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Additional information Human and animal faeces contain disease-causing microorganisms. The transfer of microorganisms from one surface to another is called "contamination". Hands are one of the most common means of moving microorganisms from one place to another. Additional information If a food handler is infected with a virus and continues to prepare food, some viruses may be passed on to the consumer via the food. Hepatitis A and Norovirus are examples of viruses which can be transmitted in this way. Zoonoses are communicable diseases caused by microorganisms transmitted from animals to humans. Avian influenza can be transmitted to humans through direct contact with an infected bird or objects contaminated by their faeces. Considerations and suggestions for the trainer Give a demonstration of contamination by touching your hand to your face and then touching some food with that same hand. Discuss a local foodborne disease outbreak, including the cause of the outbreak and what could be done to prevent infection in humans. Meat, seafood, cooked rice, cooked pasta, milk, cheese and eggs are foods that provide ideal conditions for microorganisms to grow. Considerations and suggestions for the trainer Additional information One bacterium can become 2 in just 15 minutes. Discuss local foods that do and do not provide the ideal conditions for growth of microorganisms. Dried beans, pebbles or other objects can be used to demonstrate bacterial growth. As an example of quick growth start with one object, in 15 seconds make it two objects, in another 15 seconds make it 4 objects and in another 15 seconds make it 8 objects, etc. Please note that 15 seconds is used instead of 15 minutes so that it is possible to show how bacteria grow during a training session. Every year, billions of people experience one or more episodes of foodborne disease, without ever knowing that their illness was caused by food. The most common symptoms of foodborne disease are: Stomach pains; Vomiting; and Diarrhoea. Symptoms may occur very quickly after eating the food, or may take days or even weeks to appear. For most foodborne diseases, symptoms occur 24 -72 hours after the food has been eaten. Very severe diseases, including cancer, arthritis and neurological disorders can be caused by contaminated food. Additional information For infants, the sick, pregnant women and the elderly, the consequences of foodborne disease are usually more severe and more often fatal. It is estimated that 3% of cases of foodborne disease can lead to long-term health problems. Mouth masks are recommended for people who may cough or sneeze while handling food. Advice on treatment of foodborne illness differs between countries and should be adapted to the local region. However, one should seek medical advice when bowel movements are very frequent, very watery or contain blood, or last beyond 3 days. However, if this cannot be avoided, wash your hands with soap and water first and frequently during food preparation. Considerations and suggestions for the trainer Some foodborne diseases can be transferred from person to person. Food industry workers need to notify their employers of the following: Hepatitis A, diarrhoea, vomiting, fever, sore throat, skin rash, other skin lesions. High risk activities such as slaughtering and preparing ready to eat foods may require special personal protective equipment.

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Amastigotes in aspirates of spleen bone marrow, enlarged lymph nodes, and in peripheral blood monocytes. Formal get test; is a non-specific screening test for marked increases in IgG Relevance to Ethiopia In Ethiopia, Ieishmaniasis is caused by four species of Leishmania, namely, L. Many lowlands surrounding the central Ethiopian Highlands are known to be endemic areas. Mostly males are affected because of occupational activity (Helmut K and Ahmed Z, 1993). Procavia habessinica and Heterohyrax brucei are the main animal reservoir hosts for L. Frequently parasites infect not just the reticuloendothelial system but also the lungs, central nervous system, normal skin and blood. Parasites have been found in phagocytic cells in peripheral blood in upto 75% of patients (98%) in bone marrow aspirate. Severe diffuse cutaneous leishmaniasis and recurring cutaneous and mucocutaneous leishmaniasis are. Leishmania Mexican complex Geographical Distribution:-Central and southern America mainly in the rain forest of Mexico, Brazil, Guatemala, Venezuela. Habitat: Amastigote: Reticulo endothelial cells of the skin promastigote: In the gut of Lutzomyia sandfeies Morphology: Has amastigote and promastigote Life Cycle:-Same as the life cycle of Leishmania tropica except that the vectors are new world sand flies Pathology:-Causes new world coetaneous leishmaniasis. Parasitology 73 Leishmania braziliensis complex Geographical Distribution:-Tropical forests of South America and Central America. Reservoir hosts are rodents and some domestic animals Habitat: Amastigote:- In the reticulo-endothelial cells of muco-cutaneous tissues of nose, mouth, lips, larynx. Promastigote:- In the gut of Lutzomyia sandfeies Morphology: Has amastigote and promastigote stages. Life cycle:-Lutzomyia sandfeies are the main vectors and man acquires infection from enzootic area. Leishmania Mexican complex and Leishmania braziliensis complex have similar prevention and control methods and laboratory diagnosis as presented below: Prevention and Control 1. Amastigotes in stained smears taken from infected ulcers, lesions, sores and nodules 2. Immunologic tests Parasitology 74 Relevance to Ethiopia:- the parasite is not recorded in Ethiopia. Trypanosoma gambiense Geographical Distribution: West and western central Africa, extending from Senegal across to Sudan and down to Angola. Trypanosoma brucei complex (group) Trypanosoma brucei brucei (infective to animal but not humans) and the human pathogens Trypanosoma brucei rhodesiense (causing acute trypanosomiasis) and T. Metacyclic trypomastigotes: In the mid and fore gut of the Glossina (tsetse flies) Morphology: has trypomastigote and metacyclic trypomastigote stages Life cycle: It requires two hosts to complete its life cycle, species of Glossina as an intermediate host and man and other animals as a reservoir host. Trypanosoma gambiense is a saliverian trypanosome in which the trypomastigotes develop in the mid and fore gut of the insect vector so that infection is acquired through inoculation of the metacyclic trypomastigotes into the subcutaneous tissues with the saliva. In the blood vessels the metacyclic trypomastigots transforms into trypomastigots stage. There is multiplication of the parasites in the mammalian host and the insect vectors. The parasites can also be Parasitology 75 transmitted through blood transfusion, and congenitally. Trypanosoma rhodesiense Geographical Distribution: East Africa, Central Africa, and Southern Africa, extending from Ethiopia down to Botswana. Morphology: has trypomastigote and metacyclic trypomastigote stages that are morphological similar to trypomastigote and metacyclic trypomastigote stages of T. The disease is transmitted naturally by wood land and savannah tsetse flies and also by blood transfusion. It is a zoonosis and has low prevalence, sporadic form of infection, and more prevalent in male than in females. Vector control: - By spraying vehicles with insecticide as they enter and leave the tse-tse fly infested area, -By using and maintaining insecticide impregnated tse-tse fly traps, -By selectively clearing the bush and wood areas especially around game reserves, water holes, bridges, and along river blanks. Thick or thin stained blood films or buffy coat from Micro-haematocrit or capillary tube centrifugal concentration technique. Relevance to Ethiopia Animal trypanosomiasis (Nagna or gendi) always has been a problem in many parts of Ethiopia (Tedla S, A. The species of vector of trypanosomiasis are to be found in Ethiopia are: 1) From the palpalis groupGlossina fuscipes fuscipes and G.

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Molecular assays also exist that can specifically detect O157:H7 strains using unique mutational markers. Enrichment cultures that are positive for Stx are plated on agar media, and multiple isolates are then tested for Stx genes, in order to obtain a pure culture isolate. This process is both time-consuming and labor-intensive and may require screening hundreds of isolates. Other symptoms may include cramps, vomiting, fever, chills, and a general sense of not feeling well. The difference in the dose may depend on which virulence plasmid these pathogens harbor. Illness / complications: the illness generally is self-limiting, with no known complications. Once internalized, the vacuoles are lysed, the bacteria multiply intracellularly, and spread laterally to other cells. Resources Loci index for genome GenBank Taxonomy Database GramPositive Bacteria Bad Bug Book Foodborne Pathogenic Microorganisms and Natural Toxins Clostridium perfringens 1. Organism For Consumers: A Snapshot Once this bacterium (estimated to be the second leading bacterial cause of foodborne illness in the U. Symptoms include pain and gassy bloating in the abdomen, diarrhea (maybe bloody), and vomiting. Knowing more about the bacterium, Clostridium perfringens, can help you understand how to protect yourself. Spores of the organism persist in soil, sediments, and areas subject to human or animal fecal pollution. Depending on the strain, it may also develop as more severe gastroenteritis that leads to damage of the small intestine and, potentially, but rarely, fatality. Infective dose: Symptoms are caused by ingestion of large numbers (> 106) vegetative cells or >106 spores/g of food. Toxin production in the digestive tract (or in vitro) is associated with sporulation. Onset: Symptoms occur about 16 hours after consumption of foods containing large numbers (>106 live vegetative cells or >106 spores) of C. Elderly people are more likely to have prolonged or severe symptoms, as are immunocompromised people. Symptoms: Gastroenteritis form: Common characteristics include watery diarrhea and mild abdominal cramps. Pig-bel disease involves production of beta toxin, which is highly trypsin-sensitive. Target populations Institutional settings (such as school cafeterias, hospitals, nursing homes, prisons, etc. As with other infections, immunocompromised people are at higher risk of severe illness than are others;. Serological assays are used for detecting enterotoxin in the feces of patients and for testing the ability of strains to produce toxin. Other Resources: Loci index for genome Clostridium perfringens from GenBank Bad Bug Book Foodborne Pathogenic Microorganisms and Natural Toxins Staphylococcus aureus 1. Organism For Consumers: A Snapshot this bacterium, often called "Staph" for short, can cause food poisoning. Staphylococcus aureus is found in foods and can make toxins (enterotoxins) that might not be destroyed by cooking, although the bacterium itself can be destroyed by heat. In more severe cases, the toxins may cause loss of body fluid (dehydration), headache, muscle cramps, and temporary changes in blood pressure and heart rate. The illness usually is intense, but normally lasts from just a few hours to a day. Examples of foods that have been linked to this type of food poisoning include meat and meat products; poultry and egg products; salads, such as egg, tuna, chicken, potato, and macaroni; bakery products, such as creamfilled pastries, cream pies, and chocolate йclairs; sandwich fillings; and milk and dairy products. Staphylococcal enterotoxins can act as superantigens capable of stimulating an elevated percentage of T-cells. Staphylococci are atypical, in that they are able to grow at low levels of water activity, with growth demonstrated at aw as low as 0. They are resistant to proteolytic enzymes, such as trypsin and pepsin, which allows them to transit intact through the digestive tract.

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N Treatment Options Medical Patients who have asymptomatic, small (3 cm), bilaterally enlarged cervical lymph nodes can be observed. Those with signs and symptoms typical of acute bacterial lymphadenitis (large, tender, erythematous unilateral node with no systemic symptoms) can be treated empirically for S. If cellulitis is present or if the patient is having severe symptoms, parenteral nafcillin, cefazolin, or clindamycin is appropriate. When lymphadenitis is secondary to dental infection, anaerobic infection should be suspected and clindamycin or penicillin plus metronidazole is effective. Azithromycin, trimethoprim­sulfamethoxazole, or rifampin is effective early in the course of disease in preventing abscess formation if cat-scratch disease is suspected. Children 40 kg: 25­45 mg/kg/day divided every 12 hours using either 200 mg/5 mL or 400 mg/5 mL suspension. Children 40 kg and adults 875 mg twice daily Clindamycin: Inhibits bacterial protein synthesis by binding to bacterial 50S ribosomal subunits G Children 16 years Oral: total dose of 8­25 mg/kg/day in 3­4 divided doses Parenteral: 15­20 mg/kg/day G Adults Oral: 300 mg three times daily Parenteral: 1. Trimethoprim inhibits dihydrofolic acid reduction and sulfamethoxazole interferes with dihydrofolic acid. G Children 2 months Total dose trimethoprim 8­12 mg/kg/day in divided doses every 12 hours or 20 mg/kg/day in divided doses every 6 hours for serious infections G Children 40 kg or adults Oral: Trimethoprim 160 mg every 12 hours Parenteral: Trimethoprim 2 mg/kg every 6 hours Surgical Incision and drainage is useful if there is an abscess, especially due to S. Surgical excision or curettage is effective if nontuberculous mycobacterial infection is the cause. Removal of the largest node and necrotic nodes is sufficient because the remaining adenopathy will resolve spontaneously. N Complications Infection control is essential if a postoperative complication occurs. N Outcome and Follow-Up the patient can return home after incision and drainage or surgical excision, but close monitoring is necessary because of the potential complications. Mediastinal abscesses, purulent pericarditis, thrombosis of the internal jugular vein, pulmonary emboli, or mycotic emboli are all rare, but serious complications. Cervical lymphadenitis resolves completely in the majority of patients who receive appropriate antibiotic therapy. They are divided broadly into hemangiomas and vascular malformations, each with a distinct natural history. Lymphatic malformations (aka, lymphangiomas) are defects in the lymphatic system that present as swellings or nodules in the skin or mucous membranes of the head and neck. The malformation of lymphatic tissue causes an accumulation of fluid, which accounts for the clinical presentation. They are more common in females than males, at a ratio of 3:1, and more common in Caucasians. Sixty percent of hemangiomas are located in the head and neck, including the upper aerodigestive tract, and 80% occur as single lesions. Lymphatic malformations are further divided into microcystic lymphatic malformations and macrocystic lymphatic malformations involving the soft tissue of the neck. Vascular malformations have no gender or racial predilection, and most commonly occur in the head and neck. Lymphatic malformations represent 6% of benign cervicofacial tumors of childhood; they are seen in less than 2. Patients with Down, Turner, or fetal alcohol syndrome have a higher incidence of lymphatic malformations. N Clinical Signs and Symptoms Hemangiomas Infantile hemangiomas are generally not present at birth and first appear during the first 6 weeks of life. The initial proliferative phase occurs over the first year, is characterized by rapid growth, and is followed by the involution phase with subsequent regression. Complete involution occurs in 50% of children by 5 years of age, 70% of children by 7 years of age, and 90% of children by 9 years of age. Vascular Malformations Vascular malformations are by definition present at birth but may go unrecognized.

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Diseases

  • Macrocephaly mesomelic arms talipes
  • Spondyloperipheral dysplasia short ulna
  • Ventricular fibrillation, idiopathic
  • Neuroepithelioma
  • Desmoplastic small round cell tumor
  • Cholelithiasis
  • Brachydactyly anonychia
  • Frydman Cohen Ashenazi syndrome
  • Benign familial infantile epilepsy
  • Dissociative hysteria

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Application of local anesthetics to skin and mucosal membranes as well as local and regional blocks usually easily to perform. Maximum doses (lidocaine 5 mg/kg ­ 7 mg/kg with Epi, tracheal lidocaine 2 mg/kg, marcaine 2 mg/kg ­ 3 mg/kg with Epi, cocaine 3 mg/kg, tetracaine 1. It has slow onset time ­ 30-60 min and prolonged duration (1/2 life 10 hr in toddlers). Midazolam has amnestic effect, short duration (half-life 100 min) and easily being 29 administered; reversibility (flumazenil 0. Severe respiratory depression can occur when narcotics are combined with midazolam. Fentanyl is potent opioid (100 times more potent than morphine) with rapid onset, intermediate duration (30-45 min) and reversibility (naloxone 0. The respiratory depressant effect is much longer (4 hr) than its analgesic effect. Nitrous oxide used alone in concentrations less than 50% is a useful mild anxiolytic, sedative agent which causes analgesia. Ketamine is an excellent analgesic and amnesic which can be given intravenously (0. It can cause copious secretions and lead to laryngospasm; it can also cause vivid dreams. Ketamine in large doses can cause an incompetent gag reflex, deep sedation or general anesthesia. Propofol has sedative and hypnotic effect, fast onset and extremely short duration time. The treatment of pain is a basic in medicine and applicable to every patient regardless of age. Children frequently receive no treatment, or inadequate treatment for pain and for painful procedures. The newborn and critically ill children are especially vulnerable to no treatment or under-treatment. Children less than 3 years of age or critically ill children may be unable to adequately verbalize when or where they hurt. Fears of opioid addiction are also causal factors in the under treatment of pediatric pain. Pain management in children is often dependent on the ability of parents to recognize and assess pain and on their decision to treat pr not to treat it. This is very much true in patients who are too young or developmentally delayed to self report pain. Pediatric pain service should provide the pain management for acute, postoperative, terminal, neuropathic and chronic pain. These agents are administered 30 enterally: oral, or rectal route and are very useful for inflammatory, bony, or rheumatic pain. Regardless of dose, the non-opioid analgesics reach a "ceiling effect" above which pain can not be relieved by these drugs alone. Rectal doses for acetaminophen being recommended by some authors are as high as 30-40 mg/kg as loading dose. Regardless of route of delivery, the daily maximum acetaminophen dose in the preterm, term, and older child is 60, 80, 90 mg/kg respectively. Factors to consider when opioids are appropriate are: pain intensity, patient age, co-existing disease, potential drug interactions, prior treatment history, physician preference, patient preference, and route of administration. All opioids are capable of treating pain regardless of its intensity if dose is adjusted appropriately and at equipotent doses most opioids have similar effects and side effects. Codeine, oxycodone (Tylox, Percocet) and hydrocodone (Vicodin, Lortab) are opioids which are frequently used to treat pain in children and adults. They are most commonly administered in the oral form, usually in combination with acetaminophen or aspirin. In equipotent doses, codeine, oxycodone, and morphine are equal as analgesics and respiratory depressants. The analgesic effects for codeine and oxycodone occur in ~ 20 min following oral intake and reach maximum at 60-120 minutes. Approximately 10% of codeine is metabolized into morphine and is responsible for analgesic effect.

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Completion of differentiation results in the formation of tissues and organs that are capable of performing specialized functions. Folding occurs in both the median and horizontal planes and results from rapid growth of the embryo. The growth rate at the sides of the embryonic disc fails to keep pace with the rate of growth in the long axis as the embryo increases rapidly in length. Folding at the cranial and caudal ends and sides of the embryo occurs simultaneously. Concurrently, there is relative constriction at the junction of the embryo and umbilical vesicle (yolk sac). Folding of the Embryo in the Median Plane Folding of the ends of the embryo ventrally produces head and tail folds that result in the cranial and caudal regions moving ventrally as the embryo elongates cranially and caudally (see. Head Fold By the beginning of the fourth week, the neural folds in the cranial region have thickened to form the primordium of the brain. Later, the developing forebrain grows cranially beyond the oropharyngeal membrane and overhangs the developing heart. Concomitantly, the septum transversum (transverse septum), primordial heart, pericardial coelom, and oropharyngeal membrane move onto the ventral surface of the embryo. During folding, part of the endoderm of the umbilical vesicle is incorporated into the embryo as the foregut (primordium of pharynx, esophagus, etc. The foregut lies between the brain and heart, and the oropharyngeal membrane separates the foregut from the stomodeum (see. After folding, the septum transversum lies caudal to the heart where it subsequently develops into the central tendon of the diaphragm (see Chapter 8). The head fold also affects the arrangement of the embryonic coelom (primordium of body cavities). Before folding, the coelom consists of a flattened, horseshoe-shaped cavity (see. After folding, the pericardial coelom lies ventral to the heart and cranial to the septum transversum (see. At this stage, the intraembryonic coelom communicates widely on each side with the extraembryonic coelom. Tail Fold Folding of the caudal end of the embryo results primarily from growth of the distal part of the neural tube-the primordium of the spinal cord. As the embryo grows, the caudal eminence (tail region) projects over the cloacal membrane (future site of anus). During folding, part of the endodermal germ layer is incorporated into the embryo as the hindgut (primordium of descending colon). The terminal part of the hindgut soon dilates slightly to form the cloaca (primordium of urinary bladder and rectum; see Chapters 11 and 12). Before folding, the primitive streak lies cranial to the cloacal membrane (see. The connecting stalk (primordium of umbilical cord) is now attached to the ventral surface of the embryo, and the allantois-a diverticulum of the umbilical vesicle-is partially incorporated into the embryo. The continuity of the intraembryonic coelom and extraembryonic coelom is illustrated on the right side by removal of a part of the embryonic ectoderm and mesoderm. Note that the septum transversum, primordial heart, pericardial coelom, and oropharyngeal membrane have moved onto the ventral surface of the embryo. Observe also that part of the umbilical vesicle is incorporated into the embryo as the foregut. Folding of the sides of the embryo produces right and left lateral folds (see. The primordia of the ventrolateral wall fold toward the median plane, rolling the edges of the embryonic disc ventrally and forming a roughly cylindrical embryo. As the abdominal walls form, part of the endoderm germ layer is incorporated into the embryo as the midgut (primordium of small intestine, etc. Initially, there is a wide connection between the midgut and umbilical vesicle (see. The region of attachment of the amnion to the ventral surface of the embryo is also reduced to a relatively narrow umbilical region. As the umbilical cord forms from the connecting stalk, ventral fusion of the lateral folds reduces the region of communication between the intraembryonic and extraembryonic coelomic cavities to a narrow communication (see. As the amniotic cavity expands and obliterates most of the extraembryonic coelom, the amnion forms the epithelial covering of the umbilical cord (see.

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Let us grant for a moment that hashish gives, or at least augments, genius-they forget that it is in the nature of hashish to weaken the w ill; so that what hashish gives with one hand it takes away with the other. The mescalin taker sees no reason for doing anything in particular and finds most of the causes for which, at ordinary times, he was prepared to act and suffer, profoundly uninteresting. Alexander Trocchi, "Trocchi on Drugs" All writing is addiction, and all writers are hooked. But (I rugs and w ritten words are matters of profound, sometimes isolating, solitude, the stuff of very private investigations that. Drugs take writers to extremes with which they are all too familiar: sentenced to find words for what seem to be intensely subjective and wordless worlds, weary and frustrated by the inexpressible, condemned to claustrophobic panic when the words run dry, and yet end lessly compelled to try, hunting through the bookshelves and I he streets in a desperate search for inspiration, stimulation, any kind of fix. The addict feels better if he knows that some alien substance is coursing through his blood stream. William Burroughs, Naked Lunch Give these writers drugs, and all the lines connect. Words break down, letters flicker on the screen, theories decompose, notes trip each other up, plans are trodden. The experience of the barrier be tween the subjective and the objective, the personal and impersonal, the / and the n o t-l disappearing. Tom Wolfe, the Electric Kool-Aid Acid Test And yet they all kept trying, and they still do: Jean Cocteau, Antonin Artaud, Henri Michaux, Alexander Trocchi, W illiam Burroughs. For this, Artaud despised him with a vengeance: For not having been believed when he came bearing the gift of his insane mucus, Gйrard de Nerval hanged him self from a streetlamp; and for not having been able to adapt himself to his mucus, the Count de Lautrйamont died of fury; and in the face of all this, what did Samuel Taylor Coleridge do? He transformed the mucus that was taken from him into opium, and so he took laudanum till the day he died. Coleridge had turned his back on the true darkness of reality, assuming the role of a guilt-ridden priest who "ended up for getting everything," so that he could tell his pretty tales of Xanadu. Artaud thought so, even s when his own w riting dived into depths of incommunicable madness. No doubt I shall go on writing, stumbling across tun dras of unmeaning, planting words like bloody flags in my wake. This perverse alliance, a dishonor among thieves, forms a link between opiated writers that has extended across time and space: Coleridge, Collins, Poe. They demand a corrective, without which they can have no contact with the outside world. Jean Cocteau, Opium Opium had set these scenes, but they were to repeat them selves with many other drugs. They could see one after the other of them being killed- run over, maimed, destroyed- but they continued to play anyhow. We really all were very happy for a while, sitting around not toiling but just bullshitting and playing, but it was for such a terribly brief time, and then the punishment was beyond belief: even when we could see it, we could not believe it. In A Thousand Plateaus, drug users are "considered as precursors or experimenters who tire lessly blaze new paths of life" but always run to the same dead ends: "They either join the legion of false heroes who follow the conformist path of a little death and a long fatigue. Or, what is worse, all they w ill have done is make an attempt only non-users or former users can resume and benefit from, secondarily rectifying the always aborted plane of drugs, dis covering through drugs what drugs lack. Take a dose of care with everything: "You have to keep enough of the organism for it to re-form each dawn. Poised on the border, addiction is not the only repetition that lies in wait for the w riter on drugs. There are other patterns and recurring themes, calls that echo through the work of them all. On both sides of the wound, we invariably find that the schism has already happened (and that it had al ready taken place, and that it had already happened that it had already taken place) and that it will hap pen again (and in the future, it will happen again): it is less a cut than a constant fibrillation. O f that time which we call the present, hardly a hundredth part but belongs either to a past which has fled, or to a future which is still on the wring. For again subdivide that solitary drop, which only was found to represent the present, into a lower series of similar fractions, and the actual present which you arrest measures now but the thirty-sixth m illionth of an h o u r.

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Steady the ham with a fork and cut a few slices from the thin side of the leg as shown. Pork Facts 31 Quick Facts Cues for the Conscientious Cook · Use an instant-read thermometer to determine when meat is cooked · Keep hot foods hot (140° F or above) and cold foods cold (40° F or below). Department of Agriculture recommends that pork be cooked to an internal temperature of 145° F, followed by a three-minute rest time (medium-rare), up to 160° F (medium). This range of cooking will result in a flavorful, tender and juicy eating experience. Protein power ­ Women who cut calories but included more protein, including six ounces of lean pork per day, kept more muscle mass while losing weight than women who consumed the same amount of calories but less protein. Pork Facts 33 Quick Facts Pork Cooking Times and Temperatures Method Cut Thickness/ Weight Internal Temp. Roast in a shallow pan, uncovered Crown Roast* Fresh Leg/Uncured Ham* Tenderloin* (roast at 425°F. Department of Agriculture, which recommends cooking roasts, tenderloins and chops to an internal temperature of 145° F, followed by a three-minute rest time, resulting in a flavorful, tender and juicy eating experience. Quick meals ­ cuts that cook in 30 minutes or less Chops: Loin, rib, sirloin, top loin, blade Tenderloin Cooking Tip: Paired with your favorite veggies, cubes of boneless chops or tenderloin make great kabobs. Ground Pork Ham Steaks Cooking Tip: For delicious pork burgers on the grill, form ground pork into 1/2-inch thick patties and broil 4 inches from heat for about 8 minutes. They will keep their flavor and tenderness better if slow-cooked in the oven or over indirect heat on the grill. Correctly cooked pork is juicy and tender, with a slight blush of pink in the center and will be ready when it reaches an internal temperature of 160° F. For large cuts of pork, cook to 150° F and allow the roast to sit on the counter about 10 minutes before cutting. A Plan for Preparation · Wash hands, all utensils, containers, cutting boards and work surfaces with warm soapy water for 20 seconds (count to 30) before and after handling meat or other food. Consuming a higherprotein diet also helped retain a sense of satiety or fullness after meals. Nutrient rich ­ One serving of pork tenderloin contains many vitamins and minerals. Pork Facts 33 Quick Facts Convenience Drives the Dinner Menu 75 percent of consumers decide what to prepare for an in-home dinner that same day. Four of the top five reasons listed for serving a specific dish revolve around time and ease. The best test of doneness is to use an instant-read meat thermometer to check the internal temperature. We recommend cooking pork chops, roasts and tenderloins to 160° F, which leaves the center pink and juicy. The temperature of the roast will continue to rise to 160°, and the pork juices will redistribute throughout the roast before slicing. From the safe and high-quality product on your plate to a medical lifesaving device and everything in between no other animal provides society with a wider range of products than the hog. Co-products from hogs play a vital though less visible role in maintaining and improving the quality of human life. Thanks to innovative research and new technologies, new and different co-products from hogs are constantly being developed. The amazing utility of the hog has motivated the saying, "We use everything but the oink. Hog heart valves, specially preserved and treated, are surgically implanted in humans to replace heart valves weakened by disease or injury. Since the first operation in 1971, thousands of hog heart valves have been successfully implanted in human recipients of all ages. Rapidly advancing science and technology are continually adding to the list of life-supporting and lifesaving products derived from the incredible hog. Hogs are powerful medicine: All told, hogs are a source of nearly 20 drugs and pharmaceuticals.

References:

  • https://www.nccn.org/patients/guidelines/content/PDF/aml-patient.pdf
  • https://bcomnm.org/wp-content/uploads/2020/07/BCOM-Syllabus-OMM-V.pdf
  • https://link.springer.com/content/pdf/10.1007%2F3-7643-7339-3_4.pdf
  • http://link.springer.com/content/pdf/10.1007%2F978-1-4899-7102-9_2.pdf
  • https://www.waters.com/webassets/cms/library/docs/720002487en.pdf
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