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Young people like to discover new things depression symptoms in adolescence buy zoloft online from canada, and traditional culture has not met this need kaiser depression test generic 25 mg zoloft with visa. In addition depression symptoms chest pain purchase discount zoloft on-line, the development of internet-driven social media has had a strong impact on traditional culture anxiety keeping me awake cheap zoloft american express. Cultural changes have also affected the eating habits of young people in recent years. People are now consuming three times the daily recommended amount of salt, and eating large amounts of sugar, often in soft drinks or snacks. The country still has a high number of tobacco smokers and there has been an increase in alcohol intake. In Viet Nam, buckwheat is grown in the northern mountainous regions such as Ha Giang, Lao Cai and Cao Bang provinces. It is a healthy food product and can help reduce fat in the blood and liver, lower cholesterol and slow down atherosclerosis. Buckwheat also is resistant to drought, adapts well to rocky soils and can be intercropped with maize. For many years, buckwheat-growing areas in Vietnam were reduced, due to a high demand for other major food crops such as corn and rice. But buckwheat is making a comeback in popular tourist areas such as Giang and Cao Bang provinces. Sorghum is a drought-resistant crop that has been grown for a long time in the high mountain areas of Viet Nam. But over the years this plant has become neglected and less known as a food source. Adlay millet is a native species of Viet Nam and, during the last two decades of the twentieth century, the country was one of the leading international exporters of this crop. These are adlay millet, buckwheat, finger millet, foxtail millet, pearl millet, proso millet and sorghum (see Table 12. Roots and tubers Roots and tubers are traditional and versatile crops in Viet Nam. Taro contains starch, protein and minerals, as well as vitamins A, C, E and B in greater quantities than found in fresh fruit. In Viet Nam, taro is the third most commonly planted crop after rice and maize, and was especially popular during times when other crops were damaged by floods or typhoons. During the time of political conflicts in Viet Nam, taro provided vital food for soldiers and citizens. But since then, roots and tubers have become regarded as food for the poor (Ho et al. Its starch rate is double that of taro and it contains Glucomannan, which is often used as an anti-obesity treatment. Purple yam flesh contains significant levels of the antioxidant anthocyanin, which gives this yam great potential as a medical crop. Petiole and its leaves are nutritious and can be used as animal feed, and there is some market potential for industrial processing and medicine. Taro and yam varieties can grow and thrive in various conditions, such as sandy or clay soils with high saline or alkaline levels. They also do well in hot and cold climates and are well resistant to flooding or drought. However, the wider market for roots and tubers is unstable as there can be problems with production and planning and farming technology is limited for this type of crop. Nuts and pulses Legumes in general and the pulse group in particular can be exploited to meet the growing demand for vegetable oil and protein for human consumption and animal feed. These crops also benefit from being adaptable for rotational cropping and intercropping, and they can be beneficial for soils. Pulses are a popular crop in Viet Nam and are becoming more common as people discover their many health benefits. Since they can be intercropped, this helps encourage biodiversity by ensuring there is a habitat for a range of insects and organisms that would not thrive in a single crop region. Legumes and pulses also do well in barren soils and semi-arid conditions and their nitrogen fixing properties are good for the long-term health and fertility of agricultural lands. Pulses in Viet Nam boast high genetic diversity and are easily bred with other varieties to improve their resistance to a changing climate. Pulse cultivation also produces less carbon and greenhouse gases and they can be stored for several months without losing their nutrients.

Some habitat (leading to possible hypervitaminosis D anxiety scale 100 mg zoloft with mastercard, known to elephants have been euthanized as a result of chronic be associated with calcium deposition in other species) as pododermatitis depression symptoms menopause cheap 100mg zoloft fast delivery. Most of these animals received aggressive contributory to the development of arterial disease in wild medical treatment over a period of months or years but African elephants depression exercise order zoloft 25mg amex. The role Examination of the hearts and aortas of 415 elephants of mycoplasmas and rheumatoid arthritis as an underlying culled in Uganda and Kenya between 1966 and 1967 etiology of the arthritic problems noted in captive elephants remains unclear anxiety girl cartoon 100 mg zoloft otc. The occurrence of mycoplasma in revealed gross lesions in 298 aortas (72 percent) and 29 coronary arteries (27 percent) (McCullagh and Lewis 1967). Two mycoplasma lesions in elephants were most severe in the aortas and strains isolated from elephants represent a new species, least severe in the coronary arteries. Padding and topical agents have sclerotic plaques covered 8 percent of the total surface area been minimally successful in resolving these lesions. Use of the thoracic aorta and 50 percent of the total surface of of direct-contact, low-level infrared therapy, used to the abdominal aorta. The severity of atherosclerotic lesions enhance healing of similar lesions in humans and horses, does not appear to be corrleated with blood levels of may be beneficial for elephants as well (Gage et al. In another study (Dillman and Carr obtained using a portable equine radiographic unit (Gage 1970), aortic lesions were seen in 36 percent of 207 aortas 1999). Serum electrolytes measured in these and 49 other elephants showed no differences in Cardiovascular Disorders cholesterol between normal elephants and those with aortic lesions. McCullagh (1972) suggested that lesions Arterial Disease observed in elephants are more compatible with a "meArterial disease has been the subject of several field chanical concept" theory in which hemodynamic stresses studies conducted in the 1960s and 1970s. Sikes examined such as turbulence and repeated stretching of the arterial the aortas and arteries from 40 elephants from three wall result in endothelial damage, eventually leading to distinct habitats in Kenya and Uganda and observed fibrosis and thickening of the intima. Arteriosclerosis or atherosclerosis were noted postmortem in 6 elephants but were implicated as the cause of death in only one case (Mikota et al. Diseases of Unknown Etiology Floppy Trunk Syndrome Floppy trunk syndrome has been reported only in freeranging African elephants. The first cases occurred in 1989 in the Fothergill Island area of the Matusadona National Park (Kock et al. Floppy trunk syndrome presents as a subtle loss of prehension followed by atrophy of the trunk and ascending paralysis which progresses over a period of months. Neuromuscular deficits are confined to the trunk, and although the elephants are initially able to compensate for difficulties in feeding, prehension eventually becomes more difficult and wasting ensues. As of March 1998, 35 to 40 cases have been identified, 17 biopsies and five postmortems have been performed, and two to three elephants have completely recovered. Biopsies show neuropathy of the peripheral nerves supplying the trunk with axon, myelin loss, and muscle atrophy (Kock 1996). Plant, soil, and water surveys have been conducted but an underlying etiology has not been identified. Trauma and infectious agents are considered unlikely, and current studies point toward a selenium deficiency combined with plant toxicosis. Ventral Edema Ventral edema, generally noticed as swelling in the submandibular or ventral abdominal areas, has been associated with various pathological disorders. There are several reports of ventral edema associated with liver flukes (Caple et al. Hypoproteinemia was confirmed in some of these cases and appears to be the underlying mechanism. Elephant physicians in Ceylon consider ventral edema to be a cardinal sign of incurable lung disease in elephants (Pinto 1973). There have been numerous anecdotal reports of a transient ventral edema occurring in captive North American elephants. No cases were reported in neonates or infants and only 12 cases occurred in elephants 1 to 10 years of age. Except for one case of salmonellosis in which ventral edema was related to multisystemic changes, all cases were of unknown cause. The majority of cases (64 percent) resolved without treatment and only 7 percent persisted longer than three months (Mikota et al.

More than 1 600 million suffer from iron deficiency depression symptoms 12 year old buy zoloft paypal, and Over 200 million are affected by vitamin A insufficiency depression symptoms with anxiety order zoloft american express. It has been estimated that more than 400 000 children die every year from effects related directly to zinc deficiency anxiety yawning symptoms buy 100 mg zoloft with mastercard. The estimated costs for interventions to address undernutrition is relatively small compared with the expected benefits depression journal template generic zoloft 50mg visa. One reason is that there is insufficient effort to take advantage of the vast abundant diversity to increase nutrition. Second, inadequate attention is given to making agriculture more nutrition sensitive, including effective policy interventions to combat malnutrition. Malnutrition is also partly due to the reliance on only a few staple crops for consumption. Diversity and variety were compromised, with severe declines in fruit, vegetable, and legume production and consumption (Welch, 2002), and complete neglect of indigenous under-cultivated, wild and semi-wild food sources. This loss of diversity in the diet is one of the greatest factors contributing to malnutrition, especially micronutrient deficiency (Welch and Combs, 1997). The quality of nutrition was of less concern when many people were suffering from hunger. They often contain high levels of essential minerals, vitamins, phytochemicals such as flavonoids, and they can have a good macronutrient profile of fat, protein and carbohydrates. Chickpeas, for example, are three times richer in protein, four times richer in dietary fibre, four times richer in iron, and 70 times richer in folate than white rice. Mung beans too are three times richer in protein, four times richer in iron, and 78 times richer in folate than white rice. Lupins are five times richer in protein, eight times richer in dietary fibre, four times richer in iron, and 44 times richer in folate than white rice (Sathe, 1996). For example, lentils are typically rich in micronutrients and have the potential to provide adequate dietary amounts of iron, zinc, and selenium (Megan et al. As anaemia is typically high in many Asian countries, a clinical nutrition study was initiated to investigate the impact of an iron-rich lentil diet on anaemic children in Sri Lanka. The fresh leaves are an outstanding source of vitamin C, while the dried leaf powder offers a more concentrated version of the same nutrients, especially vitamin A. Other vitamins and minerals present in plant leaves and seed pods include high concentrations of calcium, iron, potassium, magnesium and B vitamins. An empirical study confirmed that daily use of the leaves and seeds of the Moringa plant could provide the recommended dietary allowance for vitamins C and A, and minerals, such as calcium and potassium (Asghari et al. So, underutilized crops offer superior nutritional value for improving protein and micronutrient contents in diets, as well as help prevent non-communicable diseases in millions of people around the world. Their resistance to climate change means that they can provide food when other crops fail. In India, adding value to little millet enhanced farmer incomes three-fold and generated employment in villages, particularly for women, so improving their social status and self-esteem (Vijayalakshmi et al. Promoting niche markets through denomination of origin, eco-labelling, fair trade, organic and slow food initiatives, geographic indication, globally important agricultural heritage systems, and one-villageone-product intiatives may be particularly useful. In order for policies and actions to be effective, policymakers have to be able to assess progress towards set objectives, which in turn requires an appropriate monitoring mechanism. The selections should also be functional to contribute to closing production and nutrition gaps for Zero Hunger. For this regional priority-setting exercise, the target food crops focused on the following groups: 1 cereals, 2 roots and tubers, 3 nuts and pulses, 4 horticulture, and 5 others. The exercise also established the principle of country ownership of the scoping and prioritization results. It then expanded to four additional countries: Bangladesh, Bhutan, Viet Nam, and West Bengal in India. Nominated international experts were grouped by discipline to offer technical assistance to support the country on prioritization through interdisciplinary reviews. The international experts conducted a review of the preliminary national scoping report from the respective disciplines prior to the Regional Expert Consultation. Thirty-five participants, representing eight countries, as well as 22 national and international partners attended. This was followed by a multi-dimensional review by international experts from each participating country. Strategic suggestions were made by leading experts, the details of which are presented in Chapter 14 Conclusion: Way Forward.

The presence of an Orofacial Pain dentist is beneficial and complimentary to the practice of Oral and Maxillofacial Pathology depression loneliness proven 100mg zoloft. Advanced Knowledge (didactic): the Oral and Maxillofacial Surgery 2019 standard 4-1 the program must provide training in application to the medical sciences with 4-1 depression zoloft side effects order zoloft 50mg with amex. Standard 4-5 states Instruction must be provided in the basic biomedical sciences at an advanced level beyond that of the pre-doctoral dental curriculum depression symptoms not showering cheap generic zoloft uk. These sciences must include anatomy (including growth and development) depression ups and downs buy zoloft american express, physiology, pharmacology, microbiology and pathology. This instruction may be provided through formal courses, seminars, conferences or rotations to other services of the hospital. Resident competency in physical diagnosis must be documented by qualified members of the teaching staff. This instruction must be initiated in the first year of the program to ensure that residents have the opportunity to apply this training throughout the program on adult and pediatric patients. The majority of these examinations must be performed by an oral and maxillofacial surgery resident. Standard 4-7 states: the program must provide a complete, progressively graduated sequence of outpatient, inpatient and emergency room experiences. In addition to providing the teaching and supervision of the resident activities described above, there must be patients of sufficient number and variety to give residents exposure to and competence in the full scope of oral and maxillofacial surgery. The program director must demonstrate that the objectives of the standards have been met and must ensure that all residents receive comparable clinical experience. This experience must include the management of dentoalveolar surgery, the placement of implant devices, traumatic injuries and pathologic conditions, augmentations and other hard and soft tissue surgery, including surgery of the mucogingival tissues. Faculty cases may contribute to this experience, but they must have resident involvement. The categories of major surgery are defined as: 1) trauma 2) pathology 3) orthognathic surgery 4) reconstructive and cosmetic surgery. Surgery performed by oral and maxillofacial surgery residents while rotating on or assisting with other services must not be counted toward this requirement. Response: Standard 4-13 includes both temporomandibular joint pathology and reconstruction and peripheral nerve reconstruction but no reference to diagnosis or non-surgical management of orofacial pain disorders. An important premise of medical practice is for there to be some separation between surgical and non-surgical care as in neurology and neurosurgery, non-invasive, invasive, and surgical cardiology, etc. In the consideration for the application of Orofacial Pain for specialty recognition, it is important for no group to claim to be the whole team. Similarly, neither is General or Specialty surgery in Medical Centers conflicted with medical pain management services, and commonly finds great comfort and benefit in working with pain management teams. In fact, both are complementary to the greater success of all disciplines involved, and more importantly to patient outcome. The Orofacial Pain program services are set up as more multidisciplinary services incorporating at least additional physical therapy and psychology services along with either an attending neurologist, pain medicine physician, internist, or anesthesiologist in one physical center, one combined medial record, and team conferences. Some incidental experience can be obtained during hospital rotations and rounds programs. Behavioral management in the training Standards for Oral and Maxillofacial surgeons is only applied to acute pain and anxiety management, compared to the extensive use of psychometrics, psycho-physiological models, behavioral therapies and psychotropic medications in Orofacial Pain programs. The referrals from Orofacial Pain to surgery comes with more correct inclusion criteria for surgical consideration, 50 and this should improve authorization for surgery, treatment outcome and patient participation. Orofacial pain dentists refer all cases involving surgery to the oral and maxillofacial surgeon in a similar manner to orthodontics referring orthognathic surgery patients to the oral and maxillofacial surgeon. The trained Orofacial Pain dentists triage and refer all cases involving actual pathology to the oral surgeon, or to the oral and maxillofacial pathologist as appropriate. The Orofacial Pain dentist also provides the dental community with experts in the interdisciplinary management of orofacial pain disorders in difficult post-surgical problems, particularly multiple surgery patients, and neuropathic pain diagnosis and treatment occurring idiopathically and post-surgically. Plus, it brings the resource of additional pain and rehabilitation professionals and therapists. These components of care and the longitudinal care of pain and dysfunction are not performed by oral surgery services or included in Oral and Maxillofacial Surgery training standards. In summary, considering all this information, there is no overlap or conflict of the surgical specialty of Oral and Maxillofacial Surgery with the specialty of Orofacial Pain, which is all non-surgical. The presence of an Orofacial Pain dentist is beneficial and complimentary to the practice of Oral and Maxillofacial Surgery. Craniofacial growth and skeletal orthopedics is studied including problems affecting orofacial esthetics, form and function, but temporomandibular disorders are not specified in the standards.

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