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By M. Vatras. Wilmington College, Wilmington Ohio. 2018.

Garden City Park cheap finasteride 5 mg free shipping, NY: Avery Penguin Putnam buy 1 mg finasteride fast delivery, tive enteropathy (celiac disease), or cereal grain aller- 2003. Healing With Whole Foods: Asian Traditions physician before starting a macrobiotic diet. Research & general acceptance “Macrobiotic Diets Can be Healthful, but Not a Cancer Cure. These claims stem from anecdotal re- ORGANIZATIONS ports and are not substantiated by scientific research. GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 1263 macula contains the highest concentration of photosensi- KEY TERMS tive cells in the retina. Fine detail vision and critical color vision are trition, usually associated with such chronic dis- located in the macula. Age-related macular degeneration (AMD or ARMD) is by far the most common type of MD. About 10% of Legumes—The fruit or seed of a family of plants, those with AMD eventually suffer severe vision loss. Whites and Asians are more susceptible and bleeding gums and mouth, caused by a lack than blacks. Women and those with lighter-colored eyes of ascorbic acid (vitamin C) in the diet. However there is a very high likelihood that the Tempeh—A dense high-fiber food product made other eye will be affected eventually. These fragile vessels can leak OTHER blood and fluid into the retina, damaging or killing mac- Macrobiotics Online. Wells Less common forms of MD include: • juvenile macular degeneration (JMD), a group of inher- ited disorders affecting children and younger adults • cystoid macular degeneration, the development of Macular degeneration fluid-filled cysts (sacs) in the macular region, associat- ed with aging, inflammation, or severe myopia (near- Definition sightedness) Macular degeneration (MD) is the progressive dete- • diabetic macular degeneration rioration of the macula, the light-sensitive cells of the central retina, at the back of the eye. The retina is the • retinal pigment epithelial detachment, a rare form of sensitive membrane (soft layer) of the eye that receives wet MD in which fluid leakage from the choroid causes the image formed by the lens and is connected with the the detachment or disappearance of the pigmented reti- brain by the optic nerve. As these macular cells malfunc- nal epithelium tion and die, central vision becomes gray, hazy, or dis- torted, and eventually is lost. Causes Description Age-related macular degeneration (AMD) appears Millions of people suffer from MD and it accounts to result from a combination of hereditary, environmen- for about 12% of all blindness in the United States. Over time, highly reactive 1264 GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 free-oxygen radicals damage and destroy macular cells. Factors that contribute to the hardening and block- ing of the capillaries supplying the retina and lead to AMD include: A slit-lamp view showing macular degeneration of the eye.

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Romans introduced lemon balm (Melissa officinalis) to Lemon balm leaves and flowers are used in medici- Great Britain where it became a favorite cottage garden nal remedies finasteride 1mg visa. The leaves may be picked throughout the summer purchase 1 mg finasteride with amex, but the flavor is at its prime just before Lemon balm grows in bushy clumps to 2 ft (0. It thrives in full sun volatile oils diminish, reducing the medicinal potency of or partial shade in moist, fertile soil from the mountains the herb. The tiny To create a tea, place two ounces of fresh lemon white or golden blossoms grow in the leaf axils, and balm leaves in a warmed glass container; bring 2. The plant is hardy, of fresh, nonchlorinated water to the boiling point; add self-seeding, and spreads easily in the right soil condi- it to the herbs; cover; and infuse the tea for about 10 1200 GALE ENCYCLOPEDIA OF ALTERNATIVE MEDICINE 2 minutes. Antioxidant—An enzyme or other organic sub- stance that is able to counteract the damaging ef- Lemon balm combines well with the leaves of pep- fects of oxidation in living tissue. The flavonoids in permint (Mentha piperita), and nettle (Urtica dioica), lemon balm appear to have some antioxidative ef- and the flowers of chamomile (Matricaria chamomilla). Essential oil—Another term for volatile oil; the Precautions aromatic oil that can be obtained by steam distil- lation from plant parts. Most essential oils are Lemon balm has been used safely for thousands of composed of terpenes and their oxygenated deriv- years. Use caution when harvesting be- Flavonoids—A class of water-soluble plant pig- cause of the likely presence of bees. Side effects Sedative—A medication or preparation given to The sedative effect of lemon balm means that it can calm or soothe nervousness or irritability. Lemon depress the central nervous system when given in high balm has sedative properties. In addition, it has been reported that persons with Volatile oil—The fragrant oil that can be obtained glaucoma should avoid using essential oil of lemon from a plant by distillation. Persons taking any medica- ORGANIZATIONS tion containing thyroid hormones should not take lemon Herb Research Foundation. A physician should be consulted before taking Southwest School of Botanical Medicine. The Complete German Commission E Mon- graphs, Therapeutic Guide to Herbal Medicines. Aside from folk med- icine, lemongrass is a favorite ingredient in Thai cuisine and dishes that boast a tangy, Asian flavor. While there are several species of lemongrass, Cymbopogon citratus is the variety most often recommended for medicinal purposes. Native to Southeast Asia, lemongrass can also be found growing in India, South America, Africa, Aus- tralia, and the United States. Only the fresh or dried leaves of lemongrass, and the essential oil derived from them, are used as a drug.

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Between 45% and 85% of individuals affected by ODED have developmental delays and/or Resources mental retardation order finasteride 5 mg amex. Other features can include an extra BOOKS eyelid fold (palpebral fissures) discount finasteride 5mg without a prescription, ear abnormalities/hearing Children with Hand Differences: A Guide for Families. Area loss, kidney abnormalities, backbone abnormalities (ver- Child Amputee Center Publications. Center for Limb tebral anomalies), an opening between the esophagus and Differences in Grand Rapids, MI, phone: 616-454-4988. Diagnosis ORGANIZATIONS Diagnosis of oculo-digito-esophago-duodenal syn- Cherub Association of Families & Friends of Limb Disorder drome is usually made following a physical exam by a Children. Ultrasound results indica- WEBSITES tive of ODED include a “double bubble” sign suggesting OMIM—Online Mendelian Inheritance of Man. Jacob, MS abnormalities cause the severe oligohydramnios, result- ing in the fetus developing oligohydramnios sequence. Okihiro syndrome see Duane retraction This is because if there is a problem with the fetal renal syndrome system, there is the possibility that not enough amniotic fluid is being produced. Renal system abnormalities that have been associated with the development of oligohy- Olfactogenitalis of DeMorsier see Kallmann dramnios sequence include, the absence of both kidneys syndrome (renal agenesis), bilateral cystic kidneys, absence of one kidney with the other kidney being cystic, and obstruc- tions that blocks the urine from exiting the renal system. In a fetus affected with oligohydramnios sequence, sometimes the renal system abnormality is the only abnormality the fetus has. However, approximately 54% IOligohydramnios sequence of fetuses with oligohydramnios sequence due to a renal Definition system abnormality will have other birth defects or dif- ferences with their growth and development. Sometimes Oligohydramnios sequence occurs as a result of hav- the presence of other abnormalities indicates that the ing very little or no fluid (called amniotic fluid) sur- fetus may be affected with a syndrome or condition in rounding a developing fetus during a pregnancy. Renal “Oligohydramnios” means that there is less amniotic system abnormalities in a fetus can also be associated fluid present around the fetus than normal. A “sequence” with certain maternal illnesses, such as insulin dependant is a chain of events that occurs as a result of a single diabetes mellitus, or the use of certain medications dur- abnormality or problem. Potter first described the physical fea- when the fetal renal system appears normal. Because of his ation, often the oligohydramnios occurs as the result of description, oligohydramnios sequence has also been chronic leakage of amniotic fluid. In chronic leakage of amniotic fluid, the fetus still produces enough amniotic fluid, however, During a pregnancy, the amount of amniotic fluid there is an opening in the membrane surrounding the typically increases through the seventh month and then fetus, causing the amniotic fluid to leak out from the slightly decreases during the eighth and ninth months. At approximately 16 weeks, the fetal kidneys begin to function, producing the Genetic profile majority of the amniotic fluid from that point until the The chance for oligohydramnios sequence to occur end of the pregnancy. There have been many fetuses affected with Oligohydramnios typically is diagnosed during the oligohydramnios sequence where the underlying cause of second and/or third trimester of a pregnancy. When the the severe oligohydramnios has been a genetic abnormal- oligohydramnios is severe enough and is present for an ity. However, not all causes of severe oligohydramnios extended period of time, oligohydramnios sequence that result in the development of oligohydramnios tends to develop. Severe oligohydramnios that have caused oligohydramnios developing during a can develop when there are abnormalities with the fetal pregnancy include a single gene change, a missing gene, renal system or when there is a constant leakage of amni- or a chromosome anomaly.

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The amount of information generated is vast trusted finasteride 5mg, in addition to its complexity and multi-faceted structure order 1 mg finasteride otc. The element of time, associated with clinical information can be identified as an important aspect in the delivery and automation of decision support that can be facilitated by Internet-based healthcare delivery. It has recently been reported that the element of time has not had its full potential exploited in terms of the benefits it can offer in medical decision support systems (Augusto, 2003a). Although Internet-based systems and medical decision support systems are slowly merging, consideration must also be given to the tools required to analyze time related information and give consideration as to how they can be incorporated into Internet-based healthcare delivery. Copying or distributing in print or electronic forms without written permission of Idea Group Inc. Although usually unconsciously, we need to make considerations on a daily basis regarding the preferred order that some of our activities have to be performed in, or for how long some of these activities will last. Frequently deadlines have to be met, such as at work we are constantly undertaking activities which have prescribed time limits, in our personal lives we engage in activities that are constrained by time; to collect children from school or to reach the supermarket before it closes. These activities sustain our perception of time ubiquity and provide a clear practical motivation behind the research in TR. The importance of addressing the way in which humans deal with time-related notions was identified in the 1970s as an important goal to be addressed by the Artificial Intelligence (AI) community as a step towards providing intelligent behavior from computing systems. Research in the area has been steadily increasing over the past two decades and as a result much understanding about the related problems has been gained and many techniques and associated tools are now available. An elementary issue relates to the temporal references to be used (hours, minutes, calendar Figure 3. Qualitative temporal relationships between durative and non-durative temporal references (a) interval-interval case (b) point-point case (c) point-interval case Copyright © 2005, Idea Group Inc. Copying or distributing in print or electronic forms without written permission of Idea Group Inc. Management and Analysis of Time-Related Data in Internet-Based Healthcare 39 dates, etc. Some of the more basic temporal frameworks are based either on time points, on intervals or on a combination of both. Figure 3 (a) depicts at an intuitive level, the possible meaningful situations two intervals can be in. Part (b) shows the two meaningful relative positions for two points, while part (c) shows the possible situations between a point and an interval. Explicit details of how the aforementioned can be integrated in a TR system can be found in Allen (1984) and Meiri (1991). Temporal references provide a way to directly represent situations involving different types of sequential or concurrent time-related concepts like states holding for a given period or events that can provoke a transition in the system from one state to the next one. Specific research has been focused on repetitive patterns that may be used to reason about processes (Cukierman & Delgrande, 2000). The durative time references included in Figure 3 are called intervals and rely on precise knowledge about their duration.

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