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Ouchi N, Kihara S, Arita Y, Maeda K, Kuriyama H, Okamoto Y, Hotta K, Nishida M, Takahashi M, Nakamura T, Yamashita S, Funahashi T & Matsuzawa Y. Novel modulator for endothelial adhesion molecules: adipocyte-derived plasma protein adiponectin. Ouchi N, Kihara S, Arita Y, Nishida M, Matsuyama A, Okamoto Y, Ishigami M, Kuriyama H, Kishida K, Nishizawa H, Hotta K, Muraguchi M, Ohmoto Y, Yamashita S, Funahashi T & Matsuzawa Y. Adipocyte-derived plasma protein, adiponectin, suppresses lipid accumulation and class A scavenger receptor expression in human monocyte-derived macrophages. Ouchi N, Kihara S, Arita Y, Okamoto Y, Maeda K, Kuriyama H, Hotta K, Nishida M, Takahashi M, Muraguchi M, Ohmoto Y, Nakamura T, Yamashita S, Funahashi T & Matsuzawa Y. Satoh K, Shimosegawa T, Masamune A, Hirota M, Kikuta K, Kihara Y, Kuriyama S, Tsuji I, Satoh A, Hamada S & Research Committee of Intractable Diseases of the Pancreas. Suazo-Barahona J, Carmona-Sanchez R, Robles-Diaz G, Milke-Garcia P, Vargas-Vorackova F, Uscanga-Dominguez L & Pelaez-Luna M. Acute hyperglycemia and the innate immune system: clinical, cellular, and molecular aspects. Overweight Is an Additional Prognostic Factor in Acute Pancreatitis: A Meta-Analysis. A murine model of obesity implicates the adipokine milieu in the pathogenesis of severe acute pancreatitis. Introduction Acute pancreatitis is rare and serious complication during pregnancy, estimated to occur in 1/1000 to 1/12000 pregnancies (Ramin et al. Discrepancy in incidence is because of the rarity of disease and because studies span different decades and countries. Acute pancreatitis appears to be more prevalent with advanced gestational stage, occurring more commonly in the second and the third trimester (Hernandez et al. The most frequent etiology of acute pancreatitis in pregnancy is biliary caused by gallstones or sludge (Wang et al. Rarely it could be, also, caused by hyperparathyroidism, connective tissue diseases, abdominal surgery, infections (viral, bacterial or parasitic), blunt abdominal injuries or could be iatrogenic caused by medications (diuretics, antibiotics, antihypertensive drugs) (Wang et al. In pregnancy gallstones and sludge induce most of the cases of acute pancreatitis, they cause duct obstruction with pancreatic hyperstimulation that increases pancreatic duct pressure, trypsin reflux and activation of trypsin in the pancreatic acinar cells. This leads to enzyme activation within pancreas and causes autodigestion of the gland, followed by local inflammation. Pregnancy does not primarily predispose the pregnant woman to pancreatitis, but it does increase the risk of cholelithiasis and biliary sludge formation (Ramin et al. Theoretical reasons for the association of pregnancy and biliary tract diseases include increased bile acid pool size, decreased enterohepatic circulation, decreased percentage of chenodeoxycholic acid, and increased percentage of cholic acid and cholesterol secretion and bile stasis (Scott, 1992). Moreover, the steroid hormones of pregnancy decrease gallbladder motility (Ramin et al. Progesterone is a smooth muscle cell inhibitor that provokes gallbladder volume increase and slows emptying (Ramin et al.
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Cells carry out metabolism, the sum of all of the physical and chemical activities that occur in the body. The main carbohydrate is the sugar glucose, which circulates in the blood to provide energy for the cells. Some hormones are derived from lipids, and adipose (fat) tissue is designed to store lipids. Within the cytoplasm that fllls the cell are subunits called organelles, each with a speciflc function. Genes control the formation of enzymes, the catalysts needed for metabolic reactions. When a body cell divides, by the process of mitosis, the chromosomes are doubled and then equally distributed to the two daughter cells (Fig. Sex cells (egg and sperm) divide by another process (meiosis) that halves the chromosomes in preparation for fertilization. Tissues Cells are organized into four basic types of tissues that perform speciflc functions (Fig. Included are adipose (fat) tissue, cartilage, bone (Chapter 19), and blood (Chapter 10). It coordinates and controls body responses by the transmission of electrical impulses. Mucous membranes secrete mucus, a thick fluid that lubricates surfaces and protects underlying tissue. Serous membranes, which secrete a thin, watery fluid, line body cavities and cover organs. The term is also ratory, as compared with studies done in livapplied to the specimen itself.
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Identification of the physical, chemical and biological hazards to which workers are exposed to while working in a specific occupational environment. Communicate effectively with individuals, family and community using tools and techniques of information, education, communication. To do so, the student should : (a) Appreciate principles of communication and barriers to effective communication. Use every opportunity for health education of the individual, family and the community. Common health problems (Medical, Social, Environmental, Economic, Psychological) of urban slum dwellers. Elicit the clinico-social history to describe that agent, host and environmental factors that determine and influence health. Apply principles of epidemiololgy in carrying out epidemiological studies in the community. Communication the student should be able to communicate effectively with family members at home; patients at clinics or at homes; individuals, family or a group for health educationl; peers at scientific forums. Team activity Work as a member of the health team; in planning and carrying out fieldwork like school health. Environmental sanitation Collect water samples for microbiological evaluation; chlorination of water; estimate the chlorine demand of water; estimate the residual chlorine of water; insecticides: their proper storage and use in control of vectors. Communicable and Non-communicable diseases (including social problems) (a) Eliciting clinco-social history and examining the patient for diagnosis and treatment. Course and Curriculum of M D Community Medicine 57 (b) Collection of appropriate material for microbiological, pathological or biochemical tests. Occupational Health (a) Inspection of work sites (b) Recommendation in improving work sites. Considerable advances have taken place in the understanding of dermatological disorders and their treatment. Leprosy is still a public health problem of considerable magnitude in the country. Very few medical college in the country impart sufficient knowledge about these diseases at Undergraduate level and Postgraduate courses are not available in all medical colleges.
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Picking on each other only occur sometimes if a bird gets hurt so it bleeds, then the others want to pick on the wound out of curiosity. Slaughter and sales the birds are slaughtered when they are 35 days old, with a live weight of 1. Then they clean with water and soap, which is dissolving, followed by flushing with water. Broiler slaughter house outside Lusaka Before you are allowed to enter the slaughterhouse you must change clothes, put on a hair net, dip your boots in a foot bath and wash and disinfect your hands. Transport Usually the chickens are fasted 8-10 hours before transport to the slaughterhouse. Our guide did not know how long time it takes to transport the broiler chickens from the farmers to the slaughter house, but some farms are situated quite far away. Euthanasia the chickens are hung upside down on a conveyor belt that puts the heads in a water bath with electricity. The water bath does not work as stunning, though the voltage is only 40 V for 11 seconds. The purpose is to paralyze the chickens so that they are easier to handle (according to a local source). The animals can still feel pain when they are passed on to the killing station, where the throats are cut up mechanically, so they bleed to death. This process is monitored by a Muslim representative to ensure that it is approved halal slaughter. Evisceration the visceral organs are removed and then the carcass is washed on the inside and outside with water. The processing plant has three blast freezers, where the chickens are kept before storing, and two holding freezers, where the products are stored. Up cutting and packaging the chickens are packaged both whole and cut up and packaged in pieces such as drumsticks, wings, thighs, fillets etc. Growth rate the results show that the experimental group consumed more feed than the control group during the age of 20-34 days. Unfortunately, no data on feed consumption exists for the last period of the study. Also weight gain was greater for the experimental group, throughout the full experimental period, at the age of 20-42 days.
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