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24079 Mulberry--Varieties Muroga, Akiyoshi. Studies on the characteristics of mulberry varieties and improvement of techniques of mulberry cultivation in Thailand. Japan : Tropical Agriculture Research Center Ministry of Agriculture, Forestry and Fisheries Japan, 1988. 141 p. R E5674 ; Mulching Thongma Manakul. Response of wheat to rice straw mulching. Chiang Mai : Chiang Mai University, 1994. ix, 62 p. T E7968 ; Multicaltural education Chanpen Claiymukh. How multicultural are picture books? multicultural perceptions in caldecott medal books between 1938 and 2000. Ohio : Ohio University, 2000. 225 p. T E16247 ; Multiculturalism Inglis, Christine. Multiculturalism : new policy responses to diversity. Paris : UNESCO, 1996. 70 p. T E11283 ; Multidrug resistance Kittipong Dhanuthai. P-glycoprotein-mediated multidrug resistance expression and functional efflux in acute myelogenous leukemia. Bangkok : Mahidol University, 2000. 88 p. T E15112 ; Le, Ngoc Hung. Clinical pharmacology of artemisinin compounds in multidrug resistant falciparum malaria. Bangkok : Mahidol University, 1999. 181 p. T E13476 ; Penpun Wetwitayaklung. Synthesis and QSAR studies of enantiomerically pure benzopyrano [3, 4-b] [1, 4] oxazines. Vienna : University of Vienna, 2001. 489 p. T E18988 ; Multienzyme complexes Pharkphoom Panichayupakaranant. Biosynthetic studies of naphthoquinones in Impatiens balsamina root cultures. Bangkok : Chulalongkorn University, 1996. 135 p. T E11700 ; Multimachine assignments Varodom Toochinda. Multi-axis machine control using digital signal processor. Bangkok : Kasetsart University, 1994. 9 ; , 184 p. T E7588 ; Multimedia systems Jutarat Maneewattanapluk. Developing an information system of medicinal plant for primary health care using multimedia technology. Bangkok : Mahidol University, 1998. 116 p. T E13370 ; Khajeepan Kruawan. A prototype multimedia information system for the entertainment rental industry. Bangkok : Mahidol University, 2001. 91 p. T E16396, because diflucan information.
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Replaced griseofulvin and ketoconazole as first-line medications in the treatment of onychomycosis. These agents offer shorter treatment courses, higher cure rates and fewer relapses. Terbinafine Lamisil ; and itraconazole Sporanox ; are the most widely used, with fluconazole Difluca ; rapidly gaining acceptance. B. Terbinafine Lamisil ; 1. Terbinafine is an allylamine that is active against dermatophytes. Adverse effects include head ache, rash and gastrointestinal upset. Cholestatic hepatitis, blood dyscrasias and Stevens-Johnson syndrome have rarely been reported in patients treated with terbinafine. Liver enzyme levels and a complete blood count including a platelet count ; should be obtained before terbinafine is initiated and repeated every four to six weeks during treatment. 2. The dosage is 250 mg per day given continuously for 12 weeks to treat toenail infections and for six weeks to treat fingernail infections. The cure rate is 60 to percent. Shorter courses and pulse dosing of terbinafine have shown promise. C. Itraconazole Sporanox ; 1. Itraconazole is a triazole with a broad antifungal spectrum that includes dermatophytes, many nondermatophytic molds and Candida species. Headache, rash and gastrointestinal upset occur in 7 percent, but hepatic toxicity is rare. 2. Because itraconazole is metabolized by the hepatic cytochrome P450 system, concurrent use with quinidines and pimozide Orap ; is contraindi cated because of the risk of ventricular arrhythmias. Itraconazole is also contraindicated for concomitant use with A HMG-CoA reductase inhibitors, such as atorvastatin Lipitor ; , because of the increased risk of rhabdomyolysis. Itraconazole should not be taken with triazolam Halcion ; because of exaggerated sedation and airway compromise. 3. The effectiveness of itraconazole can be de creased by histamine H2 blockers. Itraconazole should be taken with food. 4. The dosage of itraconazole is 200 mg once daily taken continuously for 12 weeks to treat toenail infections and for six weeks to treat fingernail infections. Pulse treatment consists of 200 mg taken twice daily for one week per month, with the treatment repeated for two to three months. Cure rates range from 35 to 80 percent. 5. Liver enzyme monitoring is recommended before continuous therapy and every four to six weeks during treatment. No monitoring recommendation is given for pulse therapy. D. Fluconazole Difluacn ; 1. Fluconazole is active against common dermatophytes, Candida species and some nondermatophytic molds. Nausea, headache, pruritus or liver enzyme abnormalities are re ported in 5 percent. Absorption is not affected by acid suppression or food intake. Rifampin en hances fluconazole metabolism, whereas fluconazole increases the prothrombin time of coumarin-type anticoagulants and increases the plasma concentrations of phenytoin and cyclosporine. Coadministration of fluconazole with astemizole or cisapride is contraindicated. 2. Fluconazole, in a dosage of 150 mg taken once weekly for three months, is associated with a 90 percent clinical cure rate. Treatment duration varies from four to nine months. Oral Antifungal Agents for the Treatment of Onychomycosis Antifunga l agent and diovan.
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Hymenolepis nana, commonly known as the dwarf tapeworm has been reported to occur in children in Mauritius. In an effort to understand the host-parasite interaction in relation to the ageing process, studies using four different age groups of male Swiss albino mice infected with a single dose of 250 Hymenolepis nana viable eggs were conducted. The infection take % ; was found to be highest in 60 week older ; mice in contrast to those of 5-10 weeks; 11-15 weeks and 16-20 weeks ; of age. The inability of mice 60 weeks ; of age to rid themselves of their cysticercoids infective stage to the definitive hosts ; on day 5 post infection may be attributed to a diminished cellular immune responsiveness against the oncospheral antigen. In all the infected groups, the cyst burden correlates positively with the age of the host, which suggests that the antigen recognition is dependent on the infection take. Furthermore, the relationship between cysticercoid recovery and the hosts age may be attributed to a dose-related response to the tissue-phase of H.nana infection. At this stage, the lymphocyte population which remains within the normal range and the low level of globulin recorded with a high infection take in the older ; mice would seem to be due to the inability of the host to synthesize functional T- or B-cells. The mean serum globulin levels in the experimental animals correlates negatively with the intensity of infection number of cysts recovered ; , and is attributable to the functional role of the immunoglobulins weakly demonstrable in older mice ; in modulating the expulsion of H.nana cysts. The pronounced leukocytosis in younger ; age groups represents the mobilization of the white blood cells, particularly the lymphocytes and eosinophils in the expulsion mechanisms of the embedded cysticercoids; whilst in older ; group, the eosinophils seem to be involved in the expulsion of cysticercoids, for instance, diflucan partnership.
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Often throwing away the product. Many returned to the use of PE wraps, despite their poorer barrier properties, out of frustration. When S.C. Johnson, an experienced and very knowledgeable consumer products company, purchased this business from Dow, it looked at ways of utilizing the functionality of the plastic, but in a different form. The decision was made to fabricate the plastic in the form of what functionally was a hair net with an adjustable band, allowing the product to be shaped over many different size containers. The newly re-designed product was called a SaranTM Bowl Cover. The bags were fabricated in a separate location, bundled and wrapped with a rubber band in packages of ten, and then shipped to the final product assembly point in large container boxes. The manual compression and stretching of a thin rubber band placed around these bags at their manufacturing point was not a simple operation potential for finger injuries ; and the transportation conditions allowed further compression of the plastic enroute to their final packaging point. The bag bundles, in an assembly line type of operation, then had to be "unassembled" by technicians, stuffed into a cottage cheese type of container, and then a lid placed on the entire assembly. The key step of removing the rubber band from the middle of this plastic bag bundle, when it was at the most compressed point in the bundle, was a major bottleneck. This entire operation, in addition to its cost, impacted speed and ergonomics. The bags, under pressure in a container for an extended time, wanted to expand as soon as the wrapping band was removed. A project team, assembled to use their newly developed TRIZ skills, evaluated this process for improvement. In asking the simple ideal final result question, the answer came back as "the bags unwrap themselves and reassemble into the final package" or possibly, "the bags need no assembly". Note: competitors or users might express this differently as "the bags are not needed at all" or "food stays fresh all the time with no packaging"--the use of the TRIZ nine-box approach would be useful here! ; . In thinking about the concept and the parallel one of using resources already available, the team came up with a process concept where nine of the ten bags would be packaged into the tenth bag, which had the appearance of a stuffed hair net. This was a far easier job for the initial assembly technicians to do, and the final operation consisted only of moving the "bags within a bag" bundle from their receiving point into a container. This product can now be seen in the grocery shelves hanging on a shelf hook without the cost and rigidity of the original rigid plastic container and taking up much less shelf space another move toward ideality in the eyes of the grocery chain ; . The simplicity of this operation also allowed improved automation and sterilization procedures through minimal human contact. B. For years, men's undershirts have had an identification tag attached to their necklines that shows manufacturer, size, etc. This tag was typically sewn into the shirt in a separate operation. This labeling in now seen, in undershirt products from Fruit of the Loom, as printed information, eliminating the need for sewing and replacing it with a high speed, automated printing operation. The minor irritation of the label to the consumer is also eliminated. This is a step toward the, for example, diflucan cream.
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The literature often addresses the question of whether combined oral drug and insulin treatment provides better glycaemic control than insulin alone. This is in a sense a meaningless question because the answer would depend on how much insulin was used. We favour the combined regimen because glycaemic control begins to improve from the day insulin is started. The titration of insulin dosage can be gradual and therefore relatively safe, in an outpatient setting. The alternative is to stop the oral drugs abruptly. In this scenario, insulin needs to be given at least twice daily and the dose needs to be quickly titrated upward to 7080 units per day, or glycaemic control may actually deteriorate. This `insulin alone' regimen is obviously possible, but requires more patient contact, making it less user-friendly for both doctors and patients. All too commonly, we have witnessed deterioration in glycaemic control when both oral drugs were stopped and not replaced with sufficient insulin. In our experience, it is easier to persuade patients to undertake combined oral drugs and insulin treatment. They are often comforted by the knowledge that they only need to take insulin once, in the privacy of their own home and without a great deal of disturbance to their daytime routine. When they are familiar with insulin injections they become accepting of a more intensive insulin regimen, should this be required and flonase.
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The level of risk associated with weight should be determined using a combination of BMI and waist circumference as detailed in tables below. Assess co-morbidities specifically lipid profile, blood pressure and glucose ; if an increased risk is identified. Assessing risks from overweight and obesity Waist circumference Men 94cm Women 80cm Overweight BMI 25kg m2 Obese BMI 30kg m2 No increased risk Increased risk Men 94102cm Women 8088cm Increased risk High risk Men 102cm Women 88cm High risk Very high risk and flovent.
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