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Malva Leaf (like other mallows) is one of the oldest medicinal plants in the world menstruation questions and answers order fluoxetine. History: It was used in teas in China more than five thousand years ago and employed by Greek and Roman physicians to menopause quiz order fluoxetine 20 mg overnight delivery treat internal and external disorders menstruation every 3 weeks discount fluoxetine 10mg fast delivery, calling it omnimorbium, meaning "the remedy of all illnesses," It continued as an important "cure-all" treatment throughout the Middle Ages, and like all mallows, it is principally known for its soothing qualities. There are many species of mallow that are often used interchangeably with Malva sylvestris (high mallow), including M. Some constituents in Malva Leaf include a high mucilage content (made up of complex carbohydrates), flavonoids, anthocyanidins, polysaccharides, volatile oil and tannin. Medical Uses: Malva Leaf, like all mallows, is a demulcent, and its particular excellence involves soothing irritated tissue and relieving various forms of inflammation. The leaves contain high amounts of mucilage, made up of complex carbohydrates, which give the herb most of its soothing activity, though flavonoids and anthocyanidins may also contribute. It is effective in countering irritation and inflammation of the mucous membranes, and because it contains polysaccharides that form a protective layer on the stomach lining, it is said to lower stomach acids and is useful in relieving gastrointestinal disorders, such as gastric catarrh, enteritis, indigestion, ulcers and colitis. As an expectorant, Malva Leaf is said to help loosen and expel phlegm and congestion from the lungs. It aids the body in expelling excess fluid and mucus, and because of its soothing, demulcent qualities, it not only removes phlegm, it also acts to soothe and relieve inflammation of the larynx and tonsils, dry coughs, sore throat, hoarseness, lung catarrh, bronchitis, asthma, emphysema and irritation of respiratory passages. The German Commission E has approved Malva Leaf preparations for the relief of sore throats and dry coughs. Early research in test tube studies shows one carbohydrate in mallows has been shown to inhibit a component of the immune system known as the complement cascade. Excessive activation of the complement cascade has been implicated in chronic inflammation and autoimmune disorders, suggesting that further research into Mallow Leaf in these areas is warranted. It has been used to soothe the urinary tract and relieve cystitis and bladder infection. Used externally, Malva Leaf is an emollient and demulcent that softens tissue and soothes damaged or inflamed surfaces, including dry hands, sunburn and diaper rash. In addition to its emollient qualities, it is also mildly astringent, and when included in poultices, it is helpful for sores, psoriasis, weeping eczema, boils, abscesses, insect bites and wounds. Precautions: Overuse (many times the recommended dosage) may cause nausea and vomiting. The herb is also said to reduce fever and treat indigestion, as well as help gallbladder and liver problems. Plant Description: Marigold, also called Calendula, is an annual or biennial aromatic that is native to the Mediterranean countries, where it was used in early Arabic cultures and in ancient Greece and Rome as a medicinal herb, as well as a colorant for fabrics and an ingredient in food and cosmetics. The ornamental plants bear orange or yellow flowers with dense petals and are widely grown in gardens in North America and Europe for their beauty, and the flowers are extensively cultivated for use in herbal medicine throughout Latin America and Eastern Europe. History: the name Marigold refers to the Virgin Mary, since Marigolds were traditionally used in Catholic celebrations concerning the mother of Jesus; and the plant received its botanical name, Calendula, from the Romans, who noted the fact that the plants bloomed on the first days or "calends" of every month. The Calendula/Marigold was used medicinally in ancient Rome to treat scorpion bites and heal wounds, among many other applications. Some of the constituents in Marigold are essential oil, acids, carotenoid, phytosterols, calcium, vitamins C and E, saponins, flavonoids (which account for much of its anti-inflammatory activity), polysaccharides, resin and mucilage. It is thought to be similar to Witch Hazel, due to its natural iodine content, and may be used as a local application to heal all Types: of skin problems. Some consider Marigold to be the best tissue healer for wounds, and old herbal doctors believed that constant applications of Marigold would help or even prevent gangrene or tetanus. As a diaphoretic and febrifuge, Marigold is often used to induce perspiration and break a fever. Marigold/Calendula is a powerful anti-inflammatory and painkilling agent that is thought to reduce inflammation of the bowel. It reduces the general tension that can promote bowel problems, relaxing the nervous constriction of the digestive muscles, which will help bowel function. The herb is thought to prevent the overgrowth of yeast in the bowel and have beneficial effects on colitis, diverticulitis and inflammatory pelvic disease. As an antispasmodic and effective painkiller, Marigold is an old-time remedy for menstrual cramps and for quelling the pain of an angry ulcer. As a cholagogue, Calendula/Marigold increases the flow of bile into the intestines and is thus thought to help the gallbladder and the liver, making it useful in the treatment for hepatitis.
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As Lyle looked upward women's health clinic grand falls windsor generic fluoxetine 20 mg overnight delivery, he suddenly saw through the techs on the sixth floor menstruation 1700s purchase fluoxetine 10 mg with visa, pledge drivers on high menstruation lasting too long fluoxetine 10 mg fast delivery, the red and yellow pin depart ments in the middle, crops and bloods, sidekicks everywhere. It was an incredible vision as all of a sudden Lyle saw the roof of the Han cock building open, open into Michelangelo’s heaven, and Lyle for a brief moment saw God, and realized God was no Mahoney or Stein erman. For the first time in his life, Lyle felt like he might fit somewhere, somewhere but not of this world, and Norman Lyle was thankful to God above he was not a Catholic or a Jew, but an the Rape of Emergency Medicine Page 94 ill-fitting transcendentalist who had built this majestic cathedral in honor of the God of the emergency medicine marketplace, the one true God. After the cook’s tour, Lyle guided the dazed Mahoney and Steiner man out of the Hancock Building, feeling like a seeing-eye dog help ing the two of them across the street. Full of mirth, he took them to the local watering hole for a few beers, mainly to gloat a little longer in such distinguished company. Everyone in Boston hated the Stullmans, a dynasty of three generations of gonzo ortho pedic surgeons from Beacon Hill who had close to a one-hundred year educational history at the Johns Hopkins University, and no one ever knew why the Doctor Great Great Grandfather Stullman had left Baltimore, inflicting his lineage on Boston. Steinerman re membered when his grandfather died, Stullman’s father came to pay his respects, and on his way out, Doctor Stullman left a stack of his business cards next to the registration book. Jonathan Stullman was a pure and proud Stullman, a sociopath who’d found his niche in life in the field of kitchen scheduling. Stullman wanted to stay an up and coming con man, but his father announced he was going to begin his orthopedic residency training at the Hopkins. Stullman was on his way out, but joined them for a beer, although all three of them would have gladly disinvited him. His eight hospital “management” contracts, all golden gooses which were put ting seventy-five grand apiece clear profit into his back pocket annu ally, were astonishingly enough, up for sale. Eight hundred bucks for the the Rape of Emergency Medicine Page 95 bunch, take it or leave it. My taxi meter never stops, I’m mak ing twenty dollars an hour at each hospital, all clear profit, twenty four hours a day, seven days a week, fifty-two fat weeks a year. I ac tually make more money when I’m sleeping, and that all adds up to a pretty nice chunk of change for a good old country boy like me (the family had a vacation home in the Berkshires). At twenty dollars an hour for scheduling, he saw that in just one year he could make close to double his money back. By the time he’d driven to Gloucester, he’d realized Stullman was offering a damn good deal. Stullman would have to sell the physician noncompete clauses with the “management” contracts, and not tell the hospitals the parent company would be Pyramid, Inc. Lyle could form a dummy corporation with Stullman swearing se crecy about the aliases. Stullman could even sell him all his company stock in the same “management” group’s name so the hospitals wouldn’t even have to know the corporate shells had changed hands. He could then hire Stullman back as a consultant, making Stullman sign a legally-binding letter of secrecy. The Rape of Emergency Medicine Page 97 the “managed” emergency rooms could then be directed from the war room, and different colored pins could describe possible take overs. Lyle, the staunch champion of central planning, envisioned the next Great Leap Forward for Pyramid, Inc. He could seize the wealth by sniffing around, looking for brewing takeovers along with his one-by-one acquisitions. Like coffee, corn, or soybeans, emergency-room ‘management’ contracts can be bought and sold on the open market. He didn’t want to waste time, but he also didn’t want to give Goldman the impression he was panic buy ing. Goldman’s treasury might be depleted by a four-hundred-thousand-dollar outlay, and this could be an opportune time to make an offer. Maybe the swashbuckling Goldman had overextended, suffocating under a mountain of acquisition-related debt, needing to sell one or two contracts at a small loss? Lyle dialed slowly, then asked Goldman if he might want to sell a contract or two of Stullman’s.
The Wessely School assumes that a person’s thoughts are dictating their feelings breast cancer 3 cm tumor buy 10mg fluoxetine, so the objective is to womens health jobs buy 10 mg fluoxetine mastercard modify the patients’ thoughts in order to women's health fertility problems purchase 10 mg fluoxetine with amex effect a cure. To quote William M Epstein, Professor in the School of Social Work at the University of Nevada: “the central notion of causal direction, that cognition rules emotion, behaviour, and perhaps even physiology, has not been adequately proven by any test”. Wessely himself set up and directed the Mental Health & Neuroscience Clinical Trials Unit in 2002. I will argue that this line here (overhead slide) represents not the line between low and high cortisol responses (but) the line between real and unreal illness”. Organic diseases lose their credibility as their psychological causes are recognised”. He also said: “No matter how bad doctors are, sufferers still need to keep going – doctors are still the main passport to acceptance and validation of suffering, not least because we control access to support and benefits”. It is this exact attitude that led to the rise of fascism and has been the cause of victimisation of the weak and minorities in known history. Seemingly unmoved by the ever‐mounting body of evidence that he is wrong, in 2007 (ie. Chapter 7 includes the following extracts: “Functional somatic syndromes: definition and terminology “The functional somatic syndromes refer to a number of related syndromes that have been characterised by the reporting of somatic symptoms and resultant disability rather than on the evidence of underlying conventional disease pathology. Patients with chronic fatigue syndrome are more likely to make physical illness attributions (rather than normalising or psychologising attributions) for a selection of common symptoms compared to controls (Butler et al 2001) and are more likely to believe their illness will be chronic “These beliefs and attitudes about symptoms may act as a mechanism that then guides the patient to adopt avoidant behaviours. In fact, it is a change to beliefs about avoidancethat predicts good outcome from cognitive behavioural therapy in chronic fatigue syndrome (Deale et al 1998), highlighting the need for more research into the way illness attributions maintain ill‐health. This phenomenon has been attributed to changes within society, including the erosion of the physician’s traditional rolePatient support groupsmay have some negative consequences, for example, membership of a chronic fatigue syndrome support group has been associated with poorer prognosis (Bentall et al 2002, Sharpe et al 1992). The financial ‘reward’ to be gained from disability payments or litigation has been argued as playing a role in the maintenance of ill health in those suffering from functional somatic syndromesFor example being in receipt of sickness benefit has been shown to be a poor prognostic sign in chronic fatigue syndrome (Bentall et al 2002, Cope et al 1994). Were I to recommend a single liaison psychiatry textbook, it would be this one” (The British Journal of Psychiatry). In a recent article, Wessely states: “there is also a second and more disturbing explanation for the alacrity and uncritical nature with which (organic) explanations are endorsed on often the flimsiest of evidence. Psychiatry, its patients and its practitioners, continue to be stigmatised like no other branch of medicine. If one reads the angry responses to any article that mentions chronic fatigue syndrome and psychiatry in the same breath, it is clear that the drive to find an (organic) biomarker for chronic fatigue syndrome is driven not so much by a dispassionate thirst for knowledge but more by an overwhelming desire to get rid of the psychiatrists indeed, the search for infective causes and triggers for psychiatric disorders has never ceased. The suffering and disruption are such that many patients could not care less about what the solution might be as long as they can improve or recover. To imply that patients would reject help because it happened to come from a psychiatrist is ludicrous. As Dr Monica Greco, Senior Lecturer in the Department of Sociology, Goldsmith’s College, University of London, suggests: “. Differences do exist between the minority of cases with long illness histories, severe disability and multiple symptoms, who show overlap with the concept of somatisation disorder, and the larger group with less disability, fewer symptoms and shorter illness durations, who have a better prognosis”. One of the principal functions of therapy at this stage is to allow the patient to call a halt without loss of face the patient should be told it is now time to ‘pick up the pieces’ (and) the process is a transfer of responsibility from the doctor to the patient, confirming his or her duty to participate in the process of rehabilitation in collaboration with the doctor” (Simon Wessely, Anthony David, Trudie Chalder et al. It is also beneficial to self‐esteem by protecting the individual from guilt and blame. The victim of a germ infection is therefore blamelessMany patients become hypervigilant and over‐ sensitised to physical sensations. The behaviour of family and friends may inadvertently reinforce the sick role Fear of illness is an important part of (the disorder)the approach we favour is provided by professionals whose training and background is mental health” (Simon Wessely, Trudie Chalder et al. Once that is granted, the patient may assume the privileges of the sick role – sympathy, time off work, benefits etc” (Wessely S. Patients with inexplicable physical symptoms aregenerally viewed as an unavoidable, untreatable and unattractive burden” (Alcuin Wilkie, Simon Wessely. Report of a Joint Working Group of the Royal College of Physicians, Psychiatrists and General Practitioners. Although they have been replaced by our contemporary concern about invisible viruses, chemicals and toxins, the mechanisms of contagious fear remain the sameTo the majority of observers, including most professionals, these symptoms are indeed all in the mind” (Editorial: Simon Wessely. One challenge arises when patients have named their condition in a way that leaves doctors uncomfortable, as occurred with chronic fatigue syndrome. A compromise strategy is ‘constructive labelling’; it would mean treating chronic fatigue syndrome as a legitimate illness while gradually expanding understanding of the condition to incorporate the psychological and social dimensions.