Welcome to my Home Page!

    To Japanese pages

    To German pages


Translation Samples

Want to observe acupuncture in Japan? Take a look here 


"It is my job to ensure, that patients do NOT NEED to see me ..."


I can also be found on some blogs (not all are shown here), but not everything is in English.



"Buy discount septra 480 mg online, symptoms lung cancer."

By: Jonathan Handy

  • Consultant in Intensive Care Medicine,Royal Marsden Hospital,Honorary Senior Lecturer,Imperial College London

We do not disclose personal information for these marketing purposes unless the member consents medicine go down discount 480mg septra. We also have policies addressing circumstances in which members are unable to medicine kit septra 480 mg low cost give consent symptoms lyme disease purchase septra 480 mg with amex. Department of Labor and available at the Public Disclosure Room of the Employee Benefits Security Administration medicine on time order septra 480 mg. Obtain, upon written request to the Plan Administrator, copies of documents governing the operation of the Plan, including insurance contracts, collective bargaining agreements, and copies of the latest annual report (Form 5500 Series), and an updated Summary Plan Description. The Plan Administrator is required by law to furnish each participant with a copy of this summary annual report. Continue Group Health Plan Coverage Note: this sub-section applies to the Plan if your Employer employs 20 or more employees in accordance with a formula mandated by federal law. Continue health care coverage for yourself, your spouse, or your dependents if there is a loss of coverage under the Plan as a result of a qualifying event. Reduction or elimination of exclusionary periods of coverage for preexisting conditions under your group health plan, if you have creditable coverage from another plan. Without evidence of creditable coverage, you may be subject to preexisting condition exclusion for 12 months after your enrollment date in your coverage under this Plan. Contact your Plan Administrator for assistance in obtaining a certificate of creditable coverage. The people who operate your Plan, called "fiduciaries" of the Plan, have a duty to do so prudently and in your interest and that of other plan participants and beneficiaries. Enforce Your Rights If your claim for a welfare benefit is denied or ignored, in whole or in part, you have a right to know why this was done, to obtain documents relating to the decision without charge, and to appeal any denial, all within certain time schedules. For instance, if you request materials from the Plan and do not receive them within 30 days you may file suit in a federal court. In such a case, the court may require the Plan Administrator to provide the materials and pay up to $ 110 a day until you receive the materials, unless the materials were not sent because of reasons beyond the control of the Administrator. If you have a claim for benefits which is denied or ignored, in whole or in part, you may file suit in a state or federal court. If you are successful, the court may order the person you have sued to pay these costs and fees. If you lose, the court may order you to pay these costs and fees, for example, if it finds your claim is frivolous. Assistance with Your Questions If you have any questions about your Plan, you should contact the Plan Administrator. Department of Labor, listed in your telephone directory; or the Division of Technical Assistance and Inquiries, Employee Benefits Security Administration, U. However, the plan or issuer may pay for a shorter stay if the attending provider. Also, under federal law, plans and issuers may not set the level of benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay. In addition, a plan or issuer may not, under federal law, require that you, your physician, or other health care provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). However, you may be required to obtain precertification for any days of confinement that exceed 48 hours (or 96 hours). This coverage will be provided in consultation with the attending physician and the patient, and will be provided in accordance with the plan design, limitations, copays, deductibles, and referral requirements, if any, as outlined in your plan documents. If the plan or health insurance coverage designates a primary care provider automatically, then until you make this designation, Aetna designates one for you. If your Aetna plan allows for the designation of a primary care provider for a child, you may designate a pediatrician as the primary care provider. If your Aetna plan provides coverage for obstetric or gynecological care and requires the designation of a primary care provider then you do not need prior authorization from Aetna or from any other person (including a primary care provider) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals.

purchase septra 480 mg line

Other salvage therapies such as danazol symptoms your period is coming purchase septra 480mg without prescription, vinca alkaloids treatment locator 480mg septra with mastercard, cyclophosphamide symptoms 9f anxiety generic 480mg septra fast delivery, azathioprine and cyclosporine medications zanx 480mg septra otc, may be considered based on bleeding, clinical risks and patient-specific considerations. The Canadian experience using plasma exchange for immune thrombocytopenic purpura. Combined plasma exchange and platelet transfusion in immune-mediated thrombocytopenic emergencies. Protein A columns for the treatment of patients with idiopathic thrombocytopenic purpura and other indications. Immune thrombocytopenia purpura: a pilot study of staphylococcal protein A immunomodulation in refractory patients. Refractory idiopathic thrombocytopenic purpura treated with immunoadsorption using tryptophan column. Plasmapheresis for idiopathic thrombocytopenic purpura unresponsive to intravenous immunoglobulin. International consensus report on the investigation and management of primary immune thrombocytopenia. Plasmapheresis in immune hematology: review of clinical outcome data with respect to evidence-based medicine and clinical experience. The phenotype of these disorders is variable, affecting predominately individuals in the third decade of life. Unfortunately, complications from chronic steroid administration include steroid resistance, dependency and the sequelae of long-term steroid use. For those with refractory disease, thiopurines, such as azathioprine and 6-mercaptopurine, are used. Intensive therapy (>2 sessions per week) resulted in a higher remission rate when compared to patients treated weekly. It is possible that this accounts for positive outcomes for adsorptive cytapheresis found in Asian, but not North American studies. For Cellsorba, venous whole blood is processed at 50 mL/min through the column for 60 minutes. The Adacolumn is relatively selective for removing activated granulocytes and monocytes. Duration and discontinuation/number of procedures the typical length of treatment is 5-10 weeks for Adacolumn and 5 weeks for Cellsorba. Adsorptive Depletion of Myeloid Lineage Leucocytes as Remission Induction Therapy in Patients with Ulcerative Colitis after Failure of First-Line Medications: Results from a Three-Year Real World, Clinical Practice. National Institutes of Health State of the Science Symposium in Therapeutic Apheresis: scientific opportunities in extracorporeal photopheresis. Adacolumn leucocytapheresis for ulcerative colitis: clinical and endoscopic features of responders and unresponders. A randomized, double-blind, sham-controlled study of granulocyte/monocyte apheresis for active ulcerative colitis. A large-scale, prospective, observational study of leukocytapheresis for ulcerative colitis: treatment outcomes of 847 patients in clinical practice. Efficacy and safety of granulocyte and monocyte adsorption apheresis for ulcerative colitis: a meta-analysis. The antibodies are believed to cause insufficient release of acetylcholine quanta by action potentials arriving at motor nerve terminals. These medications block fast voltage-gated potassium channels, prolonging presynaptic depolarization and thus the action potential, resulting in increased calcium entry into presynaptic neurons and increased release of acetylcholine. Studies have reported significant improvement following the combination treatment of corticosteroids and azathioprine. Repeated courses may be applied in case of neurological relapse, but the effect can be expected to last only up to 6 weeks in the absence of immunosuppressive therapy. LambertEaton myasthenic syndrome: epidemiology and therapeutic response in the national Veterans Affairs population. Plasma exchange and immunosuppressive drug treatment in the Lambert-Eaton myasthenic syndrome. Lambert-Eaton myasthenic syndrome: electro-physiological evidence for a humoral factor.

Purchase septra 480 mg line. Tips for Opiate Withdrawal.

purchase 480 mg septra otc

Tambiйn puede reducir el riesgo de tener un bebй con defectos de nacimiento del corazуn treatment plan 480 mg septra with mastercard, labio o boca medications cause erectile dysfunction purchase septra 480 mg visa. Usted necesita бcido fуlico para el crecimiento y reparaciуn de cada celula en su cuerpo treatment group order septra 480mg online. El cabello medications osteoporosis septra 480 mg without prescription, la piel y las uсas crecen cada dнa y, por eso, el бcido fуlico es muy importante. Acido Fуlico Cada Mujer, Cada Dнa Para mбs informaciуn sobre el бcido fуlico, envнe un correo electrуnico a preguntas@nacersano. Si usted se embaraza, esta vitamina puede reducir el riesgo de tener un bebй con un defecto de nacimiento. Hay dos maneras en que usted puede obtener los 400 microgramos (mcg) de бcido fуlico que su cuerpo necesita diariamente: · Comer una porciуn de un tipo de cereal que contiene todo el бcido fуlico que usted necesita diariamente. Muchos cereales no contienen suficiente бcido fуlico, asн que es importante leer la etiqueta de nutriciуn al lado de la caja. Nutrition Facts Serving Size: 1 cup (55g) Servings Per Container About 12 Amount Per Serving (Name of Cereal) with 1/2 cup skim milk Calories Calories from Fat 170 10 210 10 % Daily Value o · Tomar una vitamina suplementaria que contiene todo el бcido fуlico que necesita diariamente. Supplement Facts Serving Size: One Tablet Amount Per Serving Vitamin A Vitamin C Vitamin D Vitamin E Vitamin K Thiamin (B1) Riboflavin (B2) Niacin Vitamin B6 Folic Acid Vitamin B12 їComo puedo encontrar la cantidad de бcido fуlico en la etiqueta de nutriciуn? Encuentre la etiqueta de nutriciуn al lado de una caja de cereal o un frasco de vitaminas. Busque las palabras "folic acid" (бcido fуlico) or "folate" (folato) en la columna a la izquierda. Es importante que el porcentaje sea 100% de su "daily value" (necesidad diaria) para "бcido fуlico" o "folate". Use vitamin B12 fortified soymilk, vitamin B12 fortified meat analogues (food made from wheat gluten or soybeans to resemble meat, poultry, or fish), vitamin B12 fortified energy bars, and vitamin B12 supplements. Talk to a registered dietitian to make sure you are getting the vitamin B12 you and your baby need. La vitamina B12 se encuentra en alimentos de origen animal, como la carne de res, la leche y los huevos. Si no come estos alimentos, hable con su proveedor de atenciуn mйdica, es posible que necesite mбs vitamina B12. Use leche de soya fortificada con vitamina B12, sustitutos de carne fortificados con vitamina B12 (alimentos hechos de gluten de trigo o soya que parecen ser carne de res, aves o pescado), barras energйticas fortificadas con vitamina B12 y suplementos de vitamina B12. Use levadura nutricional como por ejemplo Vegetarian Support Formula (Red Star T-6635+). Hable con un nutricionista titulado para verificar que estб obteniendo la cantidad de vitamina B12 que usted y su bebй necesitan. Pregъntele a su proveedor de atenciуn mйdica si deberнa tomar pastillas o darse inyecciones de vitamina B12. It is possible for women to get most of the extra vitamins and minerals they need through a balanced and varied diet. Many pregnant women do not meet the recommended dietary intake of these nutrients. Lack of resources for a varied and balanced diet, a busy lifestyle, nausea, fatigue, and lack of knowledge are a few factors that may result in a woman not getting the nutrients she needs. This supplement formulation was suggested prior to the American Thyroid Association recommendation that all pregnant women receive 150 mcg/day of iodine supplements. Women taking more than 30 mg of elemental iron per day should take a daily prenatal vitamin with zinc and copper. All women who are able to become pregnant and who are pregnant are advised to take. A dose of 400 mcg of folic acid per day consumed during the preconception period and the first trimester has been shown to reduce the incidence of certain birth defects. Pregnant women who do not consume dairy products or restrict their salt intake may be at risk for iodine deficiency.

generic septra 480mg with mastercard

This document was approved by the sponsoring organizations and represents an evidence-based medications narcolepsy buy discount septra 480 mg line, broadly accepted consensus opinion treatment plan template buy generic septra 480mg. Recognizing the dynamic nature of clinical practice and practice parameters medicine ball slams cheap 480 mg septra with visa, the recommendations in this document should be considered applicable for up to treatment yeast infection home remedies buy 480mg septra fast delivery 5 years after publication. Measurement of baseline tryptase is recommended in patients with moderate or severe anaphylactic reactions to stings. Patient age and initiation of allergen immunotherapy: the update states there is no specific upper or lower age limit for initiating allergen immunotherapy. B Pediatrics: There is no specific lower limit for immunotherapy if indications are present (Summary Statements 17 and 18). B Elderly: There is no specific summary statement on immunotherapy in the elderly patient in the current update. The previous update recommended that the risk/benefit assessment be carefully evaluated in the elderly population because they might have comorbid medical conditions that could increase immunotherapy risk. The current update recognizes that some of these conditions can occur more frequently in older subjects, but they can also be present in younger subjects. The current update states that the risk/benefit assessment must be evaluated in every situation, but there is no absolute upper age limit for initiation of immunotherapy (Summary Statement 19). However, the text accompanying the summary statement includes a review of literature on the safety of immunotherapy in pregnancy. The update also suggests that discontinuation of immunotherapy should be considered if the pregnancy occurs during the build-up phase and the patient is receiving a dose unlikely to be therapeutic (Summary Statement 20). Local reactions: the current update includes several summary statements on local reactions, including discussions regarding: B relationship with systemic reactions (predictive value of a single local reaction or incidence of systemic reactions in patients with frequent large local reactions); B influence of glycerin and allergen content on local reactions; and B possible prevention with antihistamines and leukotriene receptor antagonists (Summary Statements 27-30). Systemic reactions, wait period after immunotherapy, and delayed systemic reactions: the update includes new summary statements on delayed systemic reactions, defined as occurring 30 minutes after the injection, and biphasic reactions. Delayed systemic reactions can occur without any preceding symptoms or can be part of a biphasic reaction. Several large studies demonstrate that lifethreatening anaphylactic reactions after 30 minutes are rare. Premedication and immunotherapy: the update includes 3 summary statements on premedication during accelerated (rush and cluster) and conventional build-up schedules. The specific medications used in immunotherapy premedication regimens are discussed and include antihistamines, leukotriene receptor antagonists, omalizumab, and combination pretreatment. The previous update suggested that imported fire ant rush immunotherapy had a similarly low risk. However, there are currently some conflicting data about the risk of imported fire rush immunotherapy, and premedication might be considered (Summary Statements 55 and 57). Cockroach immunotherapy: the update includes a new summary statement noting that there are limited data on the efficacy of cockroach immunotherapy (Summary Statement 71). The initial immunotherapeutic interventions, which included the use of preventive vaccines and xenogeneic antisera by Jenner, Pasteur, Koch, and von Behring, were effective for disease prevention. These initial efforts in immune modulation served as a model for later developments in allergen immunotherapy. From its empiric emergence in the early 1900s, when grass pollen inoculation was proposed as therapy for hay fever, allergen immunotherapy has progressed in both theory and practice from the passive immunologic approach to the active immunologic procedures pioneered by Noon5 and Freeman. Proof of the efficacy of allergen immunotherapy has accumulated rapidly during the past 30 years. Numerous well-designed controlled studies demonstrate that allergen immunotherapy is efficacious in the treatment of allergic rhinitis, allergic conjunctivitis, allergic asthma, and stinging insect hypersensitivity. Randomized controlled studies showed that allergen immunotherapy prevents the development of asthma in subjects with allergic rhinitis. Effective subcutaneous allergen immunotherapy appears to correlate with administration of an optimal maintenance dose in the range of 5 to 20 mg of major allergen for inhalant allergens. The selection of allergens for immunotherapy is based on clinical history, the presence of specific IgE antibodies, and allergen exposure. This parameter offers suggestions and recommendations derived from known patterns of allergen cross-reactivity. Recognizing that the immunotherapy terminology used to describe extract dilutions is sometimes ambiguous, the 2003 ``Allergen immunotherapy: a practice parameter' established standardized terminology for describing allergen immunotherapy extract dilutions, which is included in this and the 2007 update.


  • http://www.med.umich.edu/1info/fhp/practiceguides/breast/breast.pdf
  • http://espace.inrs.ca/3147/4/Bedard2015_Table%20S1-S2_Temperature%20Diagnostic.pdf
  • https://rsds.org/wp-content/uploads/2015/06/CRPS-Denver-2015-Chopra.pdf
  • https://race-and-social-justice-review.law.miami.edu/wp-content/uploads/2020/08/The-Impact-of-Racism-on-Maternal-Health-Outcomes-for-Black-Women.pdf