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1

Harris, David Earl. Texture analysis of skin cancer images. UMI, 1991.

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2

Stehlin, Dori. Cosmetic safety: More complex than at first blush. Dept. of Health and Human Services, Public Health Service, Food and Drug Administration, 1995.

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3

Bittner, Jason P. The use of texture in improving the simulation of low-level flight. Dept. of Applied Science and Engineerng, University of Toronto, 1997.

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4

Bittner, Jason P. The use of texture in improving the simulation of low-level flight. National Library of Canada = Bibliothèque nationale du Canada, 1999.

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5

AMY, Summer. Essential Oils Uses Guide...: For Skin Glowing and Freshness ,Herbal Uses for Healing Illness ,Improving Hair Growth and Texture. Independently Published, 2020.

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6

Boehmke, Elma. Homemade Face Mask for Your Skin: Improve Skin Texture. Independently Published, 2021.

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7

Cow Skin Fur Texture Large Address Book. Independently Published, 2021.

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8

Cow Skin Fur Texture Large Address Book. Independently Published, 2021.

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9

Latten, Jovita. Homemade Face Mask for Your Skin : Improve Skin Texture: Coffee Face Mask for Glowing Skin. Independently Published, 2021.

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10

MO, Camden Rennie. But First, Skin Care: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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11

YO, Cindy Xiong. Love the Skin You're In: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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12

YO, Cindy Xiong. Healthy Skin Is Always In: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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13

YO, Cindy Xiong. Skin First Makeup Second Smile Always: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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14

Journals, Gorgeous Gorgeous. Fucking Great Skin Care Specialist: Notebook Diary Composition Leather Texture Cover Blank Lined Journal Great Skin Care Specialist Gifts Thank You Gifts for Skin Care Specialist. Independently Published, 2020.

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15

National Collaborating Centre for Cancer. Improving Outcomes for People with Skin Tumours including Melanoma: The Manual. National Institute for Health and Clinical Excellence, 2006.

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16

YO, Cindy Xiong. I'm Nicer When My Skin Looks Good: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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17

YO, Cindy Xiong. Beautiful Skin Requires Commitment, Not a Miracle: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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18

MO, Camden Rennie. Best Foundation You Can Wear Is Glowing Healthy Skin: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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19

MO, Camden Rennie. May Your Day Be As Flawless As Your Skin: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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20

YO, Cindy Xiong. I Think It's Time... to Love the Skin You're In: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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21

Sitahall, Stacy. The social construction of beauty and the politics of skin color and hair texture among Black women. 2005.

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22

YO, Cindy Xiong. When My Skin Is on Point My Life Is on Point!: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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23

MO, Camden Rennie. Best Cosmetic You Can Wear Is the Great Looking Skin!: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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24

press, john waves. Alligator Skin Patterns Gold Texture Calligraphy Paper : 200 Sheet Pages: Calligraphy Practice Paper and Workbook for Lettering Artist , Beginners. Independently Published, 2021.

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25

MO, Camden Rennie. Less Stress More Facials: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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26

Volia, Inna. Juicing Recipes: The Most Useful Recipes Juices, for Improving Health, Skin Rejuvenation, Weight Loss, Body Cleansing. Independently Published, 2018.

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27

YO, Cindy Xiong. Monday : Nothing a Facial Can't Fix: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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28

YO, Cindy Xiong. It's Not Hoarding If It's Skincare: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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29

YO, Cindy Xiong. Be Comfortable in Your Own Skin, and Take Care of It, While You Are in It!: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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30

YO, Cindy Xiong. Because Facials Are More Relaxing Than Flowers: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Pink Texture Skin Care. Independently Published, 2019.

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31

MO, Camden Rennie. It's Not Hoarding If It's Skincare: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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32

MO, Camden Rennie. Be Comfortable in Your Own Skin, and Take Care of It, While You Are in It!: Notebook Journal Composition Blank Lined Diary Notepad 120 Pages Paperback Golden Coral Texture Skin Care. Independently Published, 2019.

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33

NoteBooks, Sappuris. Large Lined and Graph Notebook 200 Pages, Bright Natural Marble Texture Pattern White Background Skin Luxury Cover, Large(8. 5 X 11 Inches). Independently Published, 2021.

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34

Cortisol Control and the Beauty Connection: The All-Natural, Inside-Out Approach to Reversing Wrinkles, Preventing Acne and Improving Skin Tone. Hunter House, 2007.

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35

Woodrome, Elvie. Ways to Make Body Butter at Home : Improving Skin Conditions with Easy Body Butter Recipes: The Advantages of Using Body Butter. Independently Published, 2021.

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36

NoteBooks, Sappuris. Medication Log Book 100 Pages - Large(8. 5 X 11 Inches) Leopard Print Spotted Texture Seamless Pattern Animal Skin Trendy Pattern Spotted Leopard Print Seamless Illustration Cover. Independently Published, 2021.

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37

Amanchi, Karaxilio Nara. Sweet Potatoes for Your Health: Improving Skin Health, Enhances Eye Health, Fighting Oxidation, Inflammation, Helps Manage Blood Sugar, Weight Loss, Blood Pressure, Manage Stress, Prevent Cancer, Digestion. Independently Published, 2021.

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38

Brown, Nadia E., and Danielle Casarez Lemi. Sister Style. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780197540572.001.0001.

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Sister Style: The Politics of Appearance for Black Women Political Elites centers Black women’s bodies, specifically their hair texture and skin tone, to argue that phenotypic differences among Black women politicians directly impact how they experience political office and how Black voters evaluate them. The book brings together an interdisciplinary, multi-method, and blended epistemological approach of positivism and interpretivism to ask whether African American women’s appearances provide a more nuanced lens through which to study how their raced-gendered identities impact their candidacies and shape their political behavior. The authors take a deep dive into intersectional theory-building, through which they examine the intra-categorical differences among Black women. They find that Black women vary in their political experiences because of their appearances, and that dominant, Eurocentric beauty standards influence the electoral chances of Black women. They observe that skin tone and hair texture, along with the historical legacies that have shaped the current cultural and political contexts, dictate Black women elites’ political experiences and voter evaluations of them. The book asks the following questions: What do the politics of appearance for Black women mean for Black women politicians and for Black voters who evaluate them? What are the origins of the contemporary focus on Black women’s bodies in public life? How do Black women politicians themselves make sense of the politics of appearance? Is there a phenotypic profile into which most Black women politicians fit? What is the effect of variation in Black women’s phenotypes for candidate evaluations? And how do voters process the appearances of Black women candidates?
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39

Sanders, Mark. Photographic Field Guide to Australian Frogs. CSIRO Publishing, 2021. http://dx.doi.org/10.1071/9781486313266.

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Australia is home to more than 240 species of frogs, many of which cannot be found anywhere else in the world.
 
 The Photographic Field Guide to Australian Frogs provides readers with the tools to confidently identify 242 species and five recognised subspecies. It includes detailed information on the distribution, habitat preferences and call of each frog species, as well as fully illustrated keys to genera to assist with identification. Multiple photographs of each species show variation in colour and pattern as well as features used for identification such as thigh colouration, skin texture, belly colour and patterning, eye colour and extent of webbing between the toes.
 
 With a strong focus on illustrating variation and key diagnostic features, this guide will enable frog enthusiasts, environmental professionals and research scientists to identify Australian frog species with a high level of confidence.
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40

Lake, Obiagele. Blue Veins and Kinky Hair. www.praeger.com, 2003. http://dx.doi.org/10.5040/9798400620157.

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The author explores how Africans in America internalized the negative images created of them by the European world, and how internalized racism has worked to fracture African American unity and thereby dilute inchoate efforts toward liberation. In the late 1960s, change began with the Black Is Beautiful slogan and new a consciousness, which went hand in hand with Black Power and pan-African movements. The author argues that for any people to succeed, they must first embrace their own identity, including physical characteristics. Naming, skin color, and hair have been topical issues in the African American community since the 18th century. These three areas are key to a sense of identity and self, and they were forcefully changed when Africans were taken out of Africa as slaves. The author discusses how group and personal names, including racial epithets, have had far-reaching and deep-seated effects on African American self perception. Most of her attention, however, is focused on issues of physical appearance which reflect a greater or lesser degree of racial blending. She tells us about exclusive African American organizations such as The Blue Vein Society, in which membership was extended to African Americans whose skin color and hair texture tended toward those of European Americans, although wealthy dark-skinned people were also eligible. Much of the book details the lengths to which African American women have gone to lighten their complexions and straighten their hair. These endeavors started many years ago, and still continue, although today there is also a large number of women who are adamantly going natural. Her historical look at the cultural background to African American issues of hair and skin is the first monograph of its kind.
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41

Day, Ashley K., and Elliot J. Coups. Affect and Tanning Behaviors. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190499037.003.0016.

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Excess exposure to ultraviolet (UV) radiation increases the risk of skin cancers, yet a large number of individuals continue to engage in tanning behaviors. Although the majority of research on determinants of tanning behavior has focused on social cognitive factors, a number of studies have explored the role of affective factors, including feelings of relaxation, improved mood, and endorphin release in response to UV exposure. This chapter provides an overview of research on affective determinants and responses to tanning behaviors. This includes a focus on the association between anticipated mood changes and tanning behaviors. The chapter also examines the affective properties of tanning dependence and addiction, and the role of affective factors in improving skin cancer prevention behaviors. Future directions are considered, including methodological issues and promising avenues for intervention research.
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42

West, Tyler R., and Kelly J. Baldwin. Spinal and Intracranial Epidural Abscess, and Subdural Empyema. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0151.

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A spinal epidural abscess is an infection that resides in the epidural space of the spinal canal, and most commonly occurs from hematogenous seeding or direct extension from adjacent structures. Normal skin flora such as Staphylococcus and Streptococcus spp are the most common organisms to cause an epidural abscess, typically when host immunity is compromised or due to barrier disruption. The clinical presentation is heterogeneous, but often will progress over time to spinal cord compression. Intracranial epidural abscess and subdural empyema occur within the skull and are frequently spread via direct extension of infections from contiguous structures or as complications from neurosurgical procedures. Prompt diagnosis and treatment is essential for improving morbidity and mortality.
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43

Joshi, Mahesh K., and J. R. Klein. Lifestyle Innovations Generating New Businesses. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198827481.003.0015.

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Life-altering technology is not only improving our lifestyle but also creating new business models. Integration of technology into everyday life is a primary driver of changes in lifestyle. Whether visible or not, today’s technology is everywhere. Consumers come home from work to a smart house that greets them with music, emails them the foods the refrigerator needs, and through spatial phase imaging technology senses their mood. Without human intervention it changes its presentation based on data indicators embedded in everything. The house recognizes mood and compares it with past behaviors, facial reactions, timeline, and acts accordingly. All this happens through a standard security camera with pixelate three-dimensional technology. The same technology can identify the anti-social elements in a crowd, enhance security at any public event venue, and allow doctors to see under our skin without intrusion.
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44

Maj, Dorota. Modyfikujący wpływ roślinnych dodatków paszowych na użytkowość mięsną i ekspresję wybranych genów u królików w zależności od wieku i płci. Publishing House of the University of Agriculture in Krakow, 2017. http://dx.doi.org/10.15576/978-83-66602-29-8.

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The aim of the study was to determine the effect of feed additives (algae, soybean, and sunflower oil) used in the rabbit feed on: growth indices and slaughter traits, pH, colour, texture, chemical composition, fatty acid profile and oxidative stability (TBARS) of the meat as well as FTO and FABP4 genes expression in the meat’s intramuscular fat (m. longissimus lumborum), depending on the age and sex. The experimental material consisted of Termond White rabbits (n = 160, 80 females and 80 males). Animals were weaned on the 35th day of life, and housed in metal cages arranged in batteries (4 rabbits of the same sex in a cage). From weaning to 12 or 18 weeks of age, the rabbits were fed pellets ad libitum. Animals in the control group (C) received non-supplemented pellets throughout the experiment. In the other groups, the pellet contained 1% algae (A), 3% sunflower oil (OS), and 3% soybean oil(SO).The experimental diets were formulated to have similar protein and energy content. Diets were balanced by lowering the proportion of other feed components. The total share of all components remained at 100%. The results indicate that 3% vegetable oils (soybean or sunflower) supplementation of diets for growing rabbits leads to an increase of body weight and improvement of some of the slaughter traits, while 1% addition of algae to the feed causes deterioration of body weight and slaughter traits. The effect of oil additive depends on the animals’ age. Supplementation of the rabbits’ diet with algae (1%) or sunflower and soybean oils (3%) led to an increase in the dressing percentage of rabbits slaughtered at 18 weeks of age (approx. 3%), but had no effect on the dressing percentage of rabbits slaughtered at 12 weeks of age. Feeding pellets with either 3% vegetable oils or 1% algae additive to the rabbits did not significantly change the chemical composition of the meat. Protein content increased and intramuscular fat content decreased with age, while ash and water content were similar. The feed additives significantly differentiated meat acidity without deteriorating meat quality. Diet modification has not affected negatively meat colour. 24 h after the slaughter, the colour of rabbit meat was similar across the studied feeding groups. Correlation between diet and rabbits’ age was found. Meat texture (hardness, springiness and chewiness) of all rabbit groups slaughtered at 12 weeks of age was similar, and the shear for cewas greater in rabbits fed pellets with algae and soybean oil. At 18 weeks of age, rabbit meat from experimental groups had lower hardness and chewiness, compared to meat of the animals from the control group. Meat shear force was higher in the control group, and from algae-supplemented group. The correlation between diet and age was also found. The use of 3% vegetable oils or 1% algae as feed additives significantly reduced meat oxidative stability. Soybean or sunflower oil (3%) usedas feed additives favourably modified the fatty acid composition of intramuscular fat. Polyunsaturated fatty acids (PUFA) content was increased, including linoleic acid, and PUFA/MUFA ratio was improved. The content of these acids decreased with age. The use of algae (1%) as a feed additive resulted in positive effect on the increase of n-3 fatty acid content (EPA and DHA) in meat intramuscular fat. Algae supplementation improved pro-health properties of meat, with low n-6/n-3 acid ratio (2.5), indicating that diet modification may affect the fatty acid composition of rabbit meat. The influence of diet and age on FTO and FABP4 gene expression in meat intramuscular fat (m. longissimus lumborum) was found. FTO and FABP4 gene expression increased with age and was the highest in the group of rabbits with 1% algae supplementation in the diet. The effect of rabbits’ gender on growth, slaughter traits, meat quality and gene expression in rabbits was not observed. In conclusion, the use of natural feed additives, such as sunflower, soybean oil or algae, can improve the nutritional value of rabbit meat, without changing its chemical or physical properties, and therefore the meat can serve as functional food, with properties beneficial to human health. The results obtained in this study also indicate that the expression of FTO and FABP4 genes in rabbit muscles is regulated by dietary factors and age, which, in addition to cognitive significance, has practical implications for improving technological and dietary quality of rabbit meat.
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45

Denton, Nathan. Waisted: The Biology of Body Fat. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198865278.001.0001.

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Waisted outlines the fascinating and misunderstood biology of fat (i.e., adipose tissue). This controversial, much-maligned organ plays a crucial yet curiously overlooked role in the global obesity crisis currently wreaking havoc on the world’s healthcare systems and economies. Attaining a better appreciation of the biology of fat, its social meanings, and how these intersect is essential for improving the world’s physical and mental health. Far from being a passive layer of blubber under the skin, fat plays a highly dynamic role in energy metabolism, reproductive health, and immunity, with these links having ancient origins in the evolution of modern humanity. Waisted provides a comprehensive, evidence-based perspective on the biology of fat and its crucial role in human evolution, health, disease, and society. Waisted draws upon biomedical, epidemiological, and evolutionary research to understand adipose tissue biology and the striking relationship between body fat distribution and health outcomes. Waisted demonstrates the practical implications of key conceptual points through relatable real-world cases and highlights how seemingly disparate common and rare diseases may be underpinned by adipose tissue dysfunction. Overall, Waisted covers a wide breadth of material that challenges and reframes the generally negative perspective of fat to highlight the underappreciated importance of adipose tissue biology in humans.
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46

Antioxidants: Education for Patients and the Public. Exon Publications, 2025. https://doi.org/10.36255/antioxidants.

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Antioxidants are natural compounds that help protect the body from damage caused by free radicals, which are unstable molecules that contribute to aging and various diseases. This article provides a detailed guide on antioxidants, their benefits, sources, and their role in preventing chronic illnesses. It explains how free radicals lead to oxidative stress, which can cause cell damage and increase the risk of conditions such as heart disease, cancer, and neurodegenerative disorders. The article explores how antioxidants work by stabilizing these harmful molecules and reducing inflammation in the body. The section on types of antioxidants describes key nutrients such as vitamin C, vitamin E, beta-carotene, and polyphenols, which are found in many fruits, vegetables, nuts, and whole grains. The article highlights the best dietary sources of antioxidants, emphasizing the importance of a varied diet rich in colorful plant-based foods. It also discusses the role of antioxidants in slowing the aging process, improving skin health, and protecting against disease. The article reviews the effectiveness of antioxidant supplements and the ongoing debate regarding their potential risks and benefits. The article concludes with simple ways to boost antioxidant intake naturally through diet and lifestyle choices. The information is presented in clear and simple language to ensure that all readers can easily understand and apply it.
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47

IX Congress with international participation Control and prevention of infections associated with health care (HAIs-2021). Central Research Institute for Epidemiology, 2021. http://dx.doi.org/10.36233/978-5-6045286-5-5.

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The significant prevalence of healthcare associated infections (HAIs) in medical organizations of various profiles, its negative impact on the health of patients and the outcomes of the underlying disease, the increasing duration of treatment with the addition of HAIs have determined their relevance at all times. Ensuring the epidemiological safety of healthcare activities requires the introduction of new methods of prevention into epidemiological practice, which can only be implemented from the standpoint of an interdisciplinary approach, the joint participation of professionals of various specialties. An interdisciplinary approach to the prevention of HAIs during a pandemic of a new coronavirus infection has made it possible to successfully implement clinical and epidemiological practices, to form a new regulatory and legislative framework for the control of HAIs. This book of proceedings contains abstracts of reports prepared by leading experts: epidemiologists, disinfectologists, clinicians, scientists and medical practitioners. The published materials contain data on the professional risks of infection with the new coronavirus in medical workers, the development of post-COVID-19 syndrome, the resistance to antimicrobial drugs of the main pathogens of HAIs, including fungi, recommendations on the effective use of skin antiseptics and modern technology for air disinfection, as well as issues of improving the specific and non-specific prevention of the most socially significant infections, including COVID-19. The proceedings of the Congress are of interest to specialists from the institutions of Rospotrebnadzor, doctors of clinical specialties, epidemiologists, disinfectologists, as well as teachers of medical colleges and universities.
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48

Golper, Thomas A., Andrew A. Udy, and Jeffrey Lipman. Drug dosing in acute kidney injury. Edited by William G. Bennett. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0364.

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Drug dosing in acute kidney injury (AKI) is one of the broadest topics in human medicine. It requires an understanding of markedly altered and constantly changing physiology under many disease situations, the use of the drugs to treat those variety of diseases, and the concept of drug removal during blood cleansing therapies. Early in AKI kidney function may be supraphysiologic, while later in the course there may be no kidney function. As function deteriorates other metabolic pathways are altered in unpredictable ways. Furthermore, the underlying disorders that lead to AKI alter metabolic pathways. Heart failure is accompanied by vasoconstriction in the muscle, skin and splanchnic beds, while brain and cardiac blood flow proportionally increase. Third spacing occurs and lungs can become congested. As either kidney or liver function deteriorates, there may be increased or decreased drug sensitivity at the receptor level. Acidosis accompanies several failing organs. Protein synthesis is qualitatively and quantitatively altered. Sepsis affects tissue permeability. All these abnormalities influence drug pharmacokinetics and dynamics. AKI is accompanied by therapeutic interventions that alter intrinsic metabolism which is in turn complicated by kidney replacement therapy (KRT). So metabolism and removal are both altered and constantly changing. Drug management in AKI is exceedingly complex and is only beginning to be understood. Thus, we approach this discussion in a physiological manner. Critically ill patients pass through phases of illness, sometimes rapidly, other times slowly. The recognition of the phases and the need to adjust medication administration strategies is crucial to improving outcomes. An early phase involving supraphysiologic kidney function may be contributory to therapeutic failures that result in the complication of later AKI and kidney function failure.
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49

Kane, David, and Philip Platt. Ultrasound. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0067.

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Musculoskeletal ultrasound (MSUS) is rapidly becoming a standard part of many rheumatologists' daily clinical practice. MSUS is safe, increasingly widely available, relatively low cost, non-invasive, and hence very acceptable to the patient. Current problems with availability of training, mentoring, and accreditation procedures need to be overcome for MSUS to reach its full potential for rheumatologists. MSUS is capable of improving clinical diagnosis and the accuracy of intervention. MSUS is more sensitive than clinical examination in the detection of synovitis and effusion and is capable of rapid targeted assessment of widely spaced joints coupled with clinical correlation. MSUS has advantages over other imaging modalities; the ability to display dynamic real-time movement makes it the imaging modality of choice for tendon problems. It is significantly more sensitive than plain radiology in the demonstration of early erosive changes, and although its sensitivity is less than that of MRI for the detection of erosions it is far more practical, timely, and available. The combination of sensitivity in detection of synovitis, tenosynovitis, and erosions makes it an ideal imaging modality in the context of an early arthritis clinic. Power Doppler has been shown to be an effective way of evaluating synovitis and hence is of value in early diagnosis and monitoring of inflammatory arthritides. The accuracy of placement of local injection therapies is enhanced by MSUS, and it significantly increases the diagnostic success rate of aspiration of joints and bursas. The flexibility of ultrasound as a tool for rheumatologists is shown by its application in the assessment of vasculitides, peripheral nerve pathology, salivary glands, and skin lesions.
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50

Kane, David, and Philip Platt. Ultrasound. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642489.003.0067_update_002.

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Musculoskeletal ultrasound (MSUS) is rapidly becoming a standard part of many rheumatologists’ daily clinical practice. MSUS is safe, increasingly widely available, relatively low cost, non-invasive, and hence very acceptable to the patient. Current problems with availability of training, mentoring, and accreditation procedures need to be overcome for MSUS to reach its full potential for rheumatologists. MSUS is capable of improving clinical diagnosis and the accuracy of intervention. MSUS is more sensitive than clinical examination in the detection of synovitis and effusion and is capable of rapid targeted assessment of widely spaced joints coupled with clinical correlation. MSUS has advantages over other imaging modalities; the ability to display dynamic real-time movement makes it the imaging modality of choice for tendon problems. It is significantly more sensitive than plain radiology in the demonstration of early erosive changes, and although its sensitivity is less than that of MRI for the detection of erosions it is far more practical, timely, and available. The combination of sensitivity in detection of synovitis, tenosynovitis, and erosions makes it an ideal imaging modality in the context of an early arthritis clinic. Power Doppler has been shown to be an effective way of evaluating synovitis and hence is of value in early diagnosis and monitoring of inflammatory arthritides. The accuracy of placement of local injection therapies is enhanced by MSUS, and it significantly increases the diagnostic success rate of aspiration of joints and bursas. The flexibility of ultrasound as a tool for rheumatologists is shown by its application in the assessment of vasculitides, peripheral nerve pathology, salivary glands, and skin lesions.
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