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I have just had a blood test as I have changed doctors and she told me I have high cholesterol(she wouldn’t tell me the level just that it is high) she also put me on cholesterol lowering medication. I am vegetarian and really eat any dairy products, oils ect. She wouldn’t say anything about how this may have happened just that I probably have a family history. I am currently on sertralin for severe depression and anxiety as well as the pill(levelen ed) I have been on the pill about 10 years. This spike in cholesterol has happened quickly as it was normal about 2 months ago when I had my last blood test before then. I’m a 21 year old female.
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What are the potential laboratory and clinical findings in a patient with acute interstitial nephritis?
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I m a 28 year old female,I ve been having lower right abdominal pains for a while,I went to my GP and did a urine sample which came back ok,apart from I had a few more white blood cells than normal but nothing to worry about,I was given antibiotics to treat an infection my GP thought I had,I finished the course of tablets and was feeling ok for a short while but I m now having the pains stronger than ever,the pain comes on suddenly and are now going up my arm n my back,mainly in the right hand side of my lower stomach,the pain is really bad at times,I also suffer from chest pains.I suffer from bloating off the stomach which my GP put me on tablets for IBS ,but these pains are different,I ve been busy at work and haven t had chance to go back to my GP,I just want to no if I m worrying for nothing,but you no your body and I haven t felt myself health wise for a while. I m also urinating a lot more lately and are feeling dehydrated.
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my son was in a car acciedent dec 2010. He was admitted to the hospital over night because they found some kind of leakage in his lower side. the next day it was gone and was sent home. He started having abdomal pain every 2 months after that, it was so bad we had to take him to the emergency room each time. they never found anything wrong with him.. For 2 years, every 2 months on the dot he had the pains, throwing up, all day then after the hospital would give him pain killers he felt better, but had some soreness the next day. In march 2013 he had to go to the emergency room where his apendix burst and had to have surgery. No one will connect the 2 together, but as a mom knowing my son who never had had these issues before thinks it had to do with the car accident.
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My daughter is 4 and she has had a red rash like a target around her rectum for quite sometime now. She complains of it burning all the time. She is potty trained. The doctor has prescribed her cream it s not doing any good. She has also been tested for pinworms and strep. Both test came back negative. Any advice would be helpful. Thank you.
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Hi Doc. I want to consult health situation of my mother. For about two weeks she had vaginal bleeding. After a series of test, the doctor conducted a hysterectomy operation. Sample of tissue was biopsied, the result was: WELL DIFFERENTIATED ENDOMETRIAL ADENOCARCINOMA.Other findings: chornic cervicitis, corporal albicantha, bilateral ovaries, congestion, bilateral fallopian tubes. The oncologist advised that my mother sh.undergo chemotheraphy. Is it the best option? Please help me.
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INTRODUCTION: Disturbed sleep in hospitalized patient populations is a highly prevalent phenomenon, with patients commonly reporting problems with shorter sleep duration, more frequent awakenings, and overall poorer sleep quality during hospital stay compared to at home. Sleep disturbance during hospitalization is especially problematic as sleep is associated with both physical and psychological well-being. Poorer sleep has been found to impact recovery outcomes in a number of patient populations including mild traumatic brain injury, chronic pain, and most recently, in hospitalized COVID-19 patients. The current analyses examined pilot data from a novel brief modularized sleep intervention implemented with older adult Veterans living on a subacute rehabilitation unit. METHODS: Participants were screened for sleep problems upon admission to the unit. Veterans who screened positive were invited to participate in the sleep intervention. Components of the intervention were selected based on screener responses and included group sleep hygiene psychoeducation, environmental accommodations (e.g. ear plugs, eye mask, soothing music), and CPAP use education. Measures completed at pre- and post- intervention assessed sleep quality (Pittsburgh Sleep Quality Index, PSQI), global health functioning (PROMIS Global Health Scale), and depressive symptoms (Patient Health Questionnaire, PHQ-9). Pre- and post- scores were compared using paired sample t-tests. Two samples t-tests compared change scores in PHQ-9 between groups. RESULTS: A total of 33 Veterans were included in the analyses (Mage = 69.6, 3 female, intervention group n = 21). Participants showed a trend toward decreased PHQ-9 scores following the intervention (t(16) = 1.58, p = 0.100). There were no significant effects of the intervention on sleep quality or global health. Compared to the non-intervention group, the intervention group showed greater decrease in PHQ-9 scores at the time of post-intervention (t(25) = .828, p = .025). CONCLUSION: Preliminary data suggests that a brief modularized sleep intervention may benefit depressive symptoms for older adults during hospitalization. Additional research is needed to better understand the impact of a brief intervention on self-reported sleep quality during the hospitalization period. SUPPORT (IF ANY): This project was funded by a VISN 20 Seed Grant as a Whole Health promotion in alignment with the National VA Office of Patient Centered Care & Cultural Transformation.
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Hi dctr I m 28 yrs old in 2012 I was suffering from stone in my left kidney and had a very bad pain.even I had an operation on that time laser lithotripsy.but again in 2014. I find the same problem and day by day its getting bigger.Im suffering from too much pain. Please need your suggestion and help.
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hi, my age is around 30 (thirty). i have got fever (102 or 103 degree) about two weeks before. after i took paracetamols and as i felt better i stopped taking medicine. then the next day i got fever again. so i took paracetamols again and felt better. but i soon as i stop taking medicine i get fever. this is happening for one month and i am still taking paracetamols. as i am sustaining the fever for a long time ,is that sign typhoid or any other disease?
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I took a hard fall hitting my head very hard and scraping my left arm above the shoulder. I am on Xeralto - one a day. Is there a chance I COULD HAVE repercussions for the jarring of the head? Have been shaky and weak since Tuesd, the day I fell. Thank you.
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What are the classes of hormones categorized by endocrinology and chemistry?
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Various processes in academic organizations include the decision points where selecting people through their assessment and ranking is performed, and the impact of wrong or right choices can be very high. How do we simultaneously ensure that these selection decisions are well balanced, fair, and unbiased by satisfying the key stakeholders' wishes? How much and what kinds of evidence must be used to make them? How can both the evidence and the procedures be made transparent and unambitious for everyone? In this paper, we suggest a set of so-called deep evidence-based analytics, which is applied on top of the collective awareness platform (portal for managing higher education processes). The deep evidence, in addition to the facts about the individual academic achievements of personnel, includes the evidence about individual rewards. However, what is more important is that such evidence also includes explicit individual value systems (formalized personal preferences in the self-assessment of both achievements and the rewards). We provide formalized procedures that can be used to drive the academic assessment and selection processes within universities based on advanced (deep) evidence and with different balances of decision power between administrations and personnel. We also show how this analytics enables computational evidence for some abstract properties of an academic organization related to its organizational culture, such as organizational democracy, justice, and work passion. We present the analytics together with examples of its actual use within Ukrainian higher education at the Trust portal.
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Dear sir, My name is Kumar, frequently I gets cold, initially I have maxillary sinus, now some what its cured and still Im facing few problems regularly like getting cold while eating more sweets and chocolates, the reaction coming within 2days and once cold comes Ill feel more uneasy, especially toothache, itching in ears, headache, sometimes sneezing, and commonly nasal drainage, I would like to know what will be the primary reason/issue makes me like this. And today I approached doctor and he referred medicine of following 1. Clavulanate 625 twice a day2. Montelukast sodium & levocetrizine 3. Chlorhexidine mouth washAnd anyways Im getting cold obce by every 2monts and almost every seasonal climate change... Kindly requesting you to analyze my problems and provide me a solution which makes me confident.. thank you
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OBJECTIVES Mental contamination and cognitive fusion have been identified as risk factors for anxiety. The purpose of this study was to examine the moderating effect of cognitive fusion on the relationship between mental contamination and anxiety. METHOD Participants (N = 504 community adults), recruited via Amazon's Mechanical Turk (MTurk), completed measures of mental contamination, cognitive fusion, and anxiety. RESULTS Results from a regression analysis showed that the interaction between mental contamination and cognitive fusion predicted anxiety (β = 0.15, p < 0.001). Simple slopes analysis revealed a positive association between mental contamination and anxiety that was significant at higher (β = 0.25, p < 0.001), but not lower (β = 0.01, p = 0.88), levels of cognitive fusion. CONCLUSION The development of risk profiles that incorporate mental contamination and cognitive fusion may be beneficial for early identification of individuals at high risk for anxiety.
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The COVID-19 pandemic has brought to the fore the question of whether psycho-legal assessments can be executed remotely in a manner that adheres to the rigorous standards applied during in-person assessments. General guidelines have evolved, but to date, there are no explicit directives about whether and how to proceed. This paper reviews professional, ethical, and legal challenges that experts should consider before conducting such an evaluation remotely. Although the discussion is more widely applicable, remote forensic psychological assessment of adults alleging childhood abuse is used as an example throughout, due to the complexity of these cases, the ethical dilemmas they can present, and the need to carefully assess non-verbal trauma-related symptoms. The use of videoconferencing technology is considered in terms of potential benefits of this medium, as well as challenges this method could pose to aspects of interviewing and psychometric testing. The global pandemic is also considered with respect to its effects on functioning and mental health and the confounding impact such a crisis has on assessing the relationship between childhood abuse and current psychological functioning. Finally, for those evaluators who want to engage in remote assessment, practice considerations are discussed.
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What is the effect of tertiary hyperparathyroidism on the size of the parathyroid glands?
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I am 27 years old male and working for a MNC in Mumbai. My SGPT level is 95 and SGOT - 38, cholesterol is border line high, USG reports suggest beginning of fatty infiltration of lever and I am overweight by 6 kgs. Kindly suggest me measures to bring my SGPT/OT and Cholesterol to normal and protect my lever. Thanks.
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INTRODUCTION: National SARS-CoV-2 seroprevalence data provide essential information about population exposure to the virus and help predict the future course of the epidemic. Early cohort studies have suggested declines in levels of antibodies in individuals associated with, for example, illness severity, age and comorbidities. This protocol focuses on the seroprevalence among primary healthcare providers (PHCPs) in Belgium. PHCPs manage the vast majority of (COVID-19) patients and therefore play an essential role in the efficient organisation of healthcare. Currently, evidence is lacking on (1) how many PHCPs get infected with SARS-CoV-2 in Belgium, (2) the rate at which this happens, (3) their clinical spectrum, (4) their risk factors, (5) the effectiveness of the measures to prevent infection and (6) the accuracy of the serology-based point-of-care test (POCT) in a primary care setting. METHODS AND ANALYSIS: This study will be set up as a prospective cohort study. General practitioners (GPs) and other PHCPs (working in a GP practice) will be recruited via professional networks and professional media outlets to register online to participate. Registered GPs and other PHCPs will be asked at each testing point (n=9) to perform a capillary blood sample antibody POCT targeting IgM and IgG against the receptor-binding domain of SARS-CoV-2 and complete an online questionnaire. The primary outcomes are the prevalence and incidence of antibodies against SARS-CoV-2 in PHCPs during a 12-month follow-up period. Secondary outcomes include the longevity of antibodies against SARS-CoV-2. ETHICS AND DISSEMINATION: Ethical approval has been granted by the ethics committee of the University Hospital of Antwerp/University of Antwerp (Belgian registration number: 3002020000237). Alongside journal publications, dissemination activities include the publication of monthly reports to be shared with the participants and the general population through the publicly available website of the Belgian health authorities (Sciensano). TRIAL REGISTRATION NUMBER: NCT04779424.
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For years, many studies has been stressing the importance of incorporating new technologies and tele-education in universities across the globe. However, the implementation of new methodologies that take advantage of educational innovation supported by new technological tools has been slow and gradual. The new reality to which we have been exposed due to the health emergency caused by COVID-19 has hastened the incorporation of these methodologies hastily and has highlighted the lack of resources or training that universities suffer from to face the changes that have occurred. There is a clear need to modernize educational methodologies in higher education to bring it closer to the new generations and their needs, implementing more flexible models that provide transversal competencies. This work proposes a methodology based on social networks as a tool for support and connection between teachers and students. In addition, we explored different combinations of accessible software that allowing us to conclude the steps to follow for the successful implementation of social networks in the classroom. Copyright © 2021 for this paper by its authors. Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0).
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Pollen retention on clothes, footwear, hair and body has been used to link people to localities with distinctive vegetation, or soils containing distinctive palynomorphs Little attention has been given to human skin as a possible medium for carrying a forensically important pollen load and whether this might survive attempts to remove it We report here the results of experiments testing the retention of pollen of 10 flowering plant species on the human skin through repeated cycles of washing and drying hands, using the WHO protocol to standardize hand-washing and drying Between 0 36% and 2 74% (mean 0 93%) of the initial pollen load was retained through a single hand-wash Trace amounts of some species survived multiple hand-wash cycles It is concluded that forensic analyses can be made of the pollen load of those parts of the skin that may have been in contact with palynologically distinctive vegetation, even in cases where the person involved has washed, or been washed These observations may also be of relevance in cases where human skin became contaminated with other microscopic particulates
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hello, i was told that i had ibs and was given mebervine on monday, i had cramps, trapped wind and bloating. i now have a few minor cramps feel like i need to go to the toilet all the time and have trapped wind i take 3 x 135mg mebervine a day is there anything else i can try
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Hello I am a male teenager and I have a little not so secret thing I want to talk about. You may know that masturbation is very common and perfectly normal but in my case I just simply dont like doing it. I am not an addict but whenever I get sexual thoughts I just cant help myself and do it. (once a day to once a week) and twice a day in rare cases. It's just simply not within my morales to do this and I need advice to get rid of the urge when time comes thank you.
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I have a background of hay fever which gets quite severe with an almost contantly runny nose and mild asthma. I find it quite hard to tell the difference between allergies and a cold. for a week now i have had varying symptoms which started with sneezing, a runny nose (extremely so!), there was a slight sore throat with it, and i now have a slight cough and a little breathlessness. There has been no fever but i do work in child care, germ central. unless i have a fever im never sure if i have a cold or allergy and im not sure if the breathlessness is asthma symptoms or not. thankyou
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hello...I had 5 bypass in 11/12/2010....but Im still doing the feeling the same way as I did before the surgery...I was having chest pain and shortness of breath and tried all of the timebefpre the surgery...and im still doing it now...could there be another blockage or one that didnt take
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Dear Dr. I had leprscopy for my PCO six month back. Now my ovulation occuring on 5th to 9th day so could not concieve, Now my doc suggested me for eight continous Luproid shots of 0.5mg each. Plz suggest me
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I am suffering from low grade fever with positive mantoux having 20x18mm dimensions and having all other testings to be normal. I had gone for the tests which are x-rays of chest and dorsal lumber spine,ultrasound of stomach, typhiod, jaundice, malaria, tb, urine, blood test but all are negative and I had gone to doctor amd m still going but not having a clear image of disease that what disease m having
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I finished taking 10 days of levaquin about a week ago. The joints in my knees have become progressively worse during the past week. I have RA that has been doing fairly well. I m wondering if the knee joint stiffness and pain might be from the antibiotic?
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SIR my father was suffering from infection in march n was admitted to hospitl for 1 month with medications and anitbiotics. but we want to consult over his health again as because his hands legs n face is sweelling again. please sir suggest me something.
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Vaccination could be a key protective measure against coronavirus disease 2019 (COVID-19), and it is important to understand the acceptability of the COVID-19 vaccine among the general public. However, there is no study on the acceptance of a COVID-19 vaccine in Japan. Therefore, this study aimed to describe the COVID-19 vaccine acceptance and hesitancy situation in Japan and assess the factors associated with such issues. This was a cross-sectional study based on an internet survey completed by 2956 people. Participants were asked to indicate how likely they were to get vaccinated for COVID-19. In addition, the participants responded to questions regarding sociodemographic factors, attitudes, and beliefs regarding COVID-19 infection and vaccination. The proportion of participants with a high likelihood of getting a COVID-19 vaccine was 62.1%. Multiple logistic regression analysis showed that vaccine acceptance was lower among several sociodemographic groups, such as women, adults aged 20-49 years, and those with a low-income level. Several psychological factors, especially the perceived effectiveness of the COVID-19 vaccine, and willingness to protect others by getting oneself vaccinated, were associated with vaccine acceptance. Our results indicate that the perceived effectiveness of the vaccine and willingness to protect others may play an important role in the acceptance of the COVID-19 vaccine.
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Q:A 74-year-old man is brought to the emergency department after he had copious amounts of blood-stained stools. Minutes later, he turned sweaty, felt light-headed, and collapsed into his wife’s arms. Upon admission, he is found to have a blood pressure of 78/40 mm Hg, a pulse of 140/min, and oxygen saturation of 98%. His family history is relevant for both gastric and colorectal cancer. His personal history is relevant for hypertension, for which he takes amlodipine. After an initial successful resuscitation with intravenous fluids, which of the following should be the first step in approaching this case??
{'A': 'Colonoscopy', 'B': 'Nasogastric lavage', 'C': 'Upper endoscopy', 'D': 'Mesenteric angiography', 'E': 'Radionuclide imaging'},
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i have backache from the last 2 and half months and its severe in the morning...i went 2 a doctor , he told me 2 avoid cold, improve posture, sleep on hard matress,avoid using pillow and had prescribed voren. i have acted upon his advice but its getting worse day by day instead of relieving
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What is the malabsorption disorder that is more commonly found in tropical regions?
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dear doctor. I am a post renal donor .recently diagnosed to have hypertension started with losartan 25mg then increasd to 50mg bid . then changed to ir besartan 300mg +carvidaaol 25mg bid still my BP remain the same 150/ 90or 155/100mmof hg . my renal parameters .US kidney normal please tell me what will I do for the high BP.
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hellp Doctor. My problem is im not able to conceive, i got pregnent 3 yrs back i was 2 month pregnent, i took a tablet for abortion which i dont remember the name, after few days i got heavy bleeding .. that time i didnt want a baby, but now im not able to conceive, will i ever be able to conceive?? i have also put on weight, around 20 kg more compared with 3 yrs back. i weigh 77 kg now. please reply.
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Have had treatment for some tight muscles from hip to knee on one leg only. I had a good week totally pain free and then I began to have disturbed sleep due to soreness in hips an legs. Had to take Nurofen last night to get sleep. I eat well and play regular tennis and Pilates. I am 61 and female. The pain I am feeling is very similar to those I suffered during menopause and took Phytosoya which gave total relief. ??
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hi, I was wondering if you could help me. I have noticed that the skin above my genitals and just a few inches into my inner thigh are discolored. its a darker shade than the rest of the surrounding skin and doesn t burn and only light itching every once in a while and also there are fine skin flakes that appear as well (not all the time). I clean very thoroughly in that area but yet it still happens. my father has psoriasis in a very small area on his cheek area. could it be something hereditary and just be affecting me else where? thanks
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Hello,I have allergy in my eyes since 1982 , actually I have glaucuma and I m 58 years old ,I use travatan(1time per day) and cosopt 2(2 times per day), but I have more and more allergy, I can not sleep because of the strong eyesache, My Dr in morocco had told me that tere is no alternative to cosopt and travatan , he had tried Azarga and eliminate cosopt , but inerocular pressure had became higher, so hes orders me to continue using cosopt and travatan, please there are any alternatives? I m obliged now to take frakidex sometimes evec i s a cortisone medicine.
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I am 37 years old . I got married 2 years back . since then my husband & I tried for baby but unfortunately my fallopian tube is block from both side My doctor suggested for IVF .Once I through that procedure and i got positive result but it was not developing after 7 week .so we abort it. Now I am going through for 2nd time but I am not having periods I missed my periods doctor gave me meprate but it was not affecting. so what should i do ?
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My lymph nodes behind my left ear have been swollen for a couple of weeks, I saw my dr he said I had a mild fever and most likly an infection of some sort. I finished an antibiotic, my lymph node is still swollen, my ear hurts a bit, now im feeling dizzy, nauseous and my vision seems blurred, what could be wrong?
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Undernutrition at the time of ART initiation was associated with increased risk of death, particularly during the first 3\xa0months after ART initiation.
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My mother has internal swelling on her face and head .... she has consulted a neurologist , he suggested to contact a psychiatrist . Now, when she consulted a psychiatrist , he said its cz of tension . He wrote so many medicines . She has so many medicines to eat but the swelling is still there . I cannot see her like this please help.
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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What does the term "laparoscopic surgery" mean?
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My wife is 50 y/o overweight, just lost 60 lbs and is still about 50 overweight. Since she lost her weight she has noticed a large mass (baseball size) on her outer left mid thigh. It is deep, hard and no pain. No other noticeable symptoms. And ideas?
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Prolonged infections in immunocompromised individuals may be a source for novel SARS-CoV-2 variants, particularly when both the immune system and antiviral therapy fail to clear the infection, thereby promoting adaptation. Here we describe an approximately 16-month case of SARS-CoV-2 infection in an immunocompromised individual. Following monotherapy with the monoclonal antibody Bamlanivimab, the individual's virus was resistant to this antibody via a globally unique Spike amino acid variant (E484T) that evolved from E484A earlier in infection. With the emergence and spread of the Omicron Variant of Concern, which also contains Spike E484A, E484T may arise again as an antibody-resistant derivative of E484A.
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I am a male age 44. I have frequent kidney stones. I recently thought i was having yet another kidney stone attack although the pain was not as severe. I did not want to wait for the pain to get worse, so i went on to the ER to get a CT scan and a tordol shot. The CT scan revealed multiple stones in each kidney which i was already aware of, but to my surprise no kidney stone in my urethra... Anyway, the pain persist lower right back and also lower right stomach , but admittedly not the kind of pain i have normally encountered with over one hundred kidney stones. What could this be?
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Dear Doctor, Question regarding Leukemia ( bone marrow ) probably as I think MDS in RAEB stage. Hope everything is going well there. Could you please let me know that how is my mother in law situation based on the following information: 1- she had chemotrapy for cancer 5 years ago. Now she is at 70y old. 2- Its blood result test since 7 months ago is: low CBC 2.7 and low WBC 1.7. Also Blast cells 15%. 3- Last week the doctor said treatment with Dacogen. 4- How much it can be curable with Dacogen. Is it dangerous for her? 5- Is this any better treatment for her? 6- What is life expectancy for her? Many thanks for your time and sorry for lots of questions
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what is the gravity in a first diagnosed occipital epilepsy in a child of age 11yrs. This was diagnosed through an examination with a Neurology after this child manifested seizure. Can this child be easy treated? Thanks. my email: YYYY@YYYY
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Hi, About a month ago I started going on birth control (Micrognyon), a couple of weeks after I developed a very painful kidney infection . When my GP put me on anti biotics it began to leave my body, however it still wasn t fully gone, so the doctor put me back on the same Anti Biotics ( Penicillin ). However, when I was off the anti biotics, I began drinking alcohol again and sleeping with my partner again and it has seemed to return again! Although it is no way near as bad as it was, my side is very painful and it stings a little bit to urinate. I first slept with my partner in August and through the August/September time I was absolutely fine when he was using protection with no problems. I am starting to think it is something to do with my birth control pills. Do you think I should come off the pill for a month and start to use protection? Or perhaps change to another pill? I would greatly appreciate your help Thanks, Katie Lillywhite
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I am 44 years of age in Octocber I stop my mentral than started back this weekend. I had severe cramping and my lower abomen is still in pain. I was having sharp pain in my lower but area. Can you tell me what is going on. I am not able to see an Obgyn until I come off my menstral. Should I be worried about this?
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Three weeks ago I got a very large bruise on my calf with no trauma. there is a lump/ball at the top of it and it almost looks like the bruise trails down from that. The bruise has changed, but is still very large and the knot is still present. What is it?!?
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Hi my son drank dettol and then he vomited out immediately. He also vomited out his meal which he ate 30 mins before that. Doctor gave dijex and he also have some swelling in mouth so he is not eating. He just took milk and now asleep. Is there anything to worry?
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The study failed to comprehensively capture CVD risk factors in women with breast cancer because of missing data.
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What is the typical age range at which tumor formation in multiple endocrine organs occurs in patients with multiple endocrine neoplasia?
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My 6 months old baby is 5-6 times loose stool in day. She takes taken the darolac sachet 2 times for the first day. She feels very weak. What shall i do to contro her loose stool? How much does it take to control the loose stool after starting the darolac sachet?
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Hi This is Ashraful. 28 years old. I do masturbate often since i m 15. I married 2 years ago and now I do not masturbate. But now i m facing serious problem like my sperm coming out very early when i m having sex with my wife. sometimes it takes to 2/3 minutes and sometimes a little more. please suggest me some medicine which can help me to resolve my problem. Please. I m so grateful to you if u help me.
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I am 36 and weight is 47kg and 4ft 11. I have always had a good low bp at around 105 over 72. My pulse has always ranged between 80 / 95 bpm. Lately I have been experiencing days of feeling weak, shakey and light headed. My bp is now around 81/59 with a pulse of 59 to 64. even after activity around the house.I lead a more sedentary lifestyle and cannot chalk this up to fitness.The change from the norm is concerning for me and I need advice. Don't want to waste the doctors time if its nothing.
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About a month ago I was diagnosed with Hyperthyroidism. The dr prescribed 40mg tapazole and 50mg toprol. I had about a months supply. After Id finished the medicine I still have a steady rapid heart rate. My heart beats fast all the time and when Im physically active (running, walk fast etc) my heart not only beats fast but it beats harder. Whats wrong with me?
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I have mitochtondrial disorder, prone to high lactic acid, weakness, unbalance, went deaf. Lately I feel like I have the flu all the time. Fall asleep during the day, am forgetting things, night headaches. Just generally feel sick. Are things getting worse. Shortness of breathe. Trembling.. Am I having respiratory problems. ?
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FOR THE PAST TEN DAY I HAVE BEEN EXPERIENCING A HEAVINESS IN MY HEAD AND A TINGLING IN MY FACE. CAN YOU PLEASE HELP ME. I WENT TO THE DOCTOR TODAY AND HE CHECK MY BLOOD PRESSURE, MY EARS, MY EYES AND SOME BALANCE TECHNIQUES AND HE SAID EVERYTHING SEEMS TO BE FINE. HELP.
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Hi, about two days ago i have accidently stabbed my plam, the wound was about half an inch long and the knife went in about half an inch aswell, now since it has been closing well, but i have some numbness at the further part of my plam in the middle just at the base of my fingers, but the thing that bothers me the most is a feeling like a strech the area of the palm at some movments i do that feels like the wound is reaping open this is quite painful and disturbing?what might it be? will it pass? what should i expect?
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Hi, As on 14th oct 2017 I have typhi O 1:80 and typhi H 1:40, previously as on 7th oct 2017 it was typhi O 1:320. I completed the medicine course prescribed by my physician. Still I am having fever daily in evening arround 99 or 100 f. And headche too. Please suggest me for furthure treatment and specially what must and must not I should take as in food.
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I am 64 years of age. Height = 5ft 10in Weight = 125lbs. I was first diagnosed with lone atrial fibrillation in 1996 and prescribed a dosage of Flecainide Acetate at 50 mg twice daily. My episodes of Atrial Fibrillation were extremely rare and usually short in duration. The Flecainide did not prevent them entirely. Recently I changed my GP who examined both me and my complete medical history. He was extremely surprised that I had been continuously prescribed the medication without review and advised me to stop taking the medication immediately as he did not feel my condition justified continued use. This was one moth ago and I have suffered no symptoms. I am also very health conscious and eat a very healthy vegetarian diet. I am non smoking and do not drink alchohol (apart from a glass of wine with some meals). I run between 30 - 40 miles a week (have done since my teenage years) and also brisk walk with my wife several times a week. What do you advise about stopping taking the Flecainide Acetate?
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Hi, may I answer your health queries right now ? Please type your query here... My father went through Coronary angiogram he had been suggested to go for CABG, his LMCA is Distal 40%lession, LCX: Non-dominant,mild disease,100%occlusion after OM1,OM2:filling through collaterals,diffuse disease, RCA:Dominant system,mild diffuse disease with discrete 90% critical stenosis, Can you suggest me that my father has to go to CABG, please let me know
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BACKGROUND: SARS-CoV and SARS-CoV-2 are extremely infective and frequently cause severe respiratory issues (acute respiratory syndrome). These emerging viruses represent huge challenges to worldwide health. Reliable and systematic examination of SARS-CoV and COVID-19 will assist in identifying infectious persons accurately. Based on the biological, chemical, and genetic link of SARS CoV-2 towards SARS-CoV, the recurrence of different anti-SARS-CoV natural drug molecules may be beneficial in the advancement of anti COVID-19 herbal drug molecules. Here, we reviewed published literature on SAR, and molecular docking study of previously synthesized derivatives, which targeted SARS-CoV along with future prospects on SARS-CoV-2 have been reviewed. This study would assist researchers in developing newer/novel potential molecules that would target SAR-CoV-2. OBJECTIVES: The review highlights the inhibition potential of heterocyclic inhibitors for SARS-CoV and SARS-CoV-2. The structure-activity relationship of potential compounds has been discussed. EVIDENCE ACQUISITION: We carried out a thorough literature assessment employing electronic databases for scientific articles highlighting potential heterocyclic inhibitors for SARS-CoV and SARS-CoV-2, published from 2010 to 2021. We recovered 415 articles, but only 220 were involved and conversed in this manuscript. The article apprehended appropriate research considering three areas: 1) SAR activity, 2) Molecular docking, and 3) Biological activity and future prospects on SARS-CoV-2. METHODS: The potential compounds with good inhibition are discussed, and their inhibition is expressed in terms of IC50. RESULTS: Heterocyclic scaffolds reflected an extensive range of therapeutic activity and may act as an initiating idea for designing and discovering potential inhibitors for SARS-CoV and SARS-CoV-2 treatment. CONCLUSION: The points highlighted here may prove to be a vital tool for medicinal chemists working/investigating more potent and efficacious scaffolds in treating SARS-CoV and SARS-CoV-2.
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Hi,am 28 man,I sufferd from internal fever from a year that causes me allergy in the eyes, feel high temperature without appearing in thermometer and every time I go to the doctors they give me deffrent medicines and I geting better then afte finish the treatment the fever returns. So please tell me what I have to do?...Thanks
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what's wrong with my friendMy buddy mike has regular muscle pains in his back and legs, he's always tired, and can't sleep well at night and therefore tends to nod off and nap a lot, anxiety, occasional headaches there maybe more but I don't know. He's never had any diagnosis for these problems.
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Could you provide me with the given statement that needs to be rephrased?
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Hello doctor, I received unprotected oral sex 13 days ago. No symptoms of genital herpes except for today, I have an itchy anus. No visible bumps, blisters or pain. Is it possible this is the beginning of an outbreak? Or perhaps caused by severe anxiety and prolonged sitting?
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I have been having toothaches recently, and I was a international start abroad in Kenya. When I ha returned home I felt like the weather in England was really disturbing me so I started getting problems with my jaw like it felt like it was going to fall off. As this continued I started experiment pain in my tunisile where it feels swollen and like my head is going to explode. It really hurts I went to the local GP and have me strong pain killers. They do not work on me effectively and I fe so much pain that I hve a very hard time getting any sleep at all. Please assita
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Proteomics studies allow for the determination of the identity, amount, and interactions of proteins under specific conditions that allow the biological state of an organism to ultimately change. These conditions can be either beneficial or detrimental. Diseases are due to detrimental changes caused by either protein overexpression or underexpression caused by as a result of a mutation or posttranslational modifications (PTM), among other factors. Identification of disease biomarkers through proteomics can be potentially used as clinical information for diagnostics. Common biomarkers to look for include PTM. For example, aberrant glycosylation of proteins is a common marker and will be a focus of interest in this review. A common way to analyze glycoproteins is by glycoproteomics involving mass spectrometry. Due to factors such as micro- and macroheterogeneity which result in a lower abundance of each version of a glycoprotein, it is difficult to obtain meaningful results unless rigorous sample preparation procedures are in place. Microheterogeneity represents the diversity of glycans at a single site, whereas macroheterogeneity depicts glycosylation levels at each site of a protein. Enrichment and derivatization of glycopeptides help to overcome these limitations. Over the time range of 2016 to 2020, several methods have been proposed in the literature and have contributed to drastically improve the outcome of glycosylation analysis, as presented in the sampling surveyed in this review. As a current topic in 2020, glycoproteins carried by pathogens can also cause disease and this is seen with SARS CoV2, causing the COVID-19 pandemic. This review will discuss glycoproteomic studies of the spike glycoprotein and interacting proteins such as the ACE2 receptor.
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hello: I have carotid artery and atherosclerotic plaque that indicates 60-79% on both sides. I am a viet-nam veteran and understand that if this has anything to do with ischemic it could be related to agent orange. this was done again on 12/03/2013 by duplex scan of extracranial arteries. I also had a ct scan of the abdomen and pelvis after prostate cancer surgery it shows significant atherosclerotic vascular disease. what info.could you give me on ischemic? if I had a fax # icould send you this report. thanks Eddie Hollis YYYY@YYYY
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Hello My brother is 67 years old, he has been taking testosteron injections for years...he is on pills for high blood pressure and also a chlorestoral lowering. During this past week he has been waking up with night sweats, sheets wet etc. I got him to go to the doctor's they have done blood test...any idea as to why you might think it could be...I am not ruling our Diabetes? Thank you
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Hello Doc.... ummmm, I wiped out 4 days ago on the ice, flipped right back and smacked the back of my head... felt like I crushed it..... also ....right after.... it felt like there was a massive rush of blood streaming down my skull into my neck...weird.... it was internal.... i didnt break the skin.... I had all the symptoms of a mild concussion.... only lasted a hour, and i havent had to take any sort of pain relief... thus far .... but my head feels strange... ( p.s. only a walnut size bump at the very top... it is finally gone...) ---- I feel a little dizzy now and then - doesnt last long .... and my head feels weird ....do i need to worry? -- thank you for your time / response - Laurie
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Hello doctor,I have shoulder tendonitis, and it has been three months already without significant results. I want to know the fastest way possible to heal it, I tried physical therapy, but it did not have much of an impact.
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Which vitamin excess is associated with pseudotumor cerebri?
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I was just at the clinic with a temp of 100.5, headache, ear ache, mild chest pain the center of my chest. My BP was 140/92. Diagnosed with sinus infection and prescribed antibiotics. Do you think I should pursue the chest pain issue, since my BP was so high? Or could this just be something as simple as acid reflux, or part of the sinus infection?
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Been to the doctor twice and they can t find anything. Temp goes from 104.1 to 96.5, body aches, fatigue, chills, excess sweating. Flu and strep test negative. Antibiotics not working. Chest is also tight but doctor says lungs clear. This is going into week 2. Any suggestions.
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Hi my question is what is the cause of weak flapping gums and is there anything I can take for it?
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CONTEXT: Pioneering empirical studies show that people bereaved due to COVID-19 experience elevated acute grief, posttraumatic stress, anxiety, and depressive symptom levels, which relate to functional impairment. However, studies focused on Western samples and multivariate analyses of relations between potential risk factors and mental health in this population are lacking. OBJECTIVES: To assess the mental health of Chinese adults bereaved due to COVID-19. To elucidate the associations of demographic and loss-related characteristics with mental health after COVID-19 bereavement. METHODS: Four hundred twenty-two Chinese adults (56% male; Mean age: 32.73 years) recently bereaved due to COVID-19 completed an online survey. Demographic and loss-related characteristics and prolonged grief, posttraumatic stress, anxiety, and depressive symptoms were assessed. RESULTS: Clinically relevant prolonged grief (49%, nâ¯=â¯207), posttraumatic stress (22%, nâ¯=â¯92), depressive (70%; nâ¯=â¯294), and anxiety symptoms (65%; nâ¯=â¯272) were reported by a substantial group of participants. In four multiple regressions predicting each mental health indicator, Fs(15,406)â¯=â¯5.08-7.74, Ps < 0.001, loss-characteristics (i.e., a shorter time since loss, ßsâ¯=⯠-.12-.11, loss of a first-degree relative, ßsâ¯=⯠.18-.37) and subjective loss experiences (i.e., feeling traumatized by the loss, ßsâ¯=⯠.13-.18, or a close and/or conflictual relation with the deceased, ßsâ¯=⯠.12-.23) related most consistently to mental health problems. CONCLUSION: Many Chinese adults bereaved due to COVID-19 experience severe mental health problems. The recent loss of first-degree relatives, feeling traumatized by the loss, and having a close and/or conflictual relationship with the deceased may elevate risk for these mental health problems, which could require indicated psychological treatment.
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Who is at highest risk for Q fever ?
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I m 59 years old and had CT Scan recently,and found out that I have a benign cyst of my liver .Had gone for Cholecystectomy 2 yrs. ago. Most of the time I have a discomfort bec. of the pain but they told me that there is no treatment with this problem. I want to know what are the foods I can take? Thanks a lot.
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Im a diabetic whom seem to always have a yeast infection. But for a year now Ive been wiping away brown, spec, like particles. All my doctors are saying this is part of the yeast. But what will it take to make this go away. All the other symptoms of the yeast are cured but the brown particles. One of my doctors thought it may have been skin. But I know better. This is not skin falling from my privacy when I wipe myself. Can someone
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my dad 79 years old high bloodpressure diabetic just yesterday found out had cellulitis on keflex 500 already had 6 pills has a pain in left shoulder took bloodpressure 240 over 150 had squad come went to 204/150 want to know if keflex can raise it
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Hi there is a small lump on my Mons pubis. it is under the skin and not very noticeable but when you touch it you can tell there is a large lump there. it started out like an acne bump i squeezed the puss out until it was just blood coming out now the acne like bump is gone and there is a lump there that is very sore especially when touched. can you help me figure out what this is and how to treat it?
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hi, my mom had a low pumping promblem in the heart 15-20% she is a diabetic patient sugar is always around 400-500 an had a thyroid while her heamoglobin was around 8 she was under the observation our local doctor given 2 bottles of blood now blood is around 10 whether it is curable or not?suggest me some best cardiologist doctors why heart pumping get slower? plzee ans herage is 52, height 5'4,weight 65.
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Caries prevention may be achieved by using Er:YAG laser treatment if the optimal range of laser parameters for LICP can be employed.
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My son is 2 years and 4 months and he has a fever. I can estimate about 102 and it started on monday. He has severe feeding issues so taking medici e is hard so i try to put it in his bottle. He has figured out the taste and now refuses to drink it. I have done baths but that is temporary. I cant get an accurate temperature because he runs away. We even held him down and gave medicine through syringe and he threw it up from getting worked up. What should i do?
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hello doctor, my father aged 78 has an echofree cyst in right kidney size-1.1x0.7cm and calculus in middle calyx size-5mm similarly there is an echofree cyst in left kidney size 5.7x4.2cms and calculus in upper calyx sze5mm.There is enlarged porta hepatis lymph node seen size1.4x1.2cms .what to go about his medication .kindly suggest
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does tomoxafen make you nuts my wife has been taking it for 3 years and is just unberable she is a breast cancer patient who i love very much but these last 6 months or so are putting me too the test. Just so different no sex drive at all always tired and just so moody i cant take it
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Hello, I am 6 foot 5 inches, 290 lbs, 20 years old, male, and am anosmic. I fear that I have xxy chromosomal makeup. I have a micropenis, hypogonadism, and what looks like gynocamastia, my breast size is about a b or c cup, and if i actually have any ejaculation its always clear. I have no body hair at all, and no insurance either.
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My name is Joni Hall I am 57 just during a routine check up, the Dr. found I had a HB of 39 upward to 42. Went to my physician today my heart beat was 62. The Dr. ordered some XRays & blood work up.. Found out I have low pottasium, he ordered a pottasium, should more testing be done such as an echo be done?? This is not the first time my pottasium has been low, so confused
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Mast cells (MCs) are critically involved in microbial defense by releasing antimicrobial peptides (such as cathelicidin LL-37 and defensins) and phagocytosis of microbes. In past years, it has become evident that in addition MCs may eliminate invading pathogens by ejection of web-like structures of DNA strands embedded with proteins known together as extracellular traps (ETs). Upon stimulation of resting MCs with various microorganisms, their products (including superantigens and toxins), or synthetic chemicals, MCs become activated and enter into a multistage process that includes disintegration of the nuclear membrane, release of chromatin into the cytoplasm, adhesion of cytoplasmic granules on the emerging DNA web, and ejection of the complex into the extracellular space. This so-called ETosis is often associated with cell death of the producing MC, and the type of stimulus potentially determines the ratio of surviving vs. killed MCs. Comparison of different microorganisms with specific elimination characteristics such as S pyogenes (eliminated by MCs only through extracellular mechanisms), S aureus (removed by phagocytosis), fungi, and parasites has revealed important aspects of MC extracellular trap (MCET) biology. Molecular studies identified that the formation of MCET depends on NADPH oxidase-generated reactive oxygen species (ROS). In this review, we summarize the present state-of-the-art on the biological relevance of MCETosis, and its underlying molecular and cellular mechanisms. We also provide an overview over the techniques used to study the structure and function of MCETs, including electron microscopy and fluorescence microscopy using specific monoclonal antibodies (mAbs) to detect MCET-associated proteins such as tryptase and histones, and cell-impermeant DNA dyes for labeling of extracellular DNA. Comparing the type and biofunction of further MCET decorating proteins with ETs produced by other immune cells may help provide a better insight into MCET biology in the pathogenesis of autoimmune and inflammatory disorders as well as microbial defense.
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Hi.. So theres a clear swelling behind my upper right molar and my cheek. My wisdom tooth there was extracted 5 years ago, and i dont have any tooth ache. Im also able to chew properly from the molar and it doesnt hurt. HOWEVER, the pain happens when i smile too wide or try and press that side of my cheek. Can u suggest whats wrong?
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Hello I m wondering what this could be.. I have a sore throat and can t swallow, feeling weak and tired and dizzy,always feeling like I m going to pass out, I have a rash behind my ears and sharp shooting pains in my tummy mostly round my rib area and an upset tummy
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Further investigations are required to integrate and optimise the HbA1c as a single, non-fasting, screening tool for GDM.
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The scale and intensity of the coronavirus disease 2019 (COVID-19) worldwide pandemic is unprecedented in all our lifetimes This is written for all of us involved in scientific research - graduate student, postdoc, academic, staff scientist, in academia, government or industry Rule 3: Follow institutional guidance and provide feedback By institution, we mean everything from the government (federal, state, and local) to your workplace to your individual laboratory Rule 4: Embrace a new work habit and environment How science is conducted has changed, almost overnight [Extracted from the article] Copyright of PLoS Computational Biology is the property of Public Library of Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
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Student at camp with what appears to be folliculitis on thighs. Denies hot tub, pool, or water park use. States knee joints are achey, and sometime it gets hot and feels like its burning. Headache and at times difficulty taking a deep breath... hard to gauge whats really going on.
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I get painful lumps on my toes and feet every year at the same time and it lasts the same time every year as well. Its been happening for about 5 years now. I find it awkward that it's seasonal. Its different toes and different parts of my foot every year. Specifically this year, it's my baby toe and big toe on my right foot. It's so painful and swollen it actually feels as if it's broken, however, it is not. My baby toe is so swollen its starting to look deformed and it's discolored (redish-purple). Any idea's on what this might be?
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