Notes, summaries, assignments, exams, and problems for Medicine & Health

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Understanding Malnutrition, Eating Disorders, and Obesity

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Malnutrition

Malnutrition: results from a poor diet or a lack of food. It happens when the intake of nutrients or energy is too high, too low, or poorly balanced. Malnutrition involves a dietary deficiency. People may eat too much of the wrong type of food and have malnutrition. Undernutrition can lead to delayed growth or wasting, while a diet that provides too much food, but not necessarily balanced, leads to obesity. In many parts of the world, undernutrition results from a lack of food. In some cases, however, undernourishment may stem from a health condition, such as an eating disorder or a chronic illness that prevents the person from absorbing nutrients.

Symptoms

Symptoms: signs and symptoms of undernutrition include: lack of appetite or
... Continue reading "Understanding Malnutrition, Eating Disorders, and Obesity" »

Ancient Medicine & Modern First Aid

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History of Medicine

Today, when we have a bad cold or fever, we can go to the doctor and get a prescription for some kind of medicine. But what did people do hundreds of years ago? They couldn't go to the chemist and they couldn't take an aspirin. What could they do?

Ancient Egyptians had a very effective system of medicine. It was very advanced for its time. The Egyptians introduced the concepts of diagnosis and medical examination. They also performed the first surgery around 2750 BC.

The famous Greek physician Hippocrates used herbs in his treatments. But what medicine could ancient people take when they had a headache, a cold, or a stomach ache? Herbal medicine.

Herbal medicine is the oldest form of healthcare. Primitive men observed the great... Continue reading "Ancient Medicine & Modern First Aid" »

Cholinergic Drugs: Agonists, Antagonists, and Clinical Uses

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1. Cholinergic Agonists

Respond to acetylcholine; refers to receptor sites stimulated by acetylcholine, as well as neurons that release acetylcholine.

  • Cause SLUDGE: Salivation, Lacrimation, Urination, Defecation, Gastrointestinal distress, Emesis

2. Direct-Acting Cholinergic Agonists

  1. Acetylcholine (Both Muscarinic and Nicotinic)
    • Miosis (pupil constriction)
    • Limited clinical use due to:
      • Non-selectivity
      • Charged nature
      • Short half-life
  2. Bethanechol (Muscarinic)
    • Clinical use: Urinary retention
    • Side effect: SLUDGE
    • Not hydrolyzed
  3. Pilocarpine (Muscarinic)
    • Clinical use: Dry mouth, Glaucoma
    • Side effect: SLUDGE
    • Can cross the blood-brain barrier (BBB)
  4. Succinylcholine (Muscarinic)
  5. Carbachol (Both Muscarinic and Nicotinic)
    • Not hydrolyzed
  6. Nicotine (Nicotinic)
    • Clinical use: Smoking
... Continue reading "Cholinergic Drugs: Agonists, Antagonists, and Clinical Uses" »

English Language Essentials: Grammar, Vocabulary & Idioms

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English Grammar & Sentence Structure

Word Substitution Examples

  • It was a rough track, a path made of uneven stones.

Nouns in Context

  • It was a brave action but not a smart one. Tea and coffee both contain caffeine, the former even more than the latter.

Verbs and Phrases in Action

  • I love traveling in dangerous places, but Sophie doesn’t. I want to take a vacation, but to do so means taking time off.

Understanding Clauses

  • Not many people know this region. Yes, I’m aware of that. The road was blocked.

Ellipsis Usage

  • She wasn’t the first person to write about this region.

Vocabulary & Word Transformations

Word Pairs: Verb-Noun & Related Forms

  • Set - setting
  • Describe - description
  • Appealed - appeal
  • Is commenting - comment
  • About - story
  • Deals with
... Continue reading "English Language Essentials: Grammar, Vocabulary & Idioms" »

Primary Prevention of Cardiovascular Disease: Community Nutrition Programs

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Primary prevention of cardiovascular disease from the community nutrition point of view. Interventional programs

- CVD and cerebrovascular disease are the 2 main forms of cardiovascular disease, major cause of disability and premature death throughout the world

  • - Prevention, primary and secondary treatments helped to decrease these levels in the last years
  • - Primary prevention aims to decrease the incidence of CVD by manipulating risk factors (intervention BEFORE the disease develops)
  • - Underlying pathology: atherosclerosis
  • - Aspirin: Decreases risk of cardiac events in people > 40y, post-menopausal and young people with multiple cardiovascular risk factors

WHO Goals: to prevent CHD events by lowering cardiovascular risk. The recommendations assist

... Continue reading "Primary Prevention of Cardiovascular Disease: Community Nutrition Programs" »

Clinical Management and Pharmacotherapy for Erectile Dysfunction and PE

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Premature Ejaculation (PE) Management

Dapoxetine (Priligy)

Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) that modulates the ejaculatory reflex.

Dosing and Administration

  • Dose: 30 mg, taken 1–3 hours before anticipated intercourse.
  • Maximum Frequency: One dose per 24 hours.

Side Effects

  • Dizziness
  • Vomiting
  • Fainting (Syncope)
  • Hypotension

Contraindications

  • Significant cardiac conditions.
  • Hepatic impairment.
  • Renal impairment.
  • Concomitant use with antidepressants or drugs that may cause serotonin toxicity.
  • Concomitant use with strong CYP3A4 inhibitors.

Alternative PE Treatment

Local anesthetics have also been used effectively to manage premature ejaculation.

Phosphodiesterase Type 5 (PDE5) Inhibitors

Common Side Effects of PDE5 Inhibitors

  • Headache: Tadalafil-
... Continue reading "Clinical Management and Pharmacotherapy for Erectile Dysfunction and PE" »

Comprehensive Glossary of Common Phrasal Verbs

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Essential Phrasal Verbs for English Fluency

This comprehensive glossary lists common phrasal verbs and their definitions, structured alphabetically for easy reference.

A-D Phrasal Verbs

  • bend over: Bow, become curved.
  • carry on: Continue.
  • carry off: Win, succeed in a difficult situation.
  • carry out: Accomplish or execute; do something.
  • come along: Go with.
  • come on: Let’s go (used for motivation).
  • come up: To manifest oneself, appear, or arise.
  • come up with: Provide an idea or answer; find a solution.
  • cry out: Exclaim; cry loudly.
  • cut up: Cut into small pieces.
  • die away: Lose strength, become weak (usually referring to noise).
  • do up: Tie.

E-G Phrasal Verbs

  • eat up: Eat quickly.
  • fall down: Collapse.
  • fall out with: Argue with someone.
  • feel up to: Feel capable of doing
... Continue reading "Comprehensive Glossary of Common Phrasal Verbs" »

Valentine's Day and Centenarians: History and Facts

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St. Valentine’s Day

  1. During Lupercalia: (a) young men and women were paired.
  2. Why did Emperor Claudius II cancel all marriages and engagements? (c) Because he needed men for his army.
  3. Why was Valentine dragged to jail? (d) Because he disobeyed the emperor.
  4. Valentine died in love. TRUE: “It is said that, before his execution, Valentine himself had fallen in love with the jailer’s daughter.”
  5. St. Valentine’s Day is no longer a Roman Catholic festivity today. TRUE: “In 1969 it was dropped from the Roman Catholic calendar as a designated feast day.”
  6. Nowadays there are more Valentine’s cards than Christmas cards sold in the US. FALSE: “Today, over 1 billion Valentine’s cards are sent in the US – second in number only to Christmas cards.
... Continue reading "Valentine's Day and Centenarians: History and Facts" »

Sniffer Bees, Easter Island Statues, and More: A Fascinating Collection

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Reading Comprehension

Sniffer Bees

Sniffer bees: C(a new use)-D(learn)-C(sends)-C(fit)-C(tiny)-B(they don’t)-A(are not)-A(diagnosis)

The Statues of Easter Island

The statues of Easter Island: C(is the most isolated)-B(are larger)-C(played)-C(land)-B(the inhabitants had eaten)-A(the Rapanui were fighting)-C(died of illness)-B(the Rapanui don’t)

Festival Entrepreneurs

Festival entrepreneurs: C(they are more diverse)-B(the tickets sell)-D(has plans)-A(you can make new)-A(you can travel without)-B(inconvenience)-B(companies like)-A(the economic)

Britain’s New Eco-Towns

Britain’s new eco-towns: D(no cars in)-C(land that was originally)-C(to use less water)-D(eco-towns are not green)-B(traffic)-C(tend to)-C(backing for)-A(harvested)

Film Sponsorship

Film... Continue reading "Sniffer Bees, Easter Island Statues, and More: A Fascinating Collection" »

English Language Enhancement: Vocabulary and Grammar

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Essential English Vocabulary and Grammar

Vocabulary

  • Script: guió
  • Access - accessible
  • Anxiety - anxious
  • Romance - romantic
  • Succeed – Succession
  • Choose – choice
  • Entertain – entertainment
  • Grow – growth
  • Live – life
  • Produce – production
  • Separate – separation
  • Supply –

Phrasal Verbs

  • Get through à fer-se entendre, connectar (to get through à to make oneself understood, to connect)
  • Get round à voltejar, molestar en fer algo (to get around à to circumvent, to bother while doing something)
  • Get over à superar (to get over à to overcome)
  • Get down à deprimir, cansar (to get down à to depress, to tire)
  • Get away à sortir-se’n (to get away à to get away with it)
  • Get into à interesar-se, ficar-se en algo (to get into à to become interested, to get
... Continue reading "English Language Enhancement: Vocabulary and Grammar" »