The Penis Dialogues the Long and the Short of IT
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Nail Anatomy and Physiology for the Clinician 1
Nail Anatomy and Physiology for the Clinician 1 The nails have several important uses, which are as they are produced and remain stored during easily appreciable when the nails are absent or growth. they lose their function. The most evident use of It is therefore important to know how the fi ngernails is to be an ornament of the hand, but healthy nail appears and how it is formed, in we must not underestimate other important func- order to detect signs of pathology and understand tions, such as the protective value of the nail plate their pathogenesis. against trauma to the underlying distal phalanx, its counterpressure effect to the pulp important for walking and for tactile sensation, the scratch- 1.1 Nail Anatomy ing function, and the importance of fi ngernails and Physiology for manipulation of small objects. The nails can also provide information about What we call “nail” is the nail plate, the fi nal part the person’s work, habits, and health status, as of the activity of 4 epithelia that proliferate and several well-known nail features are a clue to sys- differentiate in a specifi c manner, in order to form temic diseases. Abnormal nails due to biting or and protect a healthy nail plate [1 ]. The “nail onychotillomania give clues to the person’s emo- unit” (Fig. 1.1 ) is composed by: tional/psychiatric status. Nail samples are uti- • Nail matrix: responsible for nail plate production lized for forensic and toxicology analysis, as • Nail folds: responsible for protection of the several substances are deposited in the nail plate nail matrix Proximal nail fold Nail plate Fig. -
Vivid Dreams/ Problems Sleeping: Nausea/Upset Stomach: Itching/Rash
Addressing NRT Barriers • Assess the severity of symptoms (Is it tolerable?). • Assess Hx: onset, duration and any troubleshooting that has already taken place. If indicated, get history of these symptoms when not taking these medications. You may also ask how Pt. would normally treat these symptoms. • If symptoms are tolerable àdevelop troubleshooting plan with Pt. Inform Pt. that many symptoms will go away after a few days. Reassess at next visit, but ask Pt. to call if symptoms persist/worsen or become intolerable before next call/visit. • If symptoms are not tolerableàconsider changing products or dosages as applicable. Consult study physician, as needed. Refer Pt. to their personal physician, if needed (e.g., prescription strength creams). • All potential cardiac symptoms should be promptly reported to study physician. Advise Pt. to discontinue NRT when indicated or instructed by study physician. Vivid Dreams/ Problems Sleeping: - Assess if sleep is being disrupted. Is night waking normal for Pt. – what is Pts.’ normal routine? - May try taking patch off at night, keeping in mind cravings may be stronger in the AM. After a couple of nights, try again to wear patch overnight. If using more than 1 patch, may consider only wearing 1 at night. - May try removing patch at night and putting on 2 hours before waking, especially when early morning waking is part of routine. Otherwise, can set an alarm, put on patch, and go back to sleep. - Regulate eating and sleeping patterns and use sleep hygiene tips (relaxation training, avoid caffeine). - Do not smoke or use short-acting NRT within 1-2 hours of bedtime (especially if sleep initiation is the major complaint.) Nausea/upset stomach: - Ask if nausea is only after using gum/lozenge or also after smoking a cigarette. -
Facial Image Comparison Feature List for Morphological Analysis
Disclaimer: As a condition to the use of this document and the information contained herein, the Facial Identification Scientific Working Group (FISWG) requests notification by e-mail before or contemporaneously to the introduction of this document, or any portion thereof, as a marked exhibit offered for or moved into evidence in any judicial, administrative, legislative, or adjudicatory hearing or other proceeding (including discovery proceedings) in the United States or any foreign country. Such notification shall include: 1) the formal name of the proceeding, including docket number or similar identifier; 2) the name and location of the body conducting the hearing or proceeding; and 3) the name, mailing address (if available) and contact information of the party offering or moving the document into evidence. Subsequent to the use of this document in a formal proceeding, it is requested that FISWG be notified as to its use and the outcome of the proceeding. Notifications should be sent to: Redistribution Policy: FISWG grants permission for redistribution and use of all publicly posted documents created by FISWG, provided the following conditions are met: Redistributions of documents, or parts of documents, must retain the FISWG cover page containing the disclaimer. Neither the name of FISWG, nor the names of its contributors, may be used to endorse or promote products derived from its documents. Any reference or quote from a FISWG document must include the version number (or creation date) of the document and mention if the document is in a draft status. Version 2.0 2018.09.11 Facial Image Comparison Feature List for Morphological Analysis 1. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Pedicure: Nail Enhancements
All Hair Services Include Shampoo All Services Based on Student Availability Long Hair is Extra & Senior Price Available Hair Cuts: Color: (Does Not Include Cut & Style) Hair Cut (Hood dryer) $6.50 Retouch/Tint/PM Shine $14.50 With Blowdry $13.50 Additional Application $8.00 With Blowdry & Flat Iron $21.50 Color (All over color) $20.00 Foils Each $4.00 Hair Styles: Hair Length to Collar $38.00 Shampoo/Set $6.75 Hair Length to Shoulder $48.00 Spiral Rod Set $20.00 Hair Length past Shoulder $58.00 Shampoo/ Blowdry $9.00 Frosting with Cap $17.50 With Thermal Iron $13.00 Men’s Comb Highlight with Cut $15.00 With Flat Iron $15.00 With Press & Curl $18.00 Perms & Relaxers: (Includes Cut & Style) Wrap Only $6.50 Regular or Normal Hair $20.95 Wrap with Roller Set $10.50 Resistant or Tinted Hair $26.00 Fingerwaves with Style $17.50 Spiral or Piggyback $36.00 Twists $3.00 Relaxer $35.00 Straight Back $20.00 Curled $15.00 Other Hair Services: Spiral $20.00 Shampoo Only $2.00 French Braids with Blowdry $15.00 Line-up $3.00 Under 10 Braids $20.00 Deep Condition $5.00 Over 10 Braids $25.00 Keratin Treatment $15.00 Braid Removal $15.00 Updo or French Roll $20.00 Manicure: Spa Manicure $9.50 Waxing: French Manicure $8.00 Brow $6.00 Manicure $6.42 Lip $5.00 Chin $5.00 Pedicure: Full Face $15.00 Spa Pedicure $20.00 Half Leg $15.00 French Pedicure $17.00 Full Leg $30.00 Pedicure $15.00 Underarm $15.00 Half Arm $10.00 Nail Enhancements: Full Arm $15.00 Shellac (French $2) $15.00 Mid Back & Up $15.00 Overlay (Natural Nail) $12.00 Full Back $25.00 Acrylic Full Set $16.50 Bikini $25.00 Gel Full Set $18.00 Fill-in Gel & Acrylic $12.00 Massages: Nail Repair( Per Nail) $2.00 Relaxation $15.00 Soak Off $3.00 Deep Tissue $19.95 Nail Art (Per Nail) $1.00 Other Nail Services: Nails & Waxing Services Taxable Polish Change $4.00 Nails Clipped $5.00 Paraffin Dip Wax $5.00 . -
GLOSSARY of MEDICAL and ANATOMICAL TERMS
GLOSSARY of MEDICAL and ANATOMICAL TERMS Abbreviations: • A. Arabic • abb. = abbreviation • c. circa = about • F. French • adj. adjective • G. Greek • Ge. German • cf. compare • L. Latin • dim. = diminutive • OF. Old French • ( ) plural form in brackets A-band abb. of anisotropic band G. anisos = unequal + tropos = turning; meaning having not equal properties in every direction; transverse bands in living skeletal muscle which rotate the plane of polarised light, cf. I-band. Abbé, Ernst. 1840-1905. German physicist; mathematical analysis of optics as a basis for constructing better microscopes; devised oil immersion lens; Abbé condenser. absorption L. absorbere = to suck up. acervulus L. = sand, gritty; brain sand (cf. psammoma body). acetylcholine an ester of choline found in many tissue, synapses & neuromuscular junctions, where it is a neural transmitter. acetylcholinesterase enzyme at motor end-plate responsible for rapid destruction of acetylcholine, a neurotransmitter. acidophilic adj. L. acidus = sour + G. philein = to love; affinity for an acidic dye, such as eosin staining cytoplasmic proteins. acinus (-i) L. = a juicy berry, a grape; applied to small, rounded terminal secretory units of compound exocrine glands that have a small lumen (adj. acinar). acrosome G. akron = extremity + soma = body; head of spermatozoon. actin polymer protein filament found in the intracellular cytoskeleton, particularly in the thin (I-) bands of striated muscle. adenohypophysis G. ade = an acorn + hypophyses = an undergrowth; anterior lobe of hypophysis (cf. pituitary). adenoid G. " + -oeides = in form of; in the form of a gland, glandular; the pharyngeal tonsil. adipocyte L. adeps = fat (of an animal) + G. kytos = a container; cells responsible for storage and metabolism of lipids, found in white fat and brown fat. -
Tasmanian Hardwood Strip Flooring on Joists Guide for Installing
TASMANIAN HARDWOOD STRIP FLOORING ON JOISTS installation guide These instructions apply to quality Tasmanian strip flooring fixed over joists in residential applications. STRIP FLOOR ON JOISTS TOP NAILED SECRET NAILED END MATCHED TOOLS Simple tools are adequate in most applications. Necessary tools are: Tool Requirement Checklist Pencil, tape measure and square Hammer, punch and nail bag Stringline, spirit level and straight edge Hand saw and jig saw Safety glasses, dust mask and knee pads Spacers (about 100mm long and 2 mm thick) Rubber mallet, broom and vacuum cleaner Framing chisel For specialist applications, a drop saw, an air power staple gun, a power actuated fastener system and a cramping system may be useful. MATERIALS Use quality boards of the correct thickness. Grade descriptions for strip flooring are set out in the Australian Standard AS 2796 and are available at: www.tastimber.tas.gov.au. Boards at least 19 mm thick are needed to span 450 mm. Board width - Only secret nail boards up to 85 mm cover width. Secret nailed flooring is fixed through the tongue of specially profiled boards. Since they are only secured with one fastener per joist or batten, their width is limited to 85 mm cover. Board over 85 cover must be top nailed with two fasteners per joist. Use the correct nails for the job. The nail sizes required by Australian Standard 1684 are: Nail sizes for T & G flooring to joists* Nail sizes for T & G flooring to plywood substrate* Nailing Softwood Hardware & Strip flooring Rec. nailing (min.15mm substrate) joists cypress joists thicknes (mm) Hand 65 x 2.8 mm 50 x 2.8 mm 38 x 16 guage chisel point staples or driven bullet head bullet head 19 or 20 38 x 2.2 mm nails at 300mm spacing 32 x 16 guage chisel point staples or Machine 12,19 or 20 driven 65 x 2.5 mm 50 x 2.5 mm 30 x 2.2 mm nails at 200mm spacing *Alternative fasteners can be used for substrates types not listed subject to manufacturers’ recommendation. -
Regional Handwashing Policy
SOUTHERN CALIFORNIA GRADUATE MEDICAL EDUCATION POLICY AND PROCEDURE POLICY INFECTION PREVENTION AND CONTROL POLICIES EFFECTIVE DATE: SECTION: AND PROCEDURES 7/1/2014 TITLE: Hand Health & Hygiene Page: 1 of 8 BACKGROUND Studies have shown that handwashing causes a reduction in the carriage of potential pathogens on the hands. Microorganisms proliferate on the hands within the moist environment of gloves. Handwashing results in the reduction of patient morbidity and mortality from health care associated infections. The Centers for Disease Control and Prevention states that handwashing is the single most important procedure for preventing health-care associated infections. Artificial nails are more likely than natural nails to harbor pathogens that can lead to health care associated infections. There are four types of hand washing (see body of policy for detailed instructions): TYPE PURPOSE METHOD Routine Handwashing To remove soil and transient Wash hands with soap and microorganisms. water for at least 15 seconds. Hand antisepsis To remove soil and remove or Wash hands with antimicrobial destroy transient soap and water for at least 15 microorganisms. seconds. Hand rub/degerming To destroy transient and Rub alcohol-based hand resident microorganisms on degermer into hands vigorously UNSOILED hands. until dry. Surgical hand scrub To remove or destroy transient Wash hands and forearms with microorganisms and reduce antimicrobial soap and water resident flora. with brush to achieve friction. Or alcohol-based preparation rubbed vigorously -
1 the Ph of the Human Nail Plate S Murdan*, G
The pH of the human nail plate S Murdan*, G Milcovich and G S Goriparthi Department of Pharmaceutics, UCL School of Pharmacy, 29-39 Brunswick Square, London, WC1N 1AX, UK *corresponding author Tel: +44-2077535810; Fax: +44-2077535942; [email protected] Keywords: nail, pH, surface, tape stripping, washing, gender, acidity The work described in this paper was supported by The School of Pharmacy, University of London (now UCL School of Pharmacy). 1 ABSTRACT In this Chapter, measurements of the nailplate pH are reported. Measurements were conducted in vivo in 37 volunteers with healthy finger and toe nails, using a skin pH meter. The pH of unwashed and washed fingernails and the big toenails was measured and the influence of washing, anatomical site (fingers/toes), side (left/right), finger digit (digits 1-5) and gender were determined. The pH of the nail plate surface was around 5. There was no significant difference between the sides i.e. right or left hand/foot, among the ten fingernails, and between the two great toenails. However, toenails had a significantly higher pH than fingernails. Washing the nails caused an immediate, but transient increase in pH, which was not sustained with time, and pH returned to pre- washing levels within 20 minutes. In males, washing did not significantly influence finger or toe nailplate pH. In females however, washed fingernails had a significantly higher pH than unwashed ones, while there was no difference in the pH of the toenails. The pH of the nail plate interior, measured after tape-stripping, was found to be slightly lower than that at its surface. -
White Nail As a Static Physical Finding: Revitalization of Physical Examination
Case Report White Nail as a Static Physical Finding: Revitalization of Physical Examination Ryuichi Ohta 1,* and Chiaki Sano 2 1 Community Care, Unnan City Hospital, 699-1221 96-1 Iida, Daito-cho, Unnan 699-1221, Shimane Prefecture, Japan 2 Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo 693-8501, Shimane Prefecture, Japan; [email protected] * Correspondence: [email protected]; Tel.: +81-9050605330 Abstract: Physical examinations are critical for diagnosis and should be differentiated into static and dynamic categories. One of the static findings is white nail, such as Terry’s and Lindsay’s nails. Here, we report the cases of two older patients with acute diseases who had nail changes that aided evaluation of their clinical course. Two elderly women who presented with acute conditions were initially thought to have normal serum albumin levels. They were found to have white nail with differences in nail involvement of the first finger, which subsequently revealed their hypoalbuminemia. The clinical courses were different following the distribution of nail whitening. Our findings show that examination of a white nail could indicate the previous clinical status more clearly than laboratory data. It can be useful for evaluating preclinical conditions in patients with acute diseases. Further evaluation is needed to establish the relationship between clinical outcomes and the presence of white nail in acute conditions among older patients. Citation: Ohta, R.; Sano, C. White Keywords: Lindsay’s nail; nail findings; nutritional assessment; physical examination; Terry’s nail; Nail as a Static Physical Finding: white nail Revitalization of Physical Examination. -
Mandible Biomechanics and Continuously Erupting Teeth: a New Defect Model for Studying Load-Bearing Biomaterials
biomedicines Article Mandible Biomechanics and Continuously Erupting Teeth: A New Defect Model for Studying Load-Bearing Biomaterials Jonathan Z. Baskin 1,2,3,*, Brandon M. White 3 , Amit Vasanji 4 , Thomas E. Love 5 and Steven J. Eppell 3 1 Department of Otolaryngology-Head & Neck Surgery, Cleveland VA Medical Center, Cleveland, OH 44106, USA 2 Department of Otolaryngology-Head & Neck Surgery, Case Western Reserve University, Cleveland, OH 44106, USA 3 Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, USA; [email protected] (B.M.W.); [email protected] (S.J.E.) 4 ERT Inc., Cleveland, OH 44114, USA; [email protected] 5 Population Health Research Institute, The MetroHealth System and Departments of Medicine and Population & Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH 44106, USA; [email protected] * Correspondence: [email protected]; Tel.: +216-791-3800 (ext. 63111) Abstract: Animals with elodont dentition and unfused mandible symphyses are hypothesized to have symmetric incisor morphology. Since these animals maintain their teeth by gnawing, they may provide physiologic feedback on mechanical function when unilateral mandible defects are created that manifest as ipsilateral changes in tooth structure. This defect model would potentially Citation: Baskin, J.Z.; White, B.M.; generate important information on the functional/mechanical properties of implants. Rats’ and Vasanji, A.; Love, T.E.; Eppell, S.J. rabbits’ mandibles and teeth are analyzed with µCT at baseline and post-intervention (n = 8 for each). Mandible Biomechanics and Baseline incisors were compared. In a unilateral mandible pilot study, defects—ranging from critical Continuously Erupting Teeth: A New size defect to complete ramus osteotomies—were created to assess effect on dentition (rats, n = 7; Defect Model for Studying rabbits, n = 6). -
Pretty Scary 2 Unmasking Toxic Chemicals in Kids’ Makeup
Prevention October 2016 Starts Here Campaign for Safe Cosmetics Pretty Scary 2 Unmasking toxic chemicals in kids’ makeup breastcancerfund.org 1 Acknowledgements Developed and published by the Breast Cancer Fund and spearheaded by their Campaign for Safe Cosmetics, this report was written by Connie Engel, Ph.D.; Janet Nudelman, MA; Sharima Rasanayagam, Ph.D.; Maija Witte, MPH; and Katie Palmer. Editing, messaging and vision were contributed by Denise Halloran and Erika Wilhelm. Sara Schmidt, MPH, MSW, coordinated the purchasing of products reviewed in this report and worked closely with partners to share the message. Thank you to James Consolantis, our contributing content specialist and Rindal&Co for design direction. WE ARE GRATEFUL FOR THE GENEROUS CONTRIBUTIONS FROM OUR FUNDERS: As You Sow Foundation, Jacob and Hilda Blaustein Foundation, Lisa and Douglas Goldman Foundation, Park Foundation, Passport Foundation, and the Serena Foundation. breastcancerfund.org 2 Our partners in purchasing products Pam Miller, Alaska Community Action on Toxics, Alaska Brooke Sarmiento, BEE-OCH Organics, Colorado Sara Schmidt, Breast Cancer Fund, California Susan Eastwood, Clean Water Action, Connecticut Anne Hulick, Clean Water Action, Connecticut Johnathan Berard, Clean Water Action, Rhode Island Lauren Carson, Clean Water Action, Rhode Island Cindy Luppi, Clean Water Action, Massachusetts Kadineyse Ramize Peña, Clean Water Action, Massachusetts Elizabeth Saunders, Clean Water Action, Massachusetts Sara Lamond, Fig & Flower, Georgia Beverly Johnson,