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Division learn the facts here now of Pulmonary and Critical Care Medicine, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, amoxil online usa San Francisco, CA, USA, , Email. [email protected]Publication date:01 July 2020More about this publication?. The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information amoxil online usa on lung health world-wide.

To share scientific research of immediate concern as rapidly as possible, The Union is fast-tracking the publication of certain articles from the IJTLD and publishing them on The Union website, prior to their publication in the Journal. Read fast-track articles.Certain IJTLD articles are also selected for translation into French, Spanish, Chinese or Russian. These are available on the Union website.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websitesNo AbstractNo Reference information available - amoxil online usa sign in for access. No Supplementary Data.No Article MediaNo MetricsDocument Type.

Research ArticleAffiliations:1. Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil 2. Center for Infectious Disease Epidemiology and Surveillance, National Institute of Public Health and the Environment, amoxil online usa Bilthoven, The Netherlands, , Email. [email protected]Publication date:01 July 2020More about this publication?.

The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians amoxil online usa and health personnel and the dissemination of information on lung health world-wide. To share scientific research of immediate concern as rapidly as possible, The Union is fast-tracking the publication of certain articles from the IJTLD and publishing them on The Union website, prior to their publication in the Journal. Read fast-track articles.Certain IJTLD articles are also selected for translation into French, Spanish, Chinese or Russian.

These are available on the Union website.Editorial BoardInformation for AuthorsSubscribe to this TitleInternational Journal of Tuberculosis and Lung DiseasePublic Health ActionIngenta Connect is not responsible for the content or availability of external websites.

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So whether you’re looking for pain relief, better sleep, or lowered stress and anxiety, CBD oil can provide those benefits along with many others.This article contains affiliate links to products. Discover may receive a commission for purchases made through these links.PhenQ is a daily weight loss supplement that is meant to be taken at the two earliest meals of the day to stimulate weight loss with caffeine and other natural ingredients. The supplement cannot be found in stores, so users will have to purchase it directly from the official website.As the global catastrophe of the buy antibiotics amoxil begins to come to an end and more people line up for vaccination, an incredible summer season is almost upon us. Millions of men and women all over the world are preparing to hit the beaches and pools and show off their summer bodies.

But if you’re anything like us, the amoxil hasn’t been the best for your diet and exercise routines. It isn’t easy to keep up with the healthiest possible wellness practices while dealing with the emotional and physical effects of social isolation and quarantine.Getting back into the swing of your workout routine and diet is one way you can prepare for the upcoming summer of beach parties and vacations. However, even the strictest workout regimens can fall flat when it comes to providing quick results, if they provide any results at all. The truth is that much of our workout and dieting success comes from our metabolism, which regulates the rate at which the body burns fat for energy.

With a low metabolism, people who eat anything at all might gain weight. Lucky folks with high metabolic rates can eat and eat and basically gain no weight at all.PhenQ is a weight loss supplement that claims to help people improve their metabolism. The trick to understanding this formula, however, is that it actually attacks the problem of fat from several different angles. It isn’t just about the metabolism.

People who really want to lose weight need to take multiple approaches to revitalizing the body’s fat-burning capabilities in order to maximize success. PhenQ makes some bold claims on the official product website PhenQ.com. For example, the website claims that over 190,000 customers have seen success using the product. The reality is that it isn't likely that this many people have succeeded-- or even tried-- using this product.Nevertheless, many of the claims on the PhenQ website are backed by substantive scientific research and evidence.

This guide has been created to walk you through the most important elements of PhenQ, including the evidence and criticism behind it. Can using PhenQ help you lose weight in time for the summer?. Read on and find out.What is PhenQ?. Anyone attempting to reach their goal weight often finds himself at a point that they struggle.

No one is immune to this possible issue, which is why the supplement industry has come out with so many products that purport to help. There are ways to reduce the appetite to prevent an excessive amount of calorie consumption, and there are formulas that provide the user with more energy to get through workouts and the rest of the day. Others curb the cravings that users have for sugary or otherwise unhealthy foods. The options are endless.While it can feel empowering to have so many choices, it can also be overwhelming for individuals that find that they struggle with multiple areas of their weight loss.

Some people have multiple reasons that they need to shed weight, making it difficult for them to select just one product They need formulas that work for multiple purposes, and that is what PhenQ aims to offer.Advertised as “five powerful weight loss pills in one,” PhenQ has a multi-faceted approach to shedding the extra weight. The company claims over 190,000 men and women have found their own solution for weight loss in this supplement. The brand has only been around for a few years, but no one can ignore the incredible weight loss benefits that it provides.The creators behind this product wanted to ensure that users are able to get a level of weight loss simply not offered by other products. It increases the amount of stored fat used by the body, but it also reduces how active the appetite is to prevent overeating.

As these two processes work, users will also notice that their body's ability to produce new fat is impeded, and they generally improve their mood and energy levels.This remedy is developed in approved facilities by the GMP and FDA, located in the United States and the United Kingdom. All products ship free, and users are provided with a month’s supply. By combining functions of other weight loss supplements into two servings a day, consumers don't have to worry about the complicated process of weight loss.How Do PhenQ Fat Burner Pills Work?. The PhenQ formula is entirely based on scientific research and evidence, showing the way that the body's metabolism can be supercharged to promote thermogenesis.

With thermogenesis, the body burns fat as if in a workout, but without actually engaging in one. With this process and many other ingredients, anyone can start to lose fat at a rapid pace without sacrificing safety.Metabolism needs to be properly moderated to burn through the stored calories in the body. By increasing metabolism speed, more calories can be used than what the body typically burns. Increasing the production of heat for the body (i.e., thermogenesis) is quite easy to do with this formula, since more calories are burned at once.The key to this remedy is the right concoction of ingredients, and each one plays a pivotal role in how effective PhenQ can be.

This formula includes:● Capsimax powder● Chromium picolinate● Caffeine● Nopal● L-carnitine fumarateRead on below to learn about the impact that each of these ingredients has on the body.Capsimax PowderCapsimax powder is a blend of several ingredients, which includes capsicum, caffeine, and vitamin B3. The powder increases the thermogenesis properties of the remedy, helping to increase the natural body temperature in a way that can replicate a cardio workout. Even with just the first two ingredients, users will start to lose more fat than without them. Including Piperine is incredibly helpful to individuals who want to prevent new fat cells from forming.Chromium PicolinateChromium picolinate is an essential nutrient for the body, though most consumers typically get it from whole grains, meat, and vegetables.

The point of chromium is to reduce the cravings for sugar and other carbohydrates, providing improved moderation for blood sugar levels. When the body takes in foods with high amounts of sugar, it is used for energy. However, when the cells have more energy than they can use, it becomes stored fat.Introducing chromium to the body ensures that the cells can use as much of the sugar as possible to prevent the user from craving it. By minimizing cravings for the foods that would otherwise prevent the weight loss desired, chromium is pivotal to the weight loss process and two willpower.CaffeineAlmost everyone includes caffeine in their diet in some way, whether they use coffee to wake up in the morning or drink a soda as they wind down.

Caffeine is a known stimulant, and it is a safe way to increase alertness and reduce fatigue. Caffeine is also crucial to a reduced appetite, further improving how well this formula can burn through the extra fat without adding extra calories. Some people include caffeine as a way to energize them before a big workout, promoting improved performance.NopalNopal is a cactus, and it provides an incredible amount of fiber. Fiber can fill the body and make it feel less hungry, but it also offers essential amino acids that can take the user through further success in their weight loss.

It flushes out the excess fluids in the body, reducing the risk of fluid retention that would make the individual feel bloated.L-Carnitine FumarateL-carnitine fumarate is a natural amino acid, and users typically get it from red meat, nuts, and green vegetables. It is crucial to the conversion of nutrients into usable energy, providing the body with sustainable support as they go through their day. It reduces tiredness, which is incredibly common during diets that require restriction of carbohydrates.Purchasing PhenQFound on the official website PhenQ.com, users will have their choice of several different packages. Each of the packages contains a different number of bottles, allowing users to stock up at a discounted price.

The available packages include:● $69.95 for one bottle● $139.90 for three bottles● $189.95 for six bottlesSince everyone responds differently to a weight loss remedy, the creators provide a money back guarantee.Frequently Asked Questions About PhenQPhenQ is a five-in-one powerful weight loss ingredient formula that boasts over 200,000 customers and counting so far. But does that mean it will work for everyone?. While there are many PhenQ reviews online, many fail to really educate and inform consumers who want to be PhenQ customers. Below are the top questions and concerns surrounding the popular weight loss fat burner to help all users of PhenQ get the most out of this unique supplement.How do consumers know that PhenQ will work for their needs?.

The remedy includes certain ingredients that have already been proven to help with weight loss, targeting the appetite as users increase their energy levels. It provides a much better chance that users will reach their goal weight.How long will the single bottle last before the user needs a refill?. With 60 capsules per bottle, consumers will receive enough of the formula to last for a whole month. Since users will need two capsules a day, they won’t likely start their next bottle for 30 days.

Users that want to stick with the program for a little longer can order the three-bottle package to stock up properly.How long can users safely take the PhenQ supplement?. Users can take the formula for as long as they are continuing to lose the weight that they want to. In general, consumers will lose about 2 lbs. Per week, which is completely safe.

However, it is possible that some consumers will lose more than this with positive changes to their calorie intake and activity level. Once the user achieves their desired weight loss, it is up to them if they want to keep taking PhenQ as a maintenance supplement.Does PhenQ require a prescription?. Not at all. This formula does not contain phentermine, so users do not have to worry about getting a prior approval from a doctor to take it.How do users take PhenQ?.

Each serving is only one capsule, but users will need two capsules per day. The best time to take this formula is with breakfast (one capsule) and with lunch (one capsule). Users will not need to take a capsule with dinner, due to the caffeine included in the supplement. With any amount of caffeine, consumers may disrupt their sleep if they take the supplement too late in the day.

The creators specifically say that it is best to take this formula at some point before 3:00 PM to avoid any disruption in sleep.If the user has a sensitivity to caffeine, they should also reduce how much coffee and caffeinated soda they consume while using PhenQ.Who is the best candidate to use PhenQ?. PhenQ is safe to use for both men and women.Is the PhenQ formula vegan friendly?. Absolutely. All of the ingredients are 100% vegetarian and vegan, making this weight loss remedy helpful to a variety of dietary restrictions.Are there any individuals who should not take PhenQ?.

Taking any weight loss remedy is not recommended for anyone who is currently pregnant or nursing. It is also not recommended for individuals under 18 years old. Anyone taking a prescription medication or who has a current medical condition should speak with their doctor before they start taking PhenQ.Are there any side effects associated with PhenQ?. None currently known.

The supplement only includes natural ingredients, and the only way that users would suffer from any side effects is if they do not follow the instructions provided. At this point, there have been no reported side effects while taking PhenQ.Is there any risk that PhenQ will interfere with an oral contraceptive?. No. Since everything is natural, users will likely have no interference, ensuring that they can lose weight easily.Does PhenQ interfere with oral contraceptives?.

As a natural dietary supplement, PhenQ can safely be taken with oral contraceptives without interfering with their effectiveness.Where can users purchase PhenQ?. Since the formula is not available from any third-party retailers, users can only turn to the official website to place their order. Users that try to find this formula from Amazon or other online shipping companies will likely not get the authentic product.Where can PhenQ be shipped?. Currently, the company is shipping their formula around the world.

Free shipping is available for any location, and purchases are dispatched from Germany, the United Kingdom, and the United States. The order will be sent from the warehouse nearest to the customer, and all orders go out within 48 hours of purchase. Plus, users don't have to worry about being embarrassed about their purchase, because everything is discreetly packaged.What payment methods are accepted?. Orders can be placed using a credit or debit card.

Users can also process their payments with Skrill.Are there any current discounts or other money-saving offers?. Yes. By ordering from the website, users will have access to discounts by ordering multiple bottles at the same time. Plus, users are eligible for access to a variety of bonus guides that are not sold separately.Is there a money back guarantee?.

Yes. If users find that they are unhappy with the results of this purchase, they can return their product within 60 days of receipt for a full refund.For any other questions, the customer service team is available by phone (646-513-2634) or by email (support@phenq.com).SummaryPhenQ provides the user with multiple opportunities for fat burning. Rather than just focusing on one change that needs to happen in the body, the supplement includes nutrients that can effectively improve energy, reduce cravings for unhealthy food, and more. Users can easily incorporate the supplement into their morning and lunchtime routines without having to disrupt much of the rest of their day.

Plus, there's no diet or exercise required (though either of these changes would likely improve the odds of losing weight quickly).PhenQ purportedly comes with several additional benefits. Aside from increasing metabolism and helping people lose weight, the formula can suppress the appetite, maximize energy levels, and more. The supplement also comes with a “high quality formula” that is consistently produced within GMP/FDA certified facilities in the United States and the United Kingdom. The formula is easy to use and requires no prescription.

At $70 per bottle, this is one of the more expensive products on the market, although currently a $10 savings is in effect.Our advice is to combine this supplement with as much healthy dieting and exercise as possible. There is little reason to suspect that any dietary supplement can help you lose weight all on its own.To get the lowest price and biggest savings on for the PhenQ fat burner diet pills, visit the official website PhenQ.com today.This article contains affiliate links to products. We may receive a commission for purchases made through these links.Over the last few years, CBD has become one of the fastest growing products on the market. The cannabinoid offers all sorts of therapeutic benefits, including reduced stress and anxiety, improved sleep, and a balanced mood.

But before taking CBD, there are some things you’ll want to know to ensure you have the best experience possible. One of the most important things you’ll want to do is to figure out how much of the compound you should take. Taking the proper dosage is vital for having a positive experience with any CBD product. Here’s what you need to know about dosing CBD.

What Impacts CBD Dosage?. There are several factors that affect how much CBD you need to take in order to get the relief you want. However, these factors aren’t definitive and everyone reacts differently to CBD. But, there are some loose guidelines to follow.

Here are the many factors that play a role in determining your ideal CBD dosage. Height &. Weight In simplest terms, the more you weigh, the more CBD you’ll need to take in order to feel the true effects. When taken, CBD interacts with the CB1 and CB2 receptors of the endocannabinoid system.

This system extends throughout the body, from the brain to the feet!. The rate in which CBD is absorbed and metabolised varies, depending on your height and weight. The process differs in those who weigh more versus those who weigh less. Generally speaking, a higher concentration of CBD is needed if you’re a taller or heavier person.

On average, it’s recommended to take 0.2mg-0.7mg of CBD per each pound of body weight. To get a dosage range, multiply your weight by 0.2mg and increase the amount as needed. Age In order for the effects of CBD to be felt, the body must first break the compound down. This involves some heavy lifting by the metabolism, which splits CBD into smaller parts, making it easier for them to travel throughout the body.

Because metabolism slows as we get older, age does play a role in determining the best dosage for you. This means that the older you are, the longer it may take for you to feel the effects of CBD. So it’s important to be patient and give your body the time it needs to fully metabolize CBD. On the opposite side of the spectrum, the younger you are, the faster your metabolism is likely to be.

This means you may feel the effects sooner, which could mean you need to take CBD more often to maintain the side effects. Sex There is some evidence that shows a potential difference in how men and women react to CBD. It’s thought that hormonal and behavioral differences between males and females may contribute to the efficacy of CBD. Early research shows that cannabinoids may have a more noticeable physiological impact on men in regards to energy balance and food intake.

On the other hand, the cannabinoid may have a more profound impact on women in terms of mood disturbances and stress. Experience Taking CBD If you’ve taken CBD before, you may already have a rough idea of how much CBD you need to take. But even if you’ve used CBD before, it’s important to stick with dosing low and slow. This is especially true if you haven’t used CBD in awhile.

Even making a simple change such as using CBD oil instead of capsules can play a role in the effects that CBD has. Dose Low &. Slow Whether you’ve taken CBD before or if you’re brand new to the cannabinoid, dosing low and slow is a must. CBD works to bring harmony between the mind and body.

It supports keeping everything in sync and balanced. And balance doesn’t start by flooding the body with CBD. Remember, too much of a good thing can turn bad quickly!. When it comes to CBD, less is more.

Instead of taking a high dosage in hopes of getting fast, long-lasting results, it’s best to start with a low dose. This way you can listen to your body and adjust the amount as needed. Taking too much CBD at once does carry a risk of all sorts of negative side effects, including dizziness and dry mouth. The risk of these side effects can be greatly minimized by taking a low dose that is most appropriate for your needs.

Choose the Right Product There are thousands of CBD products on the market. While oils and tinctures are most common, there are several other products, including. Gummies Capsules Topicals Bath bombs Drinks With no shortage of options to choose from, you want to focus less on finding the best CBD and instead look for one that meets your needs. For example, if you want quick relief, you’ll want to consider a CBD tincture versus capsules or any other edible product.

Or, if you’re looking for long-lasting relief, a full spectrum CBD product may be best. Choose a Brand You Can Trust Buying from a reputable brand is another important factor in having a great experience with CBD. You want to know exactly what the supplement you’re taking is made of, to include the concentration of CBD, the type of CBD, and any other compounds that may be present. You want to be totally confident in the product that you’re using.

This is why it’s critical to buy from a reputable, transparent brand that tests its products for efficacy, potency, and safety. So whether you’re buying CBD oil, gummies, capsules, or even a topical product, buying from a brand is the most important factor. What good is finding the ideal dosage if you’re taking a low quality product?. If you’re in the market for CBD that will offer the relief you want, here are three of the best brands to consider.

Top 3 CBD Brands 1. Verma Farms Verma Farms is a well-known name in the CBD industry. While the brand is most famous for their Hawaii-inspired CBD gummies, Verma Farms also has a full line of other CBD products, including oils, capsules, topicals, and even dried fruit!. Verma Farms takes pride in all of its products, using only the safest, purest ingredients.

All products are made with high quality ingredients, including top shelf hemp that's grown in the U.S. Without the use of pesticides or other harmful compounds. Whether you’re looking to relax or want better sleep at night, Verma Farms has a product that will support your lifestyle needs. 2.

Penguin Penguin is inspired by nature, which is why all of its products are made using non-GMO, pure CBD that is harvested from hemp grown without pesticides. Customers can have total peace of mind that they’re investing in a product that is safe and effective. Penguin is a brand that's dedicated to helping people lead a cool, calm, and chill life. When you need to keep cool under pressure, even during challenging times, Penguin has just the product to help you through.

Penguin offers many different CBD products, including oils, gummies, capsules, and cream. Products are made with premium CBD isolate or broad spectrum extract, so there’s no worries of being exposed to THC. 3. Evn CBD Evn CBD is dedicated to creating all-natural, high quality CBD-infused products.

The brand also strives to educate as many people as possible about the benefits that CBD offers. When you're anxious, moody, or stressed, an Evn CBD product can help on even the most hectic of days. Choose between CBD oils, gummies, capsules, and topicals. Evn CBD also offers bundled products and even a line of pet-approved products to keep your furry friend happy and healthy.

Each product is made with broad spectrum CBD, which offers the benefits of other plant compounds without the worry of THC. Maintain your balance and keep your mind and body in sync with broad-spectrum infused CBD products from Evn CBD. Final Thoughts Whether you’ve used CBD in the past or have never experienced the cannabinoid before, finding the right dosage that best meets your needs is important. Taking too much or too little CBD won’t give you the experience that you want.

Once you’ve figured out how much CBD you need to take based on your age, sex, and height and weight, the next step is finding a quality product. We highly recommend the three brands on our list, as they use CBD extract that originates from high quality, non-GMO hemp that is grown in the USA.(Inside Science) — This year's Nobel Prize in physiology or medicine went to two scientists who discovered how our sense of temperature and touch works. David Julius identified the heat-sensing ion channel TRPV1, while Ardem Patapoutian found the touch-sensitive Piezo channels.Both channels form pores in cell membranes, which allows the cells to send electrochemical signals through the body. That process is involved in how our bodies sense pain -- from heat and from mechanical force, respectively.

But pain is a much more complicated phenomenon than can be captured by simple biochemical pathways. The molecular channels identified by the Nobel winners are just the beginning of that story, and there is much more left to be discovered, especially about how the pain signals provided by those channels are transmitted to and interpreted by the brain."Pain is a very complex effect," said Serge Marchand, a pain researcher at the University of Sherbrooke in Quebec. "There are still a lot of things we don't understand."For pain from heat, at least, things are easier to understand. The TRPV1 channel is the only starting point needed to get the sensation of heat from the skin to the brain.

Mice that lack the gene to produce TRPV1, or whose neurons that contain the ion channel have been killed off, are unable to feel heat pain -- though the site of a burn is still sensitive to pain from mechanical stimulation afterwards, said Allan Basbaum, a pain researcher at the University of California, San Francisco who worked on the mouse studies with Julius.With pain from pressure and touch, however, things are more complicated. The Piezo channels are responsible for the pain you feel when something touches skin made sensitive by, for example, a bruise, but they are not involved in acute mechanical pain, such as the type you feel when you hit your thumb with a hammer."We don't have a single channel that is necessary for the experience of acute mechanical pain," said Basbaum. "There isn't one you can block to prevent the sensation, as with heat and TRPV1." In fact, we don't actually know what biochemical pathways detect that sensation and send that signal to your brain.The signals of acute mechanical pain could be integrative, said Basbaum, with multiple pathways generating input that eventually crosses some threshold where the brain identifies it as pain. That question of when the brain recognizes a sensation as pain is one of the field's biggest mysteries."Pain is a product of the brain.

It is an emotional response," said Basbaum. "The brain reads the output of a pattern of nerve activity and makes a decision." That decision is the difference between, for example, whether something is felt as an irritating itch or excruciating pain.Marchand is most interested in how the brain makes those decisions in response to the messages it receives from nerves outside the central nervous system of the spine and brain. The processing of these messages and decisions can go awry, including in people with the condition known as allodynia, in which even a gentle touch can be extremely painful, and in people who feel phantom pain after the amputation of a limb.Even if we had a perfect understanding of how the receptors and nerves extending from the surface of the skin to the spinal cord work, that still wouldn't explain all of the unknowns of pain."If phantom pain can exist, it means that in the central nervous system there is enough wiring to reproduce a painful sensation in the fingers even if there are no fingers," Marchand said. A better understanding of these phenomena would lead to better treatments for patients and could help explain why some people are more prone to chronic pain than others, he said.Basbaum said one of the biggest outstanding questions about pain is the search for some kind of biomarker that would help researchers and doctors detect and quantify pain with a simple blood test or brain scan.

Some researchers are looking at whether the levels of inflammation-regulating cytokines in the blood correlate with pain levels and change with the use of painkillers, for example. But the complexities of the interactions between the physical aspects of an injury, the signals sent by the nerves, and the interpretation of those signals by the brain make that search very difficult, he said. "Pain is not just a function of the intensity of a stimulus," he said. "It's influenced by so many things, like your emotional state and the context of the experience.

It doesn't produce the same effect in everybody."This story was published on Inside Science. Read the original here.It may sound like fodder for a supervillain origin story, but doctors experimenting on themselves in the name of science isn't as rare as you might think. And whether you view these forays as foolhardy or heroic, many have actually affirmed the science behind them. In a study of 465 cases of medical self-experimentation over the past 200 years, 89% led to results which supported the experimenter’s hypothesis.

Even when the results were negative, some cases could still be considered beneficial due to their impact on future research. Self-experimentation is a controversial subject, with valid considerations both for and against the idea. But there’s no denying that these experiments have led to novel discoveries in a number of areas. Here are five physicians who put themselves under the scalpel (sometimes literally) for the sake of scientific advancement.

William Stark(Credit. Wellcome Images/CC-by-4.0/Wikimedia Commons)In 1769, William Stark embarked on a series of self-experiments related to diet and nutrition. He started by going for 31 days consuming almost nothing but bread and water — and a little sugar. Then he gradually added other foods, one at a time.

These included goose, beef, veal, and olive oil. What Stark didn’t include, however, was citrus fruit or vegetables. His gums started to bleed and his symptoms mimicked those of British sailors suffering from scurvy. Severely malnourished, in less than a year he died of scurvy at only 29 years old.

Although Stark didn’t discover scurvy, his research led to realization that the disease was strongly impacted by what we now call vitamin C deficiency. And his meticulous record-keeping would help substantiate the theory that restrictive diets lacking variety were not beneficial to human health. However, ascorbic acid, more commonly known as vitamin C, would not be discovered by biochemist Albert Szent-Györgyi until the 1930s.Werner Forssmann(Credit. Public Domain/Wikimedia Commons)A cardiac catheterization — where a thin, hollow tube called a catheter is inserted into a blood vessel leading to the heart — is a procedure used to diagnose and treat a number of cardiovascular conditions.

Essentially, it shows doctors how well a patient's heart is working. With over a million done each year in the United States, it’s one of the most frequently performed cardiac procedures.German physician Werner Forssmann is the father of this particular medical advancement. In 1929, Forssmann made an incision into the inside of his elbow and then inserted a roughly 25 inch urinary catheter into his vein. Guided by a real-time imaging technique called a fluoroscope, he advanced it to his heart’s right auricle, or atrium, and then had X-rays taken to confirm the position.

Forssmann next tried the procedure on a terminally ill woman, and found he was able to effectively deliver medication directly to her heart. He continued to experiment further, using rabbits, dogs, and himself — totaling up to nine additional catheterizations. The results of his work led other physicians to use the femoral vein, deep within the thigh, to reach the inferior vena cava, which carries blood from the legs, feet and abdomen to the heart. Forssmann is a Nobel Prize winner and considered a pioneer in interventional cardiology.Barry Marshall(Credit.

WikiEdtingProfile2021/CC-by-3.0/Wikimedia Commons) For years, conventional wisdom was that excessive stomach acid was the culprit behind ulcers, painful sores that develop on the lining of the stomach or small intestine. Barry Marshall, an Australian physician, disagreed — he believed that ulcers were actually caused by the bacterium Helicobacter pylori, which commonly lives in the stomach lining. Marshall's interest in the subject was spurred by pathobiologist Robin Warren, who had observed the bacteria in a biopsy from a patient’s stomach lining in 1979. After teaming up, the pair studied biopsies from 100 patients and found that almost every one with ulcers or gastritis (any condition where the stomach lining is inflamed) also had H.

Pylori. But after years of trying to persuade skeptics, and with no suitable animal models to work with, Marshall was driven to dig deeper. He took bacteria samples from a sick patient and drank it in a “brew.” Afterwards, Marshall became sick with bloating, decreased appetite, and eventually vomiting. An endoscopy confirmed he did indeed have gastritis, and antibiotic treatment proved an effective cure.

Marshall's experiment confirmed the connection between H. Pylori and ulcers. As a result, antibiotics are now the standard treatment. In 2005, Marshall and Warren won the Nobel Prize in physiology for their groundbreaking discovery.Read more about Marshall in our 2010 interview.

The Doctor Who Drank Infectious Broth, Gave Himself an Ulcer, and Solved a Medical MysteryEvan O’Neill KaneSurgeon Evan O'Neill Kane was no stranger to appendectomies, having performed over 4,000 himself. But after nearly 40 years in the operating room, Kane wanted to prove that, in certain cases, local anesthetic could be used as an alternative to the riskier general anesthesia. To prove his theory, in 1921 he decided to make himself a test case. When his appendix became infected, he was scheduled to have the organ removed by another surgeon.

But right before his appendectomy began, Kane announced that he would be doing the surgery himself. First, Kane propped himself up on pillows, so he could better see his abdomen. Then he injected the area with a local anesthetic containing cocaine and adrenaline before cutting through the tissue and locating and removing his infected appendix. Kane was not new to self-surgery.

Two years prior to his appendectomy, he amputated his own finger due to . Years later, he successfully operated on his hernia — at age 70 — and was back in the operating room only 36 hours later. Kane’s bold decision led to a greater understanding about the use of local anesthetics, and how to avoid general anesthesia in patients for whom it posed a danger.Alexander Bogdanov(Credit. Public Domain/Wikimedia Commons) As an influential member of the Bolsheviks, physician Alexander Bogdanov competed with Vladimir Lenin to lead the leftist revolutionary movement, offering Russians a more moderate alternative.

It didn’t work out, but Bogdanaov, a true polymath, had other skills and talents to explore. In addition to being a physician, he was also an economist, philosopher, poet, science fiction writer, teacher, and founder of the first institution dedicated to blood transfusion. His interest in transfusions stemmed from his belief that they could extend human life. During the 1920’s, Bogdanov gave himself multiple transfusions.

Unfortunately, one of his transfusions involved the use of a student’s blood, who was sick with malaria and tuberculosis. Bogdanov died, but the student survived his illness. Building on his work, his successors made advances that established Russia as a leader in developing a central national blood transfusion system..

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So whether you’re looking for pain relief, better sleep, or lowered stress and anxiety, CBD oil can provide those benefits along with many others.This article contains affiliate links to products. Discover may receive a commission for purchases made through these links.PhenQ is a daily weight loss supplement that is meant to be taken at the two earliest meals of the day to stimulate weight loss with caffeine and other natural ingredients. The supplement cannot be found in stores, so users will have to purchase it directly from the official website.As the global catastrophe of the buy antibiotics amoxil begins to come to an end and more people line up for vaccination, an incredible summer season is almost upon us. Millions of men and women all over the world are preparing to hit the beaches and pools and show off their summer bodies.

But if you’re anything like us, the amoxil hasn’t been the best for your diet and exercise routines. It isn’t easy to keep up with the healthiest possible wellness practices while dealing with the emotional and physical effects of social isolation and quarantine.Getting back into the swing of your workout routine and diet is one way you can prepare for the upcoming summer of beach parties and vacations. However, even the strictest workout regimens can fall flat when it comes to providing quick results, if they provide any results at all. The truth is that much of our workout and dieting success comes from our metabolism, which regulates the rate at which the body burns fat for energy.

With a low metabolism, people who eat anything at all might gain weight. Lucky folks with high metabolic rates can eat and eat and basically gain no weight at all.PhenQ is a weight loss supplement that claims to help people improve their metabolism. The trick to understanding this formula, however, is that it actually attacks the problem of fat from several different angles. It isn’t just about the metabolism.

People who really want to lose weight need to take multiple approaches to revitalizing the body’s fat-burning capabilities in order to maximize success. PhenQ makes some bold claims on the official product website PhenQ.com. For example, the website claims that over 190,000 customers have seen success using the product. The reality is that it isn't likely that this many people have succeeded-- or even tried-- using this product.Nevertheless, many of the claims on the PhenQ website are backed by substantive scientific research and evidence.

This guide has been created to walk you through the most important elements of PhenQ, including the evidence and criticism behind it. Can using PhenQ help you lose weight in time for the summer?. Read on and find out.What is PhenQ?. Anyone attempting to reach their goal weight often finds himself at a point that they struggle.

No one is immune to this possible issue, which is why the supplement industry has come out with so many products that purport to help. There are ways to reduce the appetite to prevent an excessive amount of calorie consumption, and there are formulas that provide the user with more energy to get through workouts and the rest of the day. Others curb the cravings that users have for sugary or otherwise unhealthy foods. The options are endless.While it can feel empowering to have so many choices, it can also be overwhelming for individuals that find that they struggle with multiple areas of their weight loss.

Some people have multiple reasons that they need to shed weight, making it difficult for them to select just one product They need formulas that work for multiple purposes, and that is what PhenQ aims to offer.Advertised as “five powerful weight loss pills in one,” PhenQ has a multi-faceted approach to shedding the extra weight. The company claims over 190,000 men and women have found their own solution for weight loss in this supplement. The brand has only been around for a few years, but no one can ignore the incredible weight loss benefits that it provides.The creators behind this product wanted to ensure that users are able to get a level of weight loss simply not offered by other products. It increases the amount of stored fat used by the body, but it also reduces how active the appetite is to prevent overeating.

As these two processes work, users will also notice that their body's ability to produce new fat is impeded, and they generally improve their mood and energy levels.This remedy is developed in approved facilities by the GMP and FDA, located in the United States and the United Kingdom. All products ship free, and users are provided with a month’s supply. By combining functions of other weight loss supplements into two servings a day, consumers don't have to worry about the complicated process of weight loss.How Do PhenQ Fat Burner Pills Work?. The PhenQ formula is entirely based on scientific research and evidence, showing the way that the body's metabolism can be supercharged to promote thermogenesis.

With thermogenesis, the body burns fat as if in a workout, but without actually engaging in one. With this process and many other ingredients, anyone can start to lose fat at a rapid pace without sacrificing safety.Metabolism needs to be properly moderated to burn through the stored calories in the body. By increasing metabolism speed, more calories can be used than what the body typically burns. Increasing the production of heat for the body (i.e., thermogenesis) is quite easy to do with this formula, since more calories are burned at once.The key to this remedy is the right concoction of ingredients, and each one plays a pivotal role in how effective PhenQ can be.

This formula includes:● Capsimax powder● Chromium picolinate● Caffeine● Nopal● L-carnitine fumarateRead on below to learn about the impact that each of these ingredients has on the body.Capsimax PowderCapsimax powder is a blend of several ingredients, which includes capsicum, caffeine, and vitamin B3. The powder increases the thermogenesis properties of the remedy, helping to increase the natural body temperature in a way that can replicate a cardio workout. Even with just the first two ingredients, users will start to lose more fat than without them. Including Piperine is incredibly helpful to individuals who want to prevent new fat cells from forming.Chromium PicolinateChromium picolinate is an essential nutrient for the body, though most consumers typically get it from whole grains, meat, and vegetables.

The point of chromium is to reduce the cravings for sugar and other carbohydrates, providing improved moderation for blood sugar levels. When the body takes in foods with high amounts of sugar, it is used for energy. However, when the cells have more energy than they can use, it becomes stored fat.Introducing chromium to the body ensures that the cells can use as much of the sugar as possible to prevent the user from craving it. By minimizing cravings for the foods that would otherwise prevent the weight loss desired, chromium is pivotal to the weight loss process and two willpower.CaffeineAlmost everyone includes caffeine in their diet in some way, whether they use coffee to wake up in the morning or drink a soda as they wind down.

Caffeine is a known stimulant, and it is a safe way to increase alertness and reduce fatigue. Caffeine is also crucial to a reduced appetite, further improving how well this formula can burn through the extra fat without adding extra calories. Some people include caffeine as a way to energize them before a big workout, promoting improved performance.NopalNopal is a cactus, and it provides an incredible amount of fiber. Fiber can fill the body and make it feel less hungry, but it also offers essential amino acids that can take the user through further success in their weight loss.

It flushes out the excess fluids in the body, reducing the risk of fluid retention that would make the individual feel bloated.L-Carnitine FumarateL-carnitine fumarate is a natural amino acid, and users typically get it from red meat, nuts, and green vegetables. It is crucial to the conversion of nutrients into usable energy, providing the body with sustainable support as they go through their day. It reduces tiredness, which is incredibly common during diets that require restriction of carbohydrates.Purchasing PhenQFound on the official website PhenQ.com, users will have their choice of several different packages. Each of the packages contains a different number of bottles, allowing users to stock up at a discounted price.

The available packages include:● $69.95 for one bottle● $139.90 for three bottles● $189.95 for six bottlesSince everyone responds differently to a weight loss remedy, the creators provide a money back guarantee.Frequently Asked Questions About PhenQPhenQ is a five-in-one powerful weight loss ingredient formula that boasts over 200,000 customers and counting so far. But does that mean it will work for everyone?. While there are many PhenQ reviews online, many fail to really educate and inform consumers who want to be PhenQ customers. Below are the top questions and concerns surrounding the popular weight loss fat burner to help all users of PhenQ get the most out of this unique supplement.How do consumers know that PhenQ will work for their needs?.

The remedy includes certain ingredients that have already been proven to help with weight loss, targeting the appetite as users increase their energy levels. It provides a much better chance that users will reach their goal weight.How long will the single bottle last before the user needs a refill?. With 60 capsules per bottle, consumers will receive enough of the formula to last for a whole month. Since users will need two capsules a day, they won’t likely start their next bottle for 30 days.

Users that want to stick with the program for a little longer can order the three-bottle package to stock up properly.How long can users safely take the PhenQ supplement?. Users can take the formula for as long as they are continuing to lose the weight that they want to. In general, consumers will lose about 2 lbs. Per week, which is completely safe.

However, it is possible that some consumers will lose more than this with positive changes to their calorie intake and activity level. Once the user achieves their desired weight loss, it is up to them if they want to keep taking PhenQ as a maintenance supplement.Does PhenQ require a prescription?. Not at all. This formula does not contain phentermine, so users do not have to worry about getting a prior approval from a doctor to take it.How do users take PhenQ?.

Each serving is only one capsule, but users will need two capsules per day. The best time to take this formula is with breakfast (one capsule) and with lunch (one capsule). Users will not need to take a capsule with dinner, due to the caffeine included in the supplement. With any amount of caffeine, consumers may disrupt their sleep if they take the supplement too late in the day.

The creators specifically say that it is best to take this formula at some point before 3:00 PM to avoid any disruption in sleep.If the user has a sensitivity to caffeine, they should also reduce how much coffee and caffeinated soda they consume while using PhenQ.Who is the best candidate to use PhenQ?. PhenQ is safe to use for both men and women.Is the PhenQ formula vegan friendly?. Absolutely. All of the ingredients are 100% vegetarian and vegan, making this weight loss remedy helpful to a variety of dietary restrictions.Are there any individuals who should not take PhenQ?.

Taking any weight loss remedy is not recommended for anyone who is currently pregnant or nursing. It is also not recommended for individuals under 18 years old. Anyone taking a prescription medication or who has a current medical condition should speak with their doctor before they start taking PhenQ.Are there any side effects associated with PhenQ?. None currently known.

The supplement only includes natural ingredients, and the only way that users would suffer from any side effects is if they do not follow the instructions provided. At this point, there have been no reported side effects while taking PhenQ.Is there any risk that PhenQ will interfere with an oral contraceptive?. No. Since everything is natural, users will likely have no interference, ensuring that they can lose weight easily.Does PhenQ interfere with oral contraceptives?.

As a natural dietary supplement, PhenQ can safely be taken with oral contraceptives without interfering with their effectiveness.Where can users purchase PhenQ?. Since the formula is not available from any third-party retailers, users can only turn to the official website to place their order. Users that try to find this formula from Amazon or other online shipping companies will likely not get the authentic product.Where can PhenQ be shipped?. Currently, the company is shipping their formula around the world.

Free shipping is available for any location, and purchases are dispatched from Germany, the United Kingdom, and the United States. The order will be sent from the warehouse nearest to the customer, and all orders go out within 48 hours of purchase. Plus, users don't have to worry about being embarrassed about their purchase, because everything is discreetly packaged.What payment methods are accepted?. Orders can be placed using a credit or debit card.

Users can also process their payments with Skrill.Are there any current discounts or other money-saving offers?. Yes. By ordering from the website, users will have access to discounts by ordering multiple bottles at the same time. Plus, users are eligible for access to a variety of bonus guides that are not sold separately.Is there a money back guarantee?.

Yes. If users find that they are unhappy with the results of this purchase, they can return their product within 60 days of receipt for a full refund.For any other questions, the customer service team is available by phone (646-513-2634) or by email (support@phenq.com).SummaryPhenQ provides the user with multiple opportunities for fat burning. Rather than just focusing on one change that needs to happen in the body, the supplement includes nutrients that can effectively improve energy, reduce cravings for unhealthy food, and more. Users can easily incorporate the supplement into their morning and lunchtime routines without having to disrupt much of the rest of their day.

Plus, there's no diet or exercise required (though either of these changes would likely improve the odds of losing weight quickly).PhenQ purportedly comes with several additional benefits. Aside from increasing metabolism and helping people lose weight, the formula can suppress the appetite, maximize energy levels, and more. The supplement also comes with a “high quality formula” that is consistently produced within GMP/FDA certified facilities in the United States and the United Kingdom. The formula is easy to use and requires no prescription.

At $70 per bottle, this is one of the more expensive products on the market, although currently a $10 savings is in effect.Our advice is to combine this supplement with as much healthy dieting and exercise as possible. There is little reason to suspect that any dietary supplement can help you lose weight all on its own.To get the lowest price and biggest savings on for the PhenQ fat burner diet pills, visit the official website PhenQ.com today.This article contains affiliate links to products. We may receive a commission for purchases made through these links.Over the last few years, CBD has become one of the fastest growing products on the market. The cannabinoid offers all sorts of therapeutic benefits, including reduced stress and anxiety, improved sleep, and a balanced mood.

But before taking CBD, there are some things you’ll want to know to ensure you have the best experience possible. One of the most important things you’ll want to do is to figure out how much of the compound you should take. Taking the proper dosage is vital for having a positive experience with any CBD product. Here’s what you need to know about dosing CBD.

What Impacts CBD Dosage?. There are several factors that affect how much CBD you need to take in order to get the relief you want. However, these factors aren’t definitive and everyone reacts differently to CBD. But, there are some loose guidelines to follow.

Here are the many factors that play a role in determining your ideal CBD dosage. Height &. Weight In simplest terms, the more you weigh, the more CBD you’ll need to take in order to feel the true effects. When taken, CBD interacts with the CB1 and CB2 receptors of the endocannabinoid system.

This system extends throughout the body, from the brain to the feet!. The rate in which CBD is absorbed and metabolised varies, depending on your height and weight. The process differs in those who weigh more versus those who weigh less. Generally speaking, a higher concentration of CBD is needed if you’re a taller or heavier person.

On average, it’s recommended to take 0.2mg-0.7mg of CBD per each pound of body weight. To get a dosage range, multiply your weight by 0.2mg and increase the amount as needed. Age In order for the effects of CBD to be felt, the body must first break the compound down. This involves some heavy lifting by the metabolism, which splits CBD into smaller parts, making it easier for them to travel throughout the body.

Because metabolism slows as we get older, age does play a role in determining the best dosage for you. This means that the older you are, the longer it may take for you to feel the effects of CBD. So it’s important to be patient and give your body the time it needs to fully metabolize CBD. On the opposite side of the spectrum, the younger you are, the faster your metabolism is likely to be.

This means you may feel the effects sooner, which could mean you need to take CBD more often to maintain the side effects. Sex There is some evidence that shows a potential difference in how men and women react to CBD. It’s thought that hormonal and behavioral differences between males and females may contribute to the efficacy of CBD. Early research shows that cannabinoids may have a more noticeable physiological impact on men in regards to energy balance and food intake.

On the other hand, the cannabinoid may have a more profound impact on women in terms of mood disturbances and stress. Experience Taking CBD If you’ve taken CBD before, you may already have a rough idea of how much CBD you need to take. But even if you’ve used CBD before, it’s important to stick with dosing low and slow. This is especially true if you haven’t used CBD in awhile.

Even making a simple change such as using CBD oil instead of capsules can play a role in the effects that CBD has. Dose Low &. Slow Whether you’ve taken CBD before or if you’re brand new to the cannabinoid, dosing low and slow is a must. CBD works to bring harmony between the mind and body.

It supports keeping everything in sync and balanced. And balance doesn’t start by flooding the body with CBD. Remember, too much of a good thing can turn bad quickly!. When it comes to CBD, less is more.

Instead of taking a high dosage in hopes of getting fast, long-lasting results, it’s best to start with a low dose. This way you can listen to your body and adjust the amount as needed. Taking too much CBD at once does carry a risk of all sorts of negative side effects, including dizziness and dry mouth. The risk of these side effects can be greatly minimized by taking a low dose that is most appropriate for your needs.

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Once you’ve figured out how much CBD you need to take based on your age, sex, and height and weight, the next step is finding a quality product. We highly recommend the three brands on our list, as they use CBD extract that originates from high quality, non-GMO hemp that is grown in the USA.(Inside Science) — This year's Nobel Prize in physiology or medicine went to two scientists who discovered how our sense of temperature and touch works. David Julius identified the heat-sensing ion channel TRPV1, while Ardem Patapoutian found the touch-sensitive Piezo channels.Both channels form pores in cell membranes, which allows the cells to send electrochemical signals through the body. That process is involved in how our bodies sense pain -- from heat and from mechanical force, respectively.

But pain is a much more complicated phenomenon than can be captured by simple biochemical pathways. The molecular channels identified by the Nobel winners are just the beginning of that story, and there is much more left to be discovered, especially about how the pain signals provided by those channels are transmitted to and interpreted by the brain."Pain is a very complex effect," said Serge Marchand, a pain researcher at the University of Sherbrooke in Quebec. "There are still a lot of things we don't understand."For pain from heat, at least, things are easier to understand. The TRPV1 channel is the only starting point needed to get the sensation of heat from the skin to the brain.

Mice that lack the gene to produce TRPV1, or whose neurons that contain the ion channel have been killed off, are unable to feel heat pain -- though the site of a burn is still sensitive to pain from mechanical stimulation afterwards, said Allan Basbaum, a pain researcher at the University of California, San Francisco who worked on the mouse studies with Julius.With pain from pressure and touch, however, things are more complicated. The Piezo channels are responsible for the pain you feel when something touches skin made sensitive by, for example, a bruise, but they are not involved in acute mechanical pain, such as the type you feel when you hit your thumb with a hammer."We don't have a single channel that is necessary for the experience of acute mechanical pain," said Basbaum. "There isn't one you can block to prevent the sensation, as with heat and TRPV1." In fact, we don't actually know what biochemical pathways detect that sensation and send that signal to your brain.The signals of acute mechanical pain could be integrative, said Basbaum, with multiple pathways generating input that eventually crosses some threshold where the brain identifies it as pain. That question of when the brain recognizes a sensation as pain is one of the field's biggest mysteries."Pain is a product of the brain.

It is an emotional response," said Basbaum. "The brain reads the output of a pattern of nerve activity and makes a decision." That decision is the difference between, for example, whether something is felt as an irritating itch or excruciating pain.Marchand is most interested in how the brain makes those decisions in response to the messages it receives from nerves outside the central nervous system of the spine and brain. The processing of these messages and decisions can go awry, including in people with the condition known as allodynia, in which even a gentle touch can be extremely painful, and in people who feel phantom pain after the amputation of a limb.Even if we had a perfect understanding of how the receptors and nerves extending from the surface of the skin to the spinal cord work, that still wouldn't explain all of the unknowns of pain."If phantom pain can exist, it means that in the central nervous system there is enough wiring to reproduce a painful sensation in the fingers even if there are no fingers," Marchand said. A better understanding of these phenomena would lead to better treatments for patients and could help explain why some people are more prone to chronic pain than others, he said.Basbaum said one of the biggest outstanding questions about pain is the search for some kind of biomarker that would help researchers and doctors detect and quantify pain with a simple blood test or brain scan.

Some researchers are looking at whether the levels of inflammation-regulating cytokines in the blood correlate with pain levels and change with the use of painkillers, for example. But the complexities of the interactions between the physical aspects of an injury, the signals sent by the nerves, and the interpretation of those signals by the brain make that search very difficult, he said. "Pain is not just a function of the intensity of a stimulus," he said. "It's influenced by so many things, like your emotional state and the context of the experience.

It doesn't produce the same effect in everybody."This story was published on Inside Science. Read the original here.It may sound like fodder for a supervillain origin story, but doctors experimenting on themselves in the name of science isn't as rare as you might think. And whether you view these forays as foolhardy or heroic, many have actually affirmed the science behind them. In a study of 465 cases of medical self-experimentation over the past 200 years, 89% led to results which supported the experimenter’s hypothesis.

Even when the results were negative, some cases could still be considered beneficial due to their impact on future research. Self-experimentation is a controversial subject, with valid considerations both for and against the idea. But there’s no denying that these experiments have led to novel discoveries in a number of areas. Here are five physicians who put themselves under the scalpel (sometimes literally) for the sake of scientific advancement.

William Stark(Credit. Wellcome Images/CC-by-4.0/Wikimedia Commons)In 1769, William Stark embarked on a series of self-experiments related to diet and nutrition. He started by going for 31 days consuming almost nothing but bread and water — and a little sugar. Then he gradually added other foods, one at a time.

These included goose, beef, veal, and olive oil. What Stark didn’t include, however, was citrus fruit or vegetables. His gums started to bleed and his symptoms mimicked those of British sailors suffering from scurvy. Severely malnourished, in less than a year he died of scurvy at only 29 years old.

Although Stark didn’t discover scurvy, his research led to realization that the disease was strongly impacted by what we now call vitamin C deficiency. And his meticulous record-keeping would help substantiate the theory that restrictive diets lacking variety were not beneficial to human health. However, ascorbic acid, more commonly known as vitamin C, would not be discovered by biochemist Albert Szent-Györgyi until the 1930s.Werner Forssmann(Credit. Public Domain/Wikimedia Commons)A cardiac catheterization — where a thin, hollow tube called a catheter is inserted into a blood vessel leading to the heart — is a procedure used to diagnose and treat a number of cardiovascular conditions.

Essentially, it shows doctors how well a patient's heart is working. With over a million done each year in the United States, it’s one of the most frequently performed cardiac procedures.German physician Werner Forssmann is the father of this particular medical advancement. In 1929, Forssmann made an incision into the inside of his elbow and then inserted a roughly 25 inch urinary catheter into his vein. Guided by a real-time imaging technique called a fluoroscope, he advanced it to his heart’s right auricle, or atrium, and then had X-rays taken to confirm the position.

Forssmann next tried the procedure on a terminally ill woman, and found he was able to effectively deliver medication directly to her heart. He continued to experiment further, using rabbits, dogs, and himself — totaling up to nine additional catheterizations. The results of his work led other physicians to use the femoral vein, deep within the thigh, to reach the inferior vena cava, which carries blood from the legs, feet and abdomen to the heart. Forssmann is a Nobel Prize winner and considered a pioneer in interventional cardiology.Barry Marshall(Credit.

WikiEdtingProfile2021/CC-by-3.0/Wikimedia Commons) For years, conventional wisdom was that excessive stomach acid was the culprit behind ulcers, painful sores that develop on the lining of the stomach or small intestine. Barry Marshall, an Australian physician, disagreed — he believed that ulcers were actually caused by the bacterium Helicobacter pylori, which commonly lives in the stomach lining. Marshall's interest in the subject was spurred by pathobiologist Robin Warren, who had observed the bacteria in a biopsy from a patient’s stomach lining in 1979. After teaming up, the pair studied biopsies from 100 patients and found that almost every one with ulcers or gastritis (any condition where the stomach lining is inflamed) also had H.

Pylori. But after years of trying to persuade skeptics, and with no suitable animal models to work with, Marshall was driven to dig deeper. He took bacteria samples from a sick patient and drank it in a “brew.” Afterwards, Marshall became sick with bloating, decreased appetite, and eventually vomiting. An endoscopy confirmed he did indeed have gastritis, and antibiotic treatment proved an effective cure.

Marshall's experiment confirmed the connection between H. Pylori and ulcers. As a result, antibiotics are now the standard treatment. In 2005, Marshall and Warren won the Nobel Prize in physiology for their groundbreaking discovery.Read more about Marshall in our 2010 interview.

The Doctor Who Drank Infectious Broth, Gave Himself an Ulcer, and Solved a Medical MysteryEvan O’Neill KaneSurgeon Evan O'Neill Kane was no stranger to appendectomies, having performed over 4,000 himself. But after nearly 40 years in the operating room, Kane wanted to prove that, in certain cases, local anesthetic could be used as an alternative to the riskier general anesthesia. To prove his theory, in 1921 he decided to make himself a test case. When his appendix became infected, he was scheduled to have the organ removed by another surgeon.

But right before his appendectomy began, Kane announced that he would be doing the surgery himself. First, Kane propped himself up on pillows, so he could better see his abdomen. Then he injected the area with a local anesthetic containing cocaine and adrenaline before cutting through the tissue and locating and removing his infected appendix. Kane was not new to self-surgery.

Two years prior to his appendectomy, he amputated his own finger due to . Years later, he successfully operated on his hernia — at age 70 — and was back in the operating room only 36 hours later. Kane’s bold decision led to a greater understanding about the use of local anesthetics, and how to avoid general anesthesia in patients for whom it posed a danger.Alexander Bogdanov(Credit. Public Domain/Wikimedia Commons) As an influential member of the Bolsheviks, physician Alexander Bogdanov competed with Vladimir Lenin to lead the leftist revolutionary movement, offering Russians a more moderate alternative.

It didn’t work out, but Bogdanaov, a true polymath, had other skills and talents to explore. In addition to being a physician, he was also an economist, philosopher, poet, science fiction writer, teacher, and founder of the first institution dedicated to blood transfusion. His interest in transfusions stemmed from his belief that they could extend human life. During the 1920’s, Bogdanov gave himself multiple transfusions.

Unfortunately, one of his transfusions involved the use of a student’s blood, who was sick with malaria and tuberculosis. Bogdanov died, but the student survived his illness. Building on his work, his successors made advances that established Russia as a leader in developing a central national blood transfusion system..

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NCHS Data amoxil chewable tablets Brief No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk for chronic conditions amoxil chewable tablets such as cardiovascular disease (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition. Menopause is “the permanent cessation of menstruation that occurs amoxil chewable tablets after the loss of ovarian activity” (3).

This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this analysis, 74.2% of women are premenopausal, 3.7% are perimenopausal, and 22.1% amoxil chewable tablets are postmenopausal. Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one amoxil chewable tablets in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a 24-hour period (35.1%) (Figure 1).

Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period. Figure 1 amoxil chewable tablets. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic amoxil chewable tablets trend by menopausal status (p <.

0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were amoxil chewable tablets perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data amoxil chewable tablets table for Figure 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly amoxil chewable tablets one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week. Figure 2 amoxil chewable tablets.

Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status amoxil chewable tablets (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 amoxil chewable tablets year ago or less.

Women were premenopausal if they still had a menstrual cycle. Access data table for amoxil chewable tablets Figure 2pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or amoxil chewable tablets more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women.

Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week. Figure 3 amoxil chewable tablets. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p amoxil chewable tablets <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their amoxil chewable tablets last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 3pdf icon.SOURCE amoxil chewable tablets. NCHS, National Health Interview Survey, 2015.

The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more amoxil chewable tablets in the past week increased from 47.0% among premenopausal women to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week. Figure 4 amoxil chewable tablets. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status.

United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES. Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle.

Access data table for Figure 4pdf icon.SOURCE. NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5). Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion.

DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?. €. 2) “Do you still have periods or menstrual cycles?.

€. 3) “When did you have your last period or menstrual cycle?. €. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries.

Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less. Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?. € Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis.

NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS. For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States.

The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS. Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics.

The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report. ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 141.

Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF. Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon.

2016.Santoro N. Perimenopause. From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al.

Recommended amount of sleep for a healthy adult. A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software]. 2012.

Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286. Hyattsville, MD. National Center for Health Statistics.

2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J. Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J.

Blumberg, Ph.D., Associate Director for Science.

NCHS Data amoxil online usa my link Brief No. 286, September 2017PDF Versionpdf icon (374 KB)Anjel Vahratian, Ph.D.Key findingsData from the National Health Interview Survey, 2015Among those aged 40–59, perimenopausal women (56.0%) were more likely than postmenopausal (40.5%) and premenopausal (32.5%) women to sleep less than 7 hours, on average, in a 24-hour period.Postmenopausal women aged 40–59 were more likely than premenopausal women aged 40–59 to have trouble falling asleep (27.1% compared with 16.8%, respectively), and staying asleep (35.9% compared with 23.7%), four times or more in the past week.Postmenopausal women aged 40–59 (55.1%) were more likely than premenopausal women aged 40–59 (47.0%) to not wake up feeling well rested 4 days or more in the past week.Sleep duration and quality are important contributors to health and wellness. Insufficient sleep is associated with an increased risk for chronic conditions such as cardiovascular disease amoxil online usa (1) and diabetes (2). Women may be particularly vulnerable to sleep problems during times of reproductive hormonal change, such as after the menopausal transition.

Menopause is “the permanent cessation of menstruation that amoxil online usa occurs after the loss of ovarian activity” (3). This data brief describes sleep duration and sleep quality among nonpregnant women aged 40–59 by menopausal status. The age range selected for this analysis reflects the focus on midlife sleep health. In this amoxil online usa analysis, 74.2% of women are premenopausal, 3.7% are perimenopausal, and 22.1% are postmenopausal.

Keywords. Insufficient sleep, menopause, National Health Interview Survey Perimenopausal women were more likely than premenopausal and postmenopausal women to sleep less than 7 hours, on average, in a 24-hour period.More than one in three nonpregnant women aged 40–59 slept less than 7 hours, on average, in a 24-hour period amoxil online usa (35.1%) (Figure 1). Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period (56.0%), compared with 32.5% of premenopausal and 40.5% of postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to sleep less than 7 hours, on average, in a 24-hour period.

Figure 1 amoxil online usa. Percentage of nonpregnant women aged 40–59 who slept less than 7 hours, on average, in a 24-hour period, by menopausal status. United States, 2015image icon1Significant quadratic trend by menopausal status (p < amoxil online usa. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their amoxil online usa last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure amoxil online usa 1pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble falling asleep four times or more in the past week varied by menopausal status.Nearly one in five nonpregnant women aged 40–59 had trouble falling asleep four times or more in amoxil online usa the past week (19.4%) (Figure 2). The percentage of women in this age group who had trouble falling asleep four times or more in the past week increased from 16.8% among premenopausal women to 24.7% among perimenopausal and 27.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble falling asleep four times or more in the past week.

Figure 2 amoxil online usa. Percentage of nonpregnant women aged 40–59 who had trouble falling asleep four times or more in the past week, by menopausal status. United States, 2015image amoxil online usa icon1Significant linear trend by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if amoxil online usa they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 2pdf amoxil online usa icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who had trouble staying asleep amoxil online usa four times or more in the past week varied by menopausal status.More than one in four nonpregnant women aged 40–59 had trouble staying asleep four times or more in the past week (26.7%) (Figure 3). The percentage of women aged 40–59 who had trouble staying asleep four times or more in the past week increased from 23.7% among premenopausal, to 30.8% among perimenopausal, and to 35.9% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to have trouble staying asleep four times or more in the past week.

Figure 3 amoxil online usa. Percentage of nonpregnant women aged 40–59 who had trouble staying asleep four times or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend amoxil online usa by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual amoxil online usa cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data amoxil online usa table for Figure 3pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. The percentage of women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week varied by menopausal status.Nearly one in two nonpregnant women aged 40–59 did not wake up feeling well rested 4 days or more in the past week (48.9%) (Figure 4). The percentage of women in this age group who did not wake up feeling well rested 4 days or more in the past week increased from 47.0% among premenopausal women amoxil online usa to 49.9% among perimenopausal and 55.1% among postmenopausal women. Postmenopausal women were significantly more likely than premenopausal women to not wake up feeling well rested 4 days or more in the past week.

Figure 4 amoxil online usa. Percentage of nonpregnant women aged 40–59 who did not wake up feeling well rested 4 days or more in the past week, by menopausal status. United States, 2015image icon1Significant linear trend by menopausal status (p <. 0.05).NOTES.

Women were postmenopausal if they had gone without a menstrual cycle for more than 1 year or were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they no longer had a menstrual cycle and their last menstrual cycle was 1 year ago or less. Women were premenopausal if they still had a menstrual cycle. Access data table for Figure 4pdf icon.SOURCE.

NCHS, National Health Interview Survey, 2015. SummaryThis report describes sleep duration and sleep quality among U.S. Nonpregnant women aged 40–59 by menopausal status. Perimenopausal women were most likely to sleep less than 7 hours, on average, in a 24-hour period compared with premenopausal and postmenopausal women.

In contrast, postmenopausal women were most likely to have poor-quality sleep. A greater percentage of postmenopausal women had frequent trouble falling asleep, staying asleep, and not waking well rested compared with premenopausal women. The percentage of perimenopausal women with poor-quality sleep was between the percentages for the other two groups in all three categories. Sleep duration changes with advancing age (4), but sleep duration and quality are also influenced by concurrent changes in women’s reproductive hormone levels (5).

Because sleep is critical for optimal health and well-being (6), the findings in this report highlight areas for further research and targeted health promotion. DefinitionsMenopausal status. A three-level categorical variable was created from a series of questions that asked women. 1) “How old were you when your periods or menstrual cycles started?.

€. 2) “Do you still have periods or menstrual cycles?. €. 3) “When did you have your last period or menstrual cycle?.

€. And 4) “Have you ever had both ovaries removed, either as part of a hysterectomy or as one or more separate surgeries?. € Women were postmenopausal if they a) had gone without a menstrual cycle for more than 1 year or b) were in surgical menopause after the removal of their ovaries. Women were perimenopausal if they a) no longer had a menstrual cycle and b) their last menstrual cycle was 1 year ago or less.

Premenopausal women still had a menstrual cycle.Not waking feeling well rested. Determined by respondents who answered 3 days or less on the questionnaire item asking, “In the past week, on how many days did you wake up feeling well rested?. €Short sleep duration. Determined by respondents who answered 6 hours or less on the questionnaire item asking, “On average, how many hours of sleep do you get in a 24-hour period?.

€Trouble falling asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble falling asleep?. €Trouble staying asleep. Determined by respondents who answered four times or more on the questionnaire item asking, “In the past week, how many times did you have trouble staying asleep?.

€ Data source and methodsData from the 2015 National Health Interview Survey (NHIS) were used for this analysis. NHIS is a multipurpose health survey conducted continuously throughout the year by the National Center for Health Statistics. Interviews are conducted in person in respondents’ homes, but follow-ups to complete interviews may be conducted over the telephone. Data for this analysis came from the Sample Adult core and cancer supplement sections of the 2015 NHIS.

For more information about NHIS, including the questionnaire, visit the NHIS website.All analyses used weights to produce national estimates. Estimates on sleep duration and quality in this report are nationally representative of the civilian, noninstitutionalized nonpregnant female population aged 40–59 living in households across the United States. The sample design is described in more detail elsewhere (7). Point estimates and their estimated variances were calculated using SUDAAN software (8) to account for the complex sample design of NHIS.

Linear and quadratic trend tests of the estimated proportions across menopausal status were tested in SUDAAN via PROC DESCRIPT using the POLY option. Differences between percentages were evaluated using two-sided significance tests at the 0.05 level. About the authorAnjel Vahratian is with the National Center for Health Statistics, Division of Health Interview Statistics. The author gratefully acknowledges the assistance of Lindsey Black in the preparation of this report.

ReferencesFord ES. Habitual sleep duration and predicted 10-year cardiovascular risk using the pooled cohort risk equations among US adults. J Am Heart Assoc 3(6):e001454. 2014.Ford ES, Wheaton AG, Chapman DP, Li C, Perry GS, Croft JB.

Associations between self-reported sleep duration and sleeping disorder with concentrations of fasting and 2-h glucose, insulin, and glycosylated hemoglobin among adults without diagnosed diabetes. J Diabetes 6(4):338–50. 2014.American College of Obstetrics and Gynecology. ACOG Practice Bulletin No.

141. Management of menopausal symptoms. Obstet Gynecol 123(1):202–16. 2014.Black LI, Nugent CN, Adams PF.

Tables of adult health behaviors, sleep. National Health Interview Survey, 2011–2014pdf icon. 2016.Santoro N. Perimenopause.

From research to practice. J Women’s Health (Larchmt) 25(4):332–9. 2016.Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult.

A joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 11(6):591–2. 2015.Parsons VL, Moriarity C, Jonas K, et al. Design and estimation for the National Health Interview Survey, 2006–2015.

National Center for Health Statistics. Vital Health Stat 2(165). 2014.RTI International. SUDAAN (Release 11.0.0) [computer software].

2012. Suggested citationVahratian A. Sleep duration and quality among women aged 40–59, by menopausal status. NCHS data brief, no 286.

Hyattsville, MD. National Center for Health Statistics. 2017.Copyright informationAll material appearing in this report is in the public domain and may be reproduced or copied without permission. Citation as to source, however, is appreciated.National Center for Health StatisticsCharles J.

Rothwell, M.S., M.B.A., DirectorJennifer H. Madans, Ph.D., Associate Director for ScienceDivision of Health Interview StatisticsMarcie L. Cynamon, DirectorStephen J. Blumberg, Ph.D., Associate Director for Science.

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This is the essence of being trauma informed. Trauma-informed care has been a topic of discussion for several years within the human service world. According to Trauma-Informed Care Implementation Resource Center, trauma-informed care shifts the focus from “What’s wrong with you?. € to “What happened to you?. € There has been a push to bring this concept outside the therapy office and into broader health care settings.

This perspective, however, can be useful beyond the realm of health care. When individuals become trauma informed, they can approach all interactions differently and with more empathy and compassion. Some people, however, resist this idea. They seem to believe that recognizing past trauma and approaching people with compassion means not holding them accountable for their behavior, and letting them “get away” with bad behavior. Handing out punishment for bad behavior while ignoring the emotional reality of the person will not fully address the problem.

It may temporarily reduce the behavior, but it will likely get worse later. Compassion within trauma-informed living is recognizing the past trauma as the source of the pain that leads to difficult behavior. In the process of acknowledging the trauma and validating the emotions a door is opened to healing and learning new ways of coping. This can be done while still holding them accountable to the consequences of the behavior. Living as a trauma-informed human means recognizing that another’s bad behavior or grumpy attitude is likely coming from a place of past trauma, and having compassion and kindness for the person, even while acknowledging that consequences happen.

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Credit. IStock Share Fast Facts New @HopkinsMedicine study finds African-American women with common form of hair loss at increased risk of uterine fibroids - Click to Tweet New study in @JAMADerm shows most common form of alopecia (hair loss) in African-American women associated with higher risks of uterine fibroids - Click to Tweet In a study of medical records gathered on hundreds of thousands of African-American women, Johns Hopkins researchers say they have evidence that women with a common form of hair loss have an increased chance of developing uterine leiomyomas, or fibroids.In a report on the research, published in the December 27 issue of JAMA Dermatology, the researchers call on physicians who treat women with central centrifugal cicatricial alopecia (CCCA) to make patients aware that they may be at increased risk for fibroids and should be screened for the condition, particularly if they have symptoms such as heavy bleeding and pain. CCCA predominantly affects black women and is the most common form of permanent alopecia in this population.

The excess scar tissue that forms as a result of this type of hair loss may also explain the higher risk for uterine fibroids, which are characterized by fibrous growths in the lining of the womb. Crystal Aguh, M.D., assistant professor of dermatology at the Johns Hopkins University School of Medicine, says the scarring associated with CCCA is similar to the scarring associated with excess fibrous tissue elsewhere in the body, a situation that may explain why women with this type of hair loss are at a higher risk for fibroids.People of African descent, she notes, are more prone to develop other disorders of abnormal scarring, termed fibroproliferative disorders, such as keloids (a type of raised scar after trauma), scleroderma (an autoimmune disorder marked by thickening of the skin as well as internal organs), some types of lupus and clogged arteries. During a four-year period from 2013-2017, the researchers analyzed patient data from the Johns Hopkins electronic medical record system (Epic) of 487,104 black women ages 18 and over.

The prevalence of those with fibroids was compared in patients with and without CCCA. Overall, the researchers found that 13.9 percent of women with CCCA also had a history of uterine fibroids compared to only 3.3 percent of black women without the condition. In absolute numbers, out of the 486,000 women who were reviewed, 16,212 had fibroids.Within that population, 447 had CCCA, of which 62 had fibroids.

The findings translate to a fivefold increased risk of uterine fibroids in women with CCCA, compared to age, sex and race matched controls. Aguh cautions that their study does not suggest any cause and effect relationship, or prove a common cause for both conditions. €œThe cause of the link between the two conditions remains unclear,” she says.

However, the association was strong enough, she adds, to recommend that physicians and patients be made aware of it. Women with this type of scarring alopecia should be screened not only for fibroids, but also for other disorders associated with excess fibrous tissue, Aguh says. An estimated 70 percent of white women and between 80 and 90 percent of African-American women will develop fibroids by age 50, according to the NIH, and while CCCA is likely underdiagnosed, some estimates report a prevalence of rates as high as 17 percent of black women having this condition.

The other authors on this paper were Ginette A. Okoye, M.D. Of Johns Hopkins and Yemisi Dina of Meharry Medical College.Credit.

The New England Journal of Medicine Share Fast Facts This study clears up how big an effect the mutational burden has on outcomes to immune checkpoint inhibitors across many different cancer types. - Click to Tweet The number of mutations in a tumor’s DNA is a good predictor of whether it will respond to a class of cancer immunotherapy drugs known as checkpoint inhibitors. - Click to Tweet The “mutational burden,” or the number of mutations present in a tumor’s DNA, is a good predictor of whether that cancer type will respond to a class of cancer immunotherapy drugs known as checkpoint inhibitors, a new study led by Johns Hopkins Kimmel Cancer Center researchers shows.

The finding, published in the Dec. 21 New England Journal of Medicine, could be used to guide future clinical trials for these drugs. Checkpoint inhibitors are a relatively new class of drug that helps the immune system recognize cancer by interfering with mechanisms cancer cells use to hide from immune cells.

As a result, the drugs cause the immune system to fight cancer in the same way that it would fight an . These medicines have had remarkable success in treating some types of cancers that historically have had poor prognoses, such as advanced melanoma and lung cancer. However, these therapies have had little effect on other deadly cancer types, such as pancreatic cancer and glioblastoma.

The mutational burden of certain tumor types has previously been proposed as an explanation for why certain cancers respond better than others to immune checkpoint inhibitors says study leader Mark Yarchoan, M.D., chief medical oncology fellow. Work by Dung Le, M.D., associate professor of oncology, and other researchers at the Johns Hopkins Kimmel Cancer Center and its Bloomberg~Kimmel Cancer Institute for Cancer Immunotherapy showed that colon cancers that carry a high number of mutations are more likely to respond to checkpoint inhibitors than those that have fewer mutations. However, exactly how big an effect the mutational burden has on outcomes to immune checkpoint inhibitors across many different cancer types was unclear.

To investigate this question, Yarchoan and colleagues Alexander Hopkins, Ph.D., research fellow, and Elizabeth Jaffee, M.D., co-director of the Skip Viragh Center for Pancreas Cancer Clinical Research and Patient Care and associate director of the Bloomberg~Kimmel Institute, combed the medical literature for the results of clinical trials using checkpoint inhibitors on various different types of cancer. They combined these findings with data on the mutational burden of thousands of tumor samples from patients with different tumor types. Analyzing 27 different cancer types for which both pieces of information were available, the researchers found a strong correlation.

The higher a cancer type’s mutational burden tends to be, the more likely it is to respond to checkpoint inhibitors. More than half of the differences in how well cancers responded to immune checkpoint inhibitors could be explained by the mutational burden of that cancer. €œThe idea that a tumor type with more mutations might be easier to treat than one with fewer sounds a little counterintuitive.

It’s one of those things that doesn’t sound right when you hear it,” says Hopkins. €œBut with immunotherapy, the more mutations you have, the more chances the immune system has to recognize the tumor.” Although this finding held true for the vast majority of cancer types they studied, there were some outliers in their analysis, says Yarchoan. For example, Merkel cell cancer, a rare and highly aggressive skin cancer, tends to have a moderate number of mutations yet responds extremely well to checkpoint inhibitors.

However, he explains, this cancer type is often caused by a amoxil, which seems to encourage a strong immune response despite the cancer’s lower mutational burden. In contrast, the most common type of colorectal cancer has moderate mutational burden, yet responds poorly to checkpoint inhibitors for reasons that are still unclear. Yarchoan notes that these findings could help guide clinical trials to test checkpoint inhibitors on cancer types for which these drugs haven’t yet been tried.

Future studies might also focus on finding ways to prompt cancers with low mutational burdens to behave like those with higher mutational burdens so that they will respond better to these therapies. He and his colleagues plan to extend this line of research by investigating whether mutational burden might be a good predictor of whether cancers in individual patients might respond well to this class of immunotherapy drugs. €œThe end goal is precision medicine—moving beyond what’s true for big groups of patients to see whether we can use this information to help any given patient,” he says.

Yarchoan receives funding from the Norman &. Ruth Rales Foundation and the Conquer Cancer Foundation. Through a licensing agreement with Aduro Biotech, Jaffee has the potential to receive royalties in the future..

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The excess scar tissue that forms as a result of this type of hair loss may also explain the higher risk for uterine fibroids, which are characterized by fibrous growths in the lining of the womb. Crystal Aguh, amoxil online usa M.D., assistant professor of dermatology at the Johns Hopkins University School of Medicine, says the scarring associated with CCCA is similar to the scarring associated with excess fibrous tissue elsewhere in the body, a situation that may explain why women with this type of hair loss are at a higher risk for fibroids.People of African descent, she notes, are more prone to develop other disorders of abnormal scarring, termed fibroproliferative disorders, such as keloids (a type of raised scar after trauma), scleroderma (an autoimmune disorder marked by thickening of the skin as well as internal organs), some types of lupus and clogged arteries. During a four-year period from 2013-2017, the researchers analyzed patient data from the Johns Hopkins electronic medical record system (Epic) of 487,104 black women ages 18 and over.

The prevalence of those with fibroids was compared in amoxil online usa patients with and without CCCA. Overall, the researchers found that 13.9 percent of women with CCCA also had a history of uterine fibroids compared to only 3.3 percent of black women without the condition. In absolute numbers, out of the 486,000 women who were reviewed, 16,212 had fibroids.Within that population, 447 had CCCA, of which 62 had fibroids.

The findings translate to a fivefold increased risk of uterine fibroids in women with CCCA, compared to age, amoxil online usa sex and race matched controls. Aguh cautions that their study does not suggest any cause and effect relationship, or prove a common cause for both conditions. €œThe cause of amoxil online usa the link between the two conditions remains unclear,” she says.

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The other authors on this paper were Ginette amoxil online usa A. Okoye, M.D. Of Johns Hopkins and Yemisi Dina of Meharry Medical College.Credit.

The New England Journal of Medicine Share Fast Facts This study clears up how big an effect the mutational burden has on amoxil online usa outcomes to immune checkpoint inhibitors across many different cancer types. - Click to Tweet The number of mutations in a tumor’s DNA is a good predictor of whether it will respond to a class of cancer immunotherapy drugs known as checkpoint inhibitors. - Click to Tweet The “mutational burden,” or the number of mutations present in a tumor’s DNA, is a good predictor of whether that cancer type will respond to a class of amoxil online usa cancer immunotherapy drugs known as checkpoint inhibitors, a new study led by Johns Hopkins Kimmel Cancer Center researchers shows.

The finding, published in the Dec. 21 New England Journal of Medicine, could be amoxil online usa used to guide future clinical trials for these drugs. Checkpoint inhibitors are a relatively new class of drug that helps the immune system recognize cancer by interfering with mechanisms cancer cells use to hide from immune cells.

As a result, the drugs cause the immune system to fight cancer in the same way that it would fight an http://basementgold.com/?page_id=3. These medicines have had remarkable success in treating some types of cancers that amoxil online usa historically have had poor prognoses, such as advanced melanoma and lung cancer. However, these therapies have had little effect on other deadly cancer types, such as pancreatic cancer and glioblastoma.

The mutational burden of certain tumor types has previously been proposed as an amoxil online usa explanation for why certain cancers respond better than others to immune checkpoint inhibitors says study leader Mark Yarchoan, M.D., chief medical oncology fellow. Work by Dung Le, M.D., associate professor of oncology, and other researchers at the Johns Hopkins Kimmel Cancer Center and its Bloomberg~Kimmel Cancer Institute for Cancer Immunotherapy showed that colon cancers that carry a high number of mutations are more likely to respond to checkpoint inhibitors than those that have fewer mutations. However, exactly how big an effect the mutational burden has on outcomes amoxil online usa to immune checkpoint inhibitors across many different cancer types was unclear.

To investigate this question, Yarchoan and colleagues Alexander Hopkins, Ph.D., research fellow, and Elizabeth Jaffee, M.D., co-director of the Skip Viragh Center for Pancreas Cancer Clinical Research and Patient Care and associate director of the Bloomberg~Kimmel Institute, combed the medical literature for the results of clinical trials using checkpoint inhibitors on various different types of cancer. They combined these findings with data on the amoxil online usa mutational burden of thousands of tumor samples from patients with different tumor types. Analyzing 27 different cancer types for which both pieces of information were available, the researchers found a strong correlation.

The higher a cancer type’s mutational burden tends to be, the more likely it is to respond to checkpoint inhibitors. More than half of the differences in how well cancers responded amoxil online usa to immune checkpoint inhibitors could be explained by the mutational burden of that cancer. €œThe idea that a tumor type with more mutations might be easier to treat than one with fewer sounds a little counterintuitive.

It’s one of those things that doesn’t amoxil online usa sound right when you hear it,” says Hopkins. €œBut with immunotherapy, the more mutations you have, the more chances the immune system has to recognize the tumor.” Although this finding held true for the vast majority of cancer types they studied, there were some outliers in their analysis, says Yarchoan. For example, Merkel cell cancer, a rare and highly aggressive amoxil online usa skin cancer, tends to have a moderate number of mutations yet responds extremely well to checkpoint inhibitors.

However, he explains, this cancer type is often caused by a amoxil, which seems to encourage a strong immune response despite the cancer’s lower mutational burden. In contrast, the most common type of colorectal cancer has moderate mutational burden, yet responds poorly to checkpoint inhibitors for reasons that are still unclear. Yarchoan notes that these findings could help guide clinical trials to amoxil online usa test checkpoint inhibitors on cancer types for which these drugs haven’t yet been tried.

Future studies might also focus on finding ways to prompt cancers with low mutational burdens to behave like those with higher mutational burdens so that they will respond better to these therapies. He and his colleagues plan to extend this line of research by investigating whether mutational burden might be a good predictor of whether cancers in individual patients might respond well to this class of immunotherapy drugs amoxil online usa. €œThe end goal is precision medicine—moving beyond what’s true for big groups of patients to see whether we can use this information to help any given patient,” he says.

Yarchoan receives funding from amoxil online usa the Norman &. Ruth Rales Foundation and the Conquer Cancer Foundation. Through a licensing agreement with Aduro Biotech, Jaffee has the potential to receive royalties in the future..

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