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

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" »

Hyperadrenalism

Cushing Syndrome

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

Nick Carraway and the Moral Compass of West Egg

The narrator, Nick Carraway, starts the book by sharing advice from his father about the importance of not criticizing others. The Buchanans live in the modern East Egg, while Nick resides in the West Egg area—a location that is less elite but rising in status, situated on the opposite side of the bay.

The Mysterious Jay Gatsby and the Green Light

Nick becomes intrigued by Jay Gatsby, a wealthy and mysterious man who lives in a massive mansion next to Nick. Gatsby spends many of his evenings standing in his garden, staring across the water at a green light located at the end of a dock.

Tom Buchanan and the Valley of Ashes

Tom takes Nick to the city to meet his mistress, Myrtle Wilson, who is married.... Continue reading "The Great Gatsby: Plot Summary and Key Themes" »

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

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-

Essential English Idioms

• Too good to be true: So good that it's hard to believe.
• As good as gold: Extremely well-behaved.
• Put in a good word: To say something in support of someone else.
• Do more harm than good: To have more negative effects than positive ones.
• To be good for nothing: To be extremely lazy and useless.
• To be up to no good: Behaving very badly.

Key Vocabulary

• Fairness: Justicia
• Self-reliance: Autosuficiencia
• Compassion: Compasión
• Loyally: Lealmente
• Let me down: Decepcionar
• Bravery: Valentía
• Generosity: Generosidad
• Honesty: Honestidad

Common Phrasal Verbs

• Turn up: Aparecer, venir
• Put up: Ponerse
• Rip off: Arrancar
• Come across: Cruzar
• Pull over: Volcar
• Give back: Devolver
• Rely on: Depender de
• Gets on: Se pone
• Give up: Rendirse
• Carried out: Llevado a cabo
• Breaks

Ninja Assassin: A Cinematic Masterpiece

Film Critic: Ninja Assassin premiered in the US on November 25, 2009, and in Europe on December 26, 2009. I believe it is one of the best ninja films ever created. It avoids the typical origin story tropes, focusing instead on a man trained to be a killing machine. Everything goes well for the clan chief until they capture and kill the protagonist's love interest. The vengeful Raizo betrays the clan and prepares for the perfect revenge against his adoptive father. In Berlin, a Europol agent investigates the clans and assists Raizo in his mission to eliminate the clan chief.

The Loss of Melilla's Historical Architecture

The Death of a Piece of History: Tomorrow, Monday, December 28, one of the oldest buildings... Continue reading "Ninja Assassin Review, Melilla Heritage, and Modern Lifestyle Debates" »

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