet may provide surprising and wonderful health benefits. Fiber is credited with helping to lower bad cholesterol levels in the blood and may thus help to reduce the risk of heart disease. Studies of high-fiber diets have shown dramatic benefits provided by high-fiber foods. In one study, two groups of people were fed different amounts of high-fiber foods. Soluble fiber forms a gel-like substance in the digestive tract that binds bile (which contains cholesterol) and carries it out of the body. In India, clinical studies demonstrated that Peas have the ability to dissolve blood clots, which may also be of help in improving blood circulation, another factor affecting cardiovascular health. The National Cancer Institute suggests that fiber may be protective against some cancers, particularly colon cancer, and Pea Fiber provides one of highest sources of natural dietary fiber. A diet rich in fiber is essential for gastrointestinal well being and proper bowel function; it not only is said to help increase stool bulk and prevent constipation, but it may also help to prevent digestive disorders like irritable bowel syndrome and diverticulosis. Pea Fiber may be beneficial to diabetics as a way to stabilize their blood sugar levels, since fiber intake has been shown to control intestinal glucose absorption. People with insulin resistance, hypoglycemia or diabetes may benefit from high-fiber intake by balancing blood sugar levels while providing steady, slow-burning energy. One group ate the standard American Diabetic diet, which contains twenty-four grams of fiber per day, while the other group ate a diet containing fifty grams of fiber per day. Those who ate the diet higher in fiber had lower levels of both plasma glucose (blood sugar) and insulin (the hormone that helps blood sugar get into cells). Danish research demonstrated that when Pea Fiber was consumed, blood glucose levels did not rise and fall as rapidly or as severely as they did in response to other food fibers and was superior in its actions even to sugar beet fiber or wheat bran, and it is interesting to note that in Europe, doctors already prescribe sugar beet fiber for diabetics and celiac patients. According to the United States General Services Administration Federal Citizen Information Center, studies indicate that foods with fiber (particularly peas, beans, etc.

Testis compositum (regulation of the hormone functions in males) or Ovarium compositum (for females) antifungal ayurvedic buy 50 mg fluconazole otc. Ovarium compositum (hormonal function in women) or Testis compositum ampoules (for men) fungus vag infection cheap 50 mg fluconazole amex, possibly also Cutis compositum as intermediate injections kill fungus gnats uk purchase cheap fluconazole line, as well as Coenzyme compositum ampoules (enzymatic disorders) and Ubichinon compositum ampoules (in serious cases). Bryaconeel (possibly with Spascupreel and Duodenoheel), 1 tablet of each, taken together, possibly with Galium-Heel. Cardiacum-Heel, Aurumheel N drops, Cralonin drops, Glonoin-Homaccord N drops (cardiac symptoms). Injection therapy Arsenicum album-Injeel (forte) S, Strychninum phosphoricum-Injeel with Phosphor Injeel (forte), Galium-Heel, Tonico-Injeel, Hepeel and Berberis-Homaccord alternating or mixed i. Coenzyme compositum, possibly also Ubichinon compositum (regulation of the enzyme functions) interposed, possibly also the collective pack of catalysts of the citric acid cycle as well as Tonsilla compositum and Thyreoidea compositum (stimulation of the defensive system); in cases of resistance to therapy also Glyoxal compositum (single injection), await result. Adhesions (Cavodermal deposition phase) (Main remedy: Graphites-Homaccord) Graphites-Homaccord at 8 a. Arnica-Heel (relief of inflammation) Aesculus compositum (regulation of the peripheral circulation) Injection therapy Staphisagria-Injeel (after-effects of flesh wounds) Mucosa compositum and Placenta compositum (action on peritoneum and circulation), possibly also Hepar compositum (improvement of the detoxicating hepatic function); in extremely chronic cases, Coenzyme compositum, alternating or mixed with Funiculus umbilicalis suis-Injeel and Graphites-Homaccord once weekly as mixed injection, i. Adiposis (Mesenchymal deposition phase) (Main remedies: Graphites-Homaccord, Strumeelforte N) Strumeel forte N at 8 a. Apis Homaccord (oedema) Lymphomyosot (mesenchymal drainage) Aesculus compositum (regulation of the peripheral circulation) Syzygium compositum (pyknic form of diabetes mellitus) Aurumheel N (oedema, myocardial weakness) Traumeel S tablets (regeneration of the sulphide enzymes) Injection therapy Thyreoidea compositum (stimulation of the thyroid function), possibly also Ovarium compositum (stimulation of the hormonal function in women), or Testis compositum (for men) as well as Tonsilla compositum (general stimulation of the defensive powers); at intervals also Coenzyme compositum, alternating with Ubichinon compositum (enzyme functions), in place of which, possibly also the curative application of Hypophysis suis-Injeel and Graphites-Homaccord on Mondays, s. Adeps suillus-Injeel (forte) for connective-tissue-blocking effect (deposits of fat). Grippe-Nosode-Injeel (connective tissue damage through retoxic therapy of influenza). Funiculus umbilicalis suis-Injeel (remedy for disorders of the connective tissue). Solidago compositum S and Lymphomyosot alternating at intervals (stimulation of the kidneys and function of the connective tissue to flush out oedema), possibly also Tonsilla compositum (powerful stimulation of the general defence system). Adnexitis (Germinodermal reaction phase) Frequently adnexitis is due to previous retoxic impregnation. Apis Homaccord (adnexitis, right) Spascupreel S suppositories (spastic disorders) Lamioflur (Fluor albus) Galium-Heel (after previous retoxic impregnation, local treatment of leucorrhoea, etc. Aging, premature (Various impregnation and degeneration phases) (Main remedy: Galium-Heel) Galium-Heel at 8 a. Ginseng compositum (for revitalization) Vertigoheel (dizziness) Selenium-Homaccord (deficiency of memory) Traumeel S tablets (regeneration of the sulphide enzymes) Aesculus compositum (improvement of the peripheral cerebral circulation) Syzygium compositum for diabetes mellitus Aurumheel N drops for hypotonia and circulatory insufficiency Molybdan compositum (trace element preparations) the other indications of the case should be incorporated. Injection therapy Testis compositum (for men) or Ovarium compositum (for women) as well as Cerebrum compositum (vegetative regulation and cerebral functions), Cor compositum (coronary and circulatory functions), Discus compositum (skeletal system, also attrition phenomena of the joints, arthrosis, osteochondrosis, etc. Agoraphobia (Neurodermal impregnation phase) (Main remedy: Anacardium-Homaccord) Anacardium-Homaccord at 8 a. Aesculus compositum (improvement of the peripheral cerebral circulation) Gelsemium-Homaccord (anxiety, fear that something is going to happen) Traumeel S tablets (regeneration of the sulphide enzymes) Injection therapy Argentum nitricum-Injeel (forte), Anacardium-Homaccord and Hypothalamus suis Injeel on Mondays i. Cerebrum compositum as basic therapy, possibly alternating with Hepar compositum (detoxication of the liver) and Testis compositum (hormonal dysfunction in men). At intervals Kalium phosphoricum-Injeel, Ambra-Injeel, Viscum album-Injeel, Sepia-Injeel. Coenzyme compositum or collective pack of the catalysts of the citric acid cycle (improvement of the enzyme system), possibly also Acidum cis-aconiticum-Injeel (anxiety of all types). Baryum oxalsuccinicum-Injeel, Acidum citricum-Injeel, Acidum fumaricum-Injeel, etc. Ubichinon compositum ampoules, possibly also Glyoxal compositum in more serious cases.

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