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Database/retrieval system on the Internet with well known place of publication Current Controlled Trials [Internet] buy cheap clomid 100mg on line. Database/retrieval system on the Internet with geographic qualifier added to place of publication for clarity The Cochrane Library [Internet] cheap 50mg clomid fast delivery. Database/retrieval system on the Internet with place of publication inferred WormBase: the Biology and Genome of C. Database/retrieval system on the Internet with unknown place of publication Pfam [Internet]. Database/retrieval system on the Internet with publisher having subsidiary division Nutrition Education for Diverse Audiences [Internet]. Geneva: World Health Organization, Department of Communicable Disease Surveillance and Response, Anti-infective Drug Resistance and Containment Team. National Library of Medicine, Lister Hill National Center for Biomedical Communications. Database/retrieval system on the Internet with joint publication WormBase: the Biology and Genome of C. Database/retrieval system on the Internet with standard date of publication Database of Human Disease Causing Gene Homologues in Dictyostelium Discoideum [Internet]. The Alberta Atlas of Human Pathology: a Resource for Teachers and Learners in the Health Sciences [Internet]. Database/retrieval system on the Internet with date of copyright instead of date of publication Biozon [Internet]. Database/retrieval system on the Internet with date obtained from earliest material in it PubMed [Internet]. Database/retrieval system on the Internet with unknown date The Internet Acronym Server [Internet]. Database/retrieval system on the Internet with update/revision date Health Library for Disasters [Internet]. Database/retrieval system on the Internet with supplemental note included Is Your Doctor Certified? Pfam is a large collection of multiple sequence alignments and hidden Markov models covering many common protein domains and families. Institutional repository of the University of California Libraries intended to provide comparative and historical information about traditional medical beliefs. Databases/Retrieval Systems on the Internet 1297 Drugs and Lactation Database (LactMed) [Internet]. Sample Citation and Introduction to Citing Parts of Databases on the Internet The general format for a reference to a part of a database on the Internet, including punctuation: Examples of Citations to Parts of Databases on the Internet Rather than citing a whole database, portions of a database may be cited. They are contributions when the database has individual records or other components written by various authors, usually called contributors. A reference should start with the individual or organization with responsibility for the intellectual content of the publication: Begin a reference to a part of a database with a citation to the database itself, followed by information about the part. For parts that contain hyperlinks, however, such as those shown in example 11, it will not be possible to provide the length. Citation Rules with Examples for Parts of Databases on the Internet Components/elements are listed in the order they should appear in a reference. Name and Number/Letter of the Part of a Database on the Internet (required) General Rules for Name and Number/Letter Enter the name of the part as it appears in the database Capitalize the name, such as Record, Table, Chart You may abbreviate Number to No. Otdel 6 Romanize or translate titles in character-based languages (Chinese, Japanese). Databases/Retrieval Systems on the Internet 1299 Ichiran-hiyo 3 or [Table 3, ] Ignore diacritics, accents, and special characters in names. In this case, give the name used for the part and follow it with a comma and the title. If there is no number or letter, follow the name with a comma and the title of the part. Part of a database on the Internet with title containing special scripts/characters 5. Part of a database on the Internet with a title in a language other than English Databases/Retrieval Systems on the Internet 1303 Date of Publication for a Part of a Database on the Internet (required) General Rules for Date of Publication Enter the date of publication if it differs from the date of the database as a whole Always give the year Convert roman numerals to arabic numbers. Box 74 Non-English names for months Translate names of months into English Abbreviate them using the first three letters Capitalize them Examples: mayo = May luty = Feb brezen = Mar Box 75 Seasons instead of months Translate names of seasons into English Capitalize them Do not abbreviate them For example: balvan = Summer outomno = Fall hiver = Winter pomlad = Spring Box 76 Date of publication and date of copyright Some publications have both a date of publication and a date of copyright. Box 77 No date of publication, but a date of copyright A copyright date is identified by the symbol, the letter "c", or the word copyright preceding the date. Databases/Retrieval Systems on the Internet 1305 Record 2398879, Reactivity of acid fluoride-terminated self-assembled monolayers; c2006 [cited 2007 Mar 9]; [about 3 screens].

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Education will strengthen and increase understanding of the benefts of the arts in health discount clomid 50mg line. Privacy concerns buy clomid 50mg with visa, workplace safety regulations, and diversity are all issues that need to be considered in the arts and health intersection. Community Partnership for Arts and Culture 9 Creative Minds in Medicine Executive Summary Recommendations for Future Policy While Cleveland s legacy as an industrial city has left it with signifcant challenges, it is also responsible for giving the city key assets that are defning its future. The intersection of its arts and culture and health and human services sectors is driving innovative partnerships that are positively affecting the well-being of individuals, as well as the health of the broader place they call home. In order to foster the arts and health intersection, a number of policy issues merit consideration: Research. Opportunities for arts and health practitioners to network, share research and discuss best practices must be organized. Funding should focus on supporting the full design, implementation and evaluation of arts and health programming. For art and music therapists, in particular, licensure issues will be important when it comes to funding. The development of local, formalized arts and health educational programs can help bolster expertise in the work of arts and health feld. By using these strategies to reinforce existing intersections, Cleveland has the ability to capitalize further on its wealth of arts and culture and health and human services assets. While Cleveland is already widely celebrated for the merits of these local sectors individually, it has a unique opportunity to become the undisputed leader of arts and health partnerships that exist at the place where creativity and well-being meet. Creative Minds in Medicine The ability of arts and culture to draw connections to a particular place, unite communities and mobilize individuals in support of common causes directly affects community health. Similarly, the ability of arts and culture to foster creativity, inspire refection and draw out an individual s interpretation of his or her world directly infuence personal health and well-being. Arts and health s common impact on both the community and the individual is the clear point from which their intersection grows. The creative process ignites our passions, drives our perspectives of the world, and pushes us to challenge accepted conventions. In the end, the arts and health intersection is founded on the use of creativity to gain insights about what it is to be human to experience life from birth to death. Today, arts and health programs continue to grow both in number and scope as they focus on promoting well-being and enhancing quality of life in the broadest sense for both individuals and communities. Community Partnership for Arts and Culture 10 Creative Minds in Medicine case study cleveland clinic arts and medicine institute At Cleveland Clinic, board-certifed music therapists treat patients to improve symptoms and conditions associated with illness and injury. Music therapy has been shown to decrease pain and anxiety, and improve quality of life, mood, and speech. Photo by Kulas Foundation & Taxel Image Group, 2008 Community Partnership for Arts and Culture 11 Creative Minds in Medicine lifing the spirit You expect to see and feel certain things when you go to the hospital: white coats; cold stethoscopes; hard, sterile, gleaming surfaces; worry. You don t generally expect to fnd musicians playing there or spaces flled with colorful art. The surprise you get when you walk into the arts-flled Cleveland Clinic may be part of your treatment. The Arts and Medicine Institute was formed in 2008 to build on Cleveland Clinic s solid tradition of mixing art with health care, she says. Since its founding in 1921, Cleveland Clinic has been known for displays of fne art on its walls and of artistic talent from its employees. With the Institute in place, arts of all kinds have become an offcial part of Cleveland Clinic s health mission and programming, explains Maria Jukic, executive director of Arts and Medicine. Those goals have allowed the Clinic s range of arts therapies and programs to expand and deepen: Jukic and her colleagues are making more art available on Clinic campuses, fnding more ways of using it to heal, and identifying more people who need its good effects. And art improved their few things take you out of yourself or cheer you up faster than an unexpected delight: mood... Jukic calls it normalizing, a process art can create that helps people feel more in control, less fearful. True, the sick remain the Clinic s central concern and patients are measurably benefting from the presence of art and musicians a 2012 Clinic survey found 91 percent of patients responding reported that visual art improved their mood during hospital stays of two to three days. That program, which focuses on visual art, manages Cleveland Clinic s existing art collection, This is something and adds to that collection by commissioning and acquiring new pieces. Many of the programs and works of art have been subsidized by donations from grateful patients and visitors to Cleveland Clinic. Committees of experts including curators select the pieces to be bought and/or displayed. The quality of the art selected must be high, says Cohen, because it needs to stand the test of time. Those who choose the art aim for eclectic media and subject matter, because Cleveland Clinic has a global reach, and staff and patients from all over the world. It wants to refect those many different viewpoints, which is also far more interesting and engaging to a diverse population across Cleveland and other geographic areas, she adds. Yet the something-for-everyone approach does contain one other qualifcation: Cleveland Clinic art needs to have something positive to say about the human condition and spirit. Art that s collaborative and/ or environmentally conscious, art that calms, comforts, amuses or uplifts these are the kinds of images and objects that contribute to healing.

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The patient with allergic contact dermatitis may be very uncomfortable and have poor quality of life order clomid 100mg amex. Inability to pursue employment or recreation are common order 100mg clomid overnight delivery, especially if there is a delay in diagnosis and removal from exposure. In contrast, immediate hypersensitivity is a type I immunoglobulin E (IgE) humoral antibody-mediated reaction. Whereas the typical skin lesion in immediate hypersensitivity is urticarial, typical allergic contact dermatitis is eczematous ( 1). It is important to realize that contact allergy is often morphologically and histologically identical to other forms of eczema, including atopic dermatitis and irritant contact dermatitis, which is nonimmunologic damage to the skin caused by a direct toxic effect. Therefore, patch testing is usually needed to distinguish contact allergy from other types of eczema. Typically, immediate hypersensitivity is caused by parenteral exposure through ingestion or respiratory exposure through inhalation. An exception is immunologic contact urticaria, in which a type I reaction is induced by topical exposure. An exception occurs with systemic ingestion of a contact allergen that reproduces skin lesions caused by a previous external exposure to the same or a similar substance; this is termed systemic contact dermatitis. On the other hand, it has been clearly demonstrated that atopic persons are much more likely to have a lowered threshold for developing irritant contact dermatitis. Sensitization The inductive or afferent limb of contact sensitivity begins with the topical application to the skin of a chemically reactive substance called a hapten. The hapten may be organic or inorganic and is generally of low molecular weight (>500 daltons). Its ability to sensitize depends on penetrating the skin and forming covalent bonds with proteins. The degree of sensitization is directly proportional to the stability of the hapten protein coupling. In the case of the commonly used skin sensitizer dinitrochlorobenzene, the union of the chemical hapten and the tissue protein occurs in the Malpighian layer of the epidermis, with the amino acid sites of lysine and cysteine being most reactive (2). It has been suggested that skin lipids might exert an adjuvant effect comparable with the myoside of mycobacterium tuberculosis. There is strong evidence that Langerhans cells are of crucial importance in the induction of contact sensitivity ( 3). These dendritic cells in the epidermis cannot be identified on routine histologic sections of the skin by light microscopy, but they can be easily visualized using special stains. They possess Ia antigens and receptors for the Fc portion of IgG and complement, much like macrophages. Interleukin-1 in turn activates the bound T H1 cell to release interleukin-2 which leads to T-cell proliferation. The sensitized T H1 cells also allow an anamnestic response to subsequent exposure to the same antigen. Contact allergy involves both T effector cells leading to hypersensitivity and T suppressor cells leading to tolerance. Cutaneous exposure tends to induce sensitization, whereas oral or intravenous exposure is more likely to induce tolerance. Once sensitivity is acquired, it usually persists for many years; however, it occasionally may be lost after only a few years. Hardening refers to either a specific or generalized loss of hypersensitivity due to constant low-grade exposure to an antigen. This type of deliberate desensitization has been successful only in rare instances. Histopathology The histologic picture in allergic contact dermatitis reveals that the dermis is infiltrated by mononuclear inflammatory cells, especially about blood vessels and sweat glands (2). The vesicles are filled with serous fluid containing granulocytes and mononuclear cells. In Jones-Mote contact sensitivity, in addition to mononuclear phagocyte and lymphocyte accumulation, basophils are found. This is an important distinction from hypersensitivity reactions of the T H1 type, in which basophils are completely absent. In contrast to the classical atopic diseases, contact dermatitis is as common in the population at large as in the atopic population, and a history of personal or family atopy is not a risk factor. The interval between exposure to the responsible agent and the occurrence of clinical manifestations in a sensitized subject is usually 12 to 96 hours, although it may be as early as 4 hours and as late as 1 week. The incubation or sensitization period between initial exposure and the development of skin sensitivity may be as short as 2 to 3 days in the case of a strong sensitizer such as poison ivy, or several years for a weak sensitizer such as chromate. The patient usually will note the development of erythema, followed by papules, and then vesicles. Pruritus follows the appearance of the dermatitis and is uniformly present in allergic contact dermatitis.