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To unmark cholesterol medication warning rosuvastatin 5mg with amex, or clear individual records: Marking Records • Go to cholesterol levels results cheap rosuvastatin 20 mg online a record that you marked and then click When you search Chemical Registration cholesterol hiv medication cheap rosuvastatin 20 mg with mastercard, you can Unmark Record cholesterol levels us and canada cheap rosuvastatin 20mg otc. To unmark, or clear all records: To mark records: • Go to the list of marked records and then click Clear Marked. For more information, see“Searching Chemical Registration” on page All marked records are unmarked. Next to a record that you want to view again Exporting Search later, click Mark Record. The record is marked so that you can You can export records, or hits, to your client view it later with other marked records. ChemOffice Chapter 10: Chemical Registration • 149 Marking Records the Export Hits window opens. You can see records grouped by experiment in a the File Download dialog box opens. You can use the records from from the Experiment solubility Type menu, choose Projects table to define the Projects that appear experiments Solubility. This information appears in the Project menu when records from optical from the Experiment any user creates records for compounds. A spreadsheet appears with the experiment A dialog box where you define a new project data. Take the appropriate action: Chemical Registration with the Tables: • Projects If you want to Then • Notebooks name the project in the Project Name • Sequence box, type a name for • Structure Comments the project. ChemOffice Chapter 10: Chemical Registration • 151 Managing Tables To edit a project in the Projects table: 2. Defining Notebooks name the microfiche in the Microfiche of the notebook box, type the You can include a notebook name with a record microfiche name for when you create a record for a compound. Prefix menu when Defining Registration Numbers you create a record You can include a prefix and a starting number for make this prefix name from the Active compound registration numbers when you create a appear in the Prefix menu, choose True. You can use the Sequences table to define menu when you the compound registration numbers for each record. To edit a sequence in the Sequence table: A table that defines the Sequence appears. Defining Structure Comments appearing in the You can include a comment about the structure of a Struct Comment compound when you create a record. You can use menu when you create a record the Structure Comments table to define the structure comments that appear when you create a record. A table that defines the Structure Comments the Structure Comments table appears with the appears. To add a new structure comment to the Structure To edit a structure comment in the Structure Comments table: Comments table: 1. If you want to Then To open the People tables: name the location of in the Location box, • From the Manage Table page, click People. To add a new person to the People table: include the first name in the First Name of the person box, type a name. Take the appropriate action: include the email in the Email box, type address of the person an email address. If you want to Then stop this person from from the Active include the code of in the Chemist Code appearing in the menu, choose False. You can use the Sites table to define the Sites that appear when you create a record. ChemOffice Chapter 10: Chemical Registration • 155 Managing Tables this information appears in the Site menu when you To edit a site in the Sites table: create records. Take the appropriate action: You can include a salt with a record when you create If you want to Then a record for a compound. You can use the Salts table to define the Salts that appear when you create a name the site in the Site Name box, record. If you want to Then Managing Users and name the salt in the Salt Name box, type a name for Roles the salt. You create a record can use the Users table to define their privileges by assigning roles. To open the Users table: menu when you create a record • From the Manage Users page, click Users. The following illustration shows a partial list of name the user in the User Name role definitions. In the Role Name box, type a name for the new You can define roles to assign to different users. For more information about role To open the Roles table: definitions, see “Appendix of Role Definitions” on page 167. Defining New Experiments For more information, see “Appendix of Role Definitions” on page 167. You can use the Experiments table to define the Experiments that appear when you create a record. Changing Passwords To open the Experiments table: You can change the password for yourself. To open the Passwords table: To add a new experiment to the Experiments table: • From the Main Menu, click Change Password. An area where you redefine your password An area where you define a new experiment appears. From the Experiments table, click the If you want to Then Experiment type id that corresponds to the experiment you want to edit. Data the Experiments table appears with the new You can define different parts of information for experiment. You can use the Result Types table to define the Result Types that appear when you create a record. An area where you redefine a result type To add a new result type to the Result Types table: appears. If you want to Then Defining Experiment Type For more information, see “Defining New name the result type in the Name box, type Experiments” on page 159. Defining Parameter Type You can include a parameter type with an describe the result in the Description type box, type a experiment when you create a record for a description for the compound. The Result Types table appears with the new A table that defines the Parameter Types result type. ChemOffice Chapter 10: Chemical Registration • 161 Managing Analytics Data To add a new parameter type to the Parameter Types To edit a parameter type in the Parameter Types table: table: 1. Managing Workgroups describe the in the Description parameter type box, type a To open the Workgroups tables: description for the parameter type. These files become records in the temporary table or the permanent database in Chemical Registration, depending on the options chosen. To open ChemLoader: • From the directory \Inetpub ootChemOfficechem reg, open MatchDatabase. All of the information, such as tables and fields, associated with the input database appear in the appropriate sections. All of the information, such as tables and fields, associated with the server appear in the appropriate sections. To match the fields from the input database to the output database and then view the matches: 1. If you want Then the fields in the separate databases become linked, shown by a line between them. If you want to Then include records from click the Start index the input database box and type a record that start at a specific number from the place in the database database. To import the records into Chemical Registration: include records from click the Stop index • Click Import. You can use the new records as you normally do include a project from the Project in Chemical Registration. Choosing Preferences include a notebook from the Notebook name in the imported menu, choose a For more information, see the ChemOffice files sequence. ChemOffice Chapter 10: Chemical Registration • 165 Choosing Preferences Printing You can print records from Chemical Registration.
Only about 25% of patients that receive medication alone will find the medication to cholesterol test triglyceride levels purchase rosuvastatin uk be effective b cholesterol levels on atkins diet order rosuvastatin 10 mg on-line. Patients who find one medication ineffective are likely to generic cholesterol medication recall best rosuvastatin 20mg find all medications ineffective c foods to lower cholesterol levels quickly buy rosuvastatin with visa. In order to prevent a relapse of depressive symptoms, patients should continue treatment for 3–4 months d. In general, patients respond best to the combination of medication and counseling. Electroconvulsive therapy is ineffective when compared with newer medical therapy 242 Family Medicine 491. His medical history includes a head injury several years ago that has left him with a seizure disorder. Which of the following, if present, would help differentiate anorexia nervosa from bulimia nervosa The symptoms are likely to be more pronounced in adults as compared with children b. She reports that over the last few weeks, she’s noted an enlarging mass in the front of her neck. She feels well, has had no changes in her health, and denies symptoms of hyperor hypothyroidism. A 26-year-old woman presents with weight gain, lethargy, dry skin, sweatiness, cold intolerance, and thinning hair. Her thyroid stimulating hormone is high, and her free T3 and free T4 are both low. You are screening a 35-year-old woman who presents with tachycardia, nervousness, tremor, palpitations, heat intolerance, and weight loss. What single test is best for differentiating Graves’ disease from other causes of hyperthyroidism In a patient with no other complaints and no physical examination findings, assessment of hormone status is indicated. Free testosterone is a more accurate measure of androgen status, as it is a measure of bioavailable testosterone. Medications that commonly cause ejaculatory dysfunction in men include beta-blockers, alpha-blockers, antipsychotics and selective serotonin reuptake inhibitors. Bupropion actually decreases the orgasm threshold and is least likely to cause sexual dysfunction. Alprostadil is used for erectile dysfunction, but would not positively effect premature ejaculation. Fluoxetine raises the threshold for orgasm, making it an effective treatment option. Bupropion and silendafil may decrease the orgasmic threshold and might be problematic. Atenolol may cause erectile dysfunction, but would likely not treat premature ejaculation. Though one would expect job stress to influence substance use, studies have not shown this to be true. Alcohol is a depressant, and may be the main factor in the patient’s depressed symptoms. Detoxification and a period of abstinence is necessary before an evaluation for other psychiatric disorders can be effectively completed. They either cause the body to have a negative reaction to an ingested drug, reduce the reinforcing effects of an ingested drug, block the effects of the drug by binding to the receptor site, or saturate the receptor sites with agonists that do not create the drug’s desired effect. Naltrexone is known to be helpful for both opiate addiction and alcohol addiction. Naltrexone saturates opiate receptor sites and leaves them unavailable for opiate attachment. For alcohol abuse, naltrexone works differently, reducing the reinforcing effect of alcohol (not allowing patients to become “drunk”). The reaction to alcohol that occurs is manifested by flushing, nausea, and vomiting. Importantly, alcohol in cough medicines, mouthwashes, and other forms must be avoided, as the reaction does not discriminate based on from where the alcohol comes. Early abstinence is characterized by irritability, anxiety, restlessness, depressed mood, inattention, and insomnia. Nicotine replacement is often effective in lessening some of these symptoms, as is bupropion. Relapse is common during the crash because return to use provides quick and reliable relief. Restlessness and irritability occur later, with bone pain, nausea, diarrhea, abdominal cramping, and mood lability occurring even later. Cocaine does not have a significant physiologic withdrawal syndrome, but craving is intense. Ecstasy can be considered a hallucinogen or a stimulant, and withdrawal is often associated with depression, but not the symptoms described above. Benzodiazepine withdrawal mimics alcohol withdrawal, and is associated with hypertension, tachycardia, and possibly seizures. These abnormalities are commonly classified as osteoarthritis, but are only infrequently associated with pain or disability. Laboratory evaluation will only rarely show an inflammatory process, and an elevated uric acid level would be an incidental finding. Tendonitis and fibromyalgia are not associated with joint swelling and crepitus. It is characterized by an abrupt onset of monoarticular symptoms with pain at rest and with movement. The attacks often occur overnight, after an inciting event (excessive alcohol or a heavy meal). The sufferer often cites exquisite pain, with even slight pressure on the joint being quite painful. A stress fracture would likely not be as painful at rest, and cellulitis would generally not be as abrupt or painful. Septic arthritis and gout may be clinically indistinguishable, unless the joint fluid is analyzed. On examination, symmetric swelling and tenderness are common, with associated rheumatoid nodules. Tendonitis and fibromyalgia would be less likely to be associated with joint swelling. Another Chronic Conditions Answers 249 steroid injection would be of limited benefit, and most recommend no more than two injections per year to avoid hastening of the osteoarthritic process. Hyaluronic acid injections have been shown to provide symptomatic relief in osteoarthritis for up to 6 months, but given the malalignment demonstrated in his x-ray, knee replacement would likely be more beneficial. Indications for replacement include poorly controlled pain despite maximal therapy, malalignment and decreased mobility or ambulation. This buildup allows crystals to precipitate in the joint spaces, causing the symptoms of gout. It is critical to differentiate gout from infectious arthritis which is a medical emergency, and a joint aspirate will do this rapidly and accurately. A 24-hour urine collection may help determine the most effective treatment for gout, but is not needed for diagnosis. The crystals of pseudogout are rhomboid-shaped and demonstrate positive birefringement. Infectious arthritis, osteoarthritis and rheumatoid arthritis would not present with crystals in the joint aspirate. The aspirate fluid obtained from a gout or pseudogout flare may also have a white blood cell count of 50,000 with a high proportion of polymorphonuclear leukocytes. However, glucose levels fluid aspirated from a knee with gout or pseudogout would be normal. Colchicine is given orally, one tablet every 1–2 hours until pain is controlled or side effects limit its use (the usual side effect is diarrhea).
One “There’s sort of an attitude of ‘ah cholesterol in deviled eggs discount 20mg rosuvastatin otc, sure “The side efect was that I lost of my brothers has it but the other I’ll ignore that and it will go away’ good cholesterol definition rosuvastatin 5mg without prescription. I healthy eating and i went back to elevated cholesterol definition cheap rosuvastatin 20mg otc – if your heart goes hope my involvement with the Irish exercise habits cholesterol lowering foods natural news cheap rosuvastatin 5mg. He believes to take over the reins of their own cholesterol was the option of going that men in particular wellbeing. Give it a go lads – back down to on the strict regime can be “wusses” when it the needle won’t hurt that much. He went on a trip to London, going to “My diet wasn’t great, I was Stamford Bridge to see Chelsea versus fond of take-outs on the way Arsenal. I am now that I think about it because the more of a vegetable eater now tension in that match was so great! I was trying to do a little and if there is evidence of a heart bit of exercise but really I gave it attack) and a couple of blood tests – I up. Rough weekend “The doctor eventually came in and Donal’s heart attack happened in said, ‘from what we’ve done, we’re not October 2011, following what he 100 percent sure what’s wrong, so the describes as a “rough weekend” that only thing to do now is an angiogram. Procedures “That night I woke up, this time the angiogram was scheduled for with an awful weight on my chest; Friday morning. An angiogram is a test every time I lay down, I felt like there to see if the coronary arteries, which was someone standing on my chest, so supply blood to the heart, are fowing I sat up all night. So for three weeks, I was not this and was amazed at how quickly it able to walk from here to the corner was over – he was home that evening. After the angiogram, the doctor A year later, Donal went back rang to say that Donal needed to have for another check-up. A stent is happy to hear that he was still of the a metal mesh or coil which keeps the cigarettes, had improved his diet, was diseased or narrowed artery open. It losing weight and was being more turned out that Donal had actually had active. His doctor sent him of, telling two heart attacks – one on the Saturday him ‘hopefully I’ll never see you again’. This is caused by the buildoutside the Mater, before he went in struggling mentally with his condition. Donal was He found on holidays that he was or plaque) on the coronary artery “half the age” of everyone else on his having panic attacks when he tried to wall which tears or breaks of ward and they all lectured him about do activities like horse riding and scuba causing a clot to form in the his lifestyle. But not everyone experiences chest momentarily They arranged for me to do pain when having a heart attack “it turned out during the cardiac rehab in the Mater and some have no chest pain at procedure that donal had and they convinced me all or have other symptoms. For and I needed actually had two to do a bit of the physical women heart attack symptoms are a jolt of the heart attacks — one activity and dietary often more vague such as nausea, defbrillator education as well. This to see him separately after > Chest pain apparently is not the rehab was over. I go for regular cholesterol and blood > Nausea was out of work for three weeks and as pressure tests and to improve their > Light-headedness the days and weeks went on, I would do lifestyle. Call 999 at the frst sign of a rehabilitation, a recovery programme people aware that there are other heart attack. One of the things I want to the problem is that Irish There is a mountain emphasise is that not all adults have too much total of information on fats fats are bad and that we “We’re not fat in their diets. As well do need some fat in our getting enough as this, we’re not getting and their efects on diets. These two main fats Fat acts as an insulator to keep our body are particularly bad or harmful for our warm and fat is also needed for healthy cholesterol, namely – saturated fat and 8 cells. Biscuits Fruit Low fat spread Butter Lean Meat Fatty meat Research shows that irish adults have too much total fat in their diets. Low fat versions are just as Also look for trans fats in ready in cakes, pastries, butter, but also in dairy high in calcium as full fat versions and so meals. There has been a reduction in products and meat, as well as palm oil just as good for your bones. The best way to reduce still worth being vigilant when looking the amount of bad fat in our diet is to Trans fats at the label. But it can be hard to identify what fat fryers is heated up to very high the fact that there can be foods contain trans fats as they aren’t temperatures, cooled down and then saturated fat in meat doesn’t mean usually listed on the food label. The is heated up and cooled down again, that you have to cut it out of your diet best way to fgure out if they are in a over time the extremes of temperature completely. Instead choose lean cuts, change the chemical structure of the oil 9 food is to look at the ingredients list. When you see partially or pastries foods which are generally high in saturated fat look at the food label and try and compare products. For example, when choosing between two cakes, compare the saturated fat in each Fresh Fish Battered Fish Low Fat Milk Full fat Milk Deep Fat Fried Chips Oven Chips continued and try and choose the one with the recommendation is that you can have up lower your cholesterol. These foods have ingredients which stop your body Cholesterol in food What are good fats However you should seek your We know now that the amount However, all fats are high in doctor’s advice as these products can of saturated fat in your diet is the main calories and often people eat more be expensive and are not a replacement factor that increases the cholesterol in than the recommended portion size for prescribed medication or a healthy your blood. If you haven’t been If you have high cholesterol, there is diagnosed with a high cholesterol, the now a range of foods that can help Not only is fat in our diet of women are at a healthy To lose weight a major infuence on our weight. A very high number > Plan your meals, what you will eat and your cholesterol and risk for heart of men in this age group portion size using the Food Pyramid. The weight of the Losing weight > Burn of calories by increasing your level nation is never far from the successfully is very difcult of physical activity such as regular walking, news because we are getting for many people but it can swimming or cycling. Over 60% of be done, as shown by Donal > Cut out the foods and drinks from the top shelf of Irish adults, men and women, and Barbara featured in the Food Pyramid. Apart from Looking at men and motivation, which is vital, women aged between 51-64, there are some key steps. Check food labels to fnd out trout, herring, sardines and fresh tuna how much saturated fat they contain • Omega 3 fats in tuna are normally lost during the tinning process. Copyright: department of Health A Heart Attack Waiting To Happen At 31, Barbara Gallagher had a heart attack. I would still have ridiculously high about that, it’s in the family, nobody’s erupts. And he said, “I know what it cholesterol even if I lived on lettuce ever died from it’. I have a condition called familial He said I’d have a heart attack by years of age! The doctors put me cholesterol) that’s been passed down on a special drink to help lower my the bad news through the genes in the family. It was like thick wallpaper He gave me a letter to go to Beaumont not your traditional high cholesterol paste. He said, “You do know you’ve had “The intern the skimmed milk, and not exercising. It turned out my cholesterol Flora, and I soon have a heart Patrick’s weekend level was 18! This involves When I was something when a chest inserting a balloon to widen the artery pregnant with my about it” infection is coming but following some complications I also second daughter on. However by the needed a stent – a tube which keeps in London, I saw a Monday I was gripping the artery open. I was so ill we called the girls are three and six, I’m not going to hospital and he established that my doctor to come around. Drain oil from cooked dishes In the three weeks I spent in Beaumont I containing minced meat. Use low-fat healthy ways of A new life My husband Michael said, “What are you going cooking, like grilling or oven baking to do with your new life After that, everything Eat more wholegrain varieties of else should be considered a bonus. I also went on an excellent cardiac Be more physically active rehabilitation programme. Smoking raises your Michael had cleared the cupboards of every last item of processed food we had.
Syndromes
- Dry skin
- Nausea
- Optimal: Less than 100 mg/dL (less than 70 mg/dL for persons with a history of heart disease or those at very high risk for atherosclerotic disease)
- Excessive sweating
- Any areas that look wet, oozing, or red, which are signs of infection
- Worsening of muscle tone
- Best: Less than 100 mg/dL (less than 70 mg/dL for persons with a history of heart disease or those at very high risk)
The manual should enable program managers to cholesterol jama order rosuvastatin online from canada prepare quality training sessions and their own training materials in a relatively short period of time cholesterol levels child buy rosuvastatin 10mg low price. The list below summarizes some of the most important cholera documents by these groups and links to cholesterol levels kidney disease buy cheap rosuvastatin on-line the documents on their sites does cholesterol ratio 2.3 mean purchase rosuvastatin with american express. The First Use of the Global Oral Cholera Vaccine Emergency Stockpile: Lessons from South Sudan [100]. Cholera vaccination campaign contributes to improved knowledge regarding cholera and improved practice relevant to waterborne disease in rural Haiti [101]. Potential for Controlling Cholera Using a Ring Vaccination Strategy: [102]Re-analysis [102] of Data from a Cluster-Randomized Clinical Trial [102]. Assessing different measures of population-level vaccine protection using a case-control study [104]. Validity of the estimates of oral cholera vaccine effectiveness derived from the test-negative design [105]. Safety of a killed oral cholera vaccine (Shanchol) in pregnant women in Malawi: an observational cohort study [106]. Identification of burden hotspots and risk factors for cholera in India: An observational study [107]. The Impact of a One-Dose versus Two-Dose Oral Cholera Vaccine Regimen in Outbreak Settings: A Modeling Study [111]. Effectiveness of one dose of oral cholera vaccine in response to an outbreak: a case-cohort study [112]. Population-Level Effect of Cholera Vaccine on Displaced Populations, South Sudan, 2014 [113]. Protection against cholera from killed whole-cell oral cholera vaccines: a systematic review and meta-analysis [114]. Identifying cholera" hotspots" in Uganda: An analysis of cholera surveillance data from 2011 to 2016 [115]. Adaptation of a simple dipstick test for detection of Vibrio [116]cholerae [116] O1 and O139 in environmental water [116]. Cholera cases cluster in time and space in Matlab, Bangladesh: implications for targeted preventive interventions [118]. Clinical and Environmental Surveillance for Vibrio [119]cholerae [119] in Resource Constrained Areas: Application During a 1-Year Surveillance in the Far North Region of Cameroon [119]. Evaluation in Cameroon of a Novel, Simplified Methodology to Assist Molecular Microbiological Analysis of V. Methods to assess the impact of mass oral cholera vaccination campaigns under real field conditions [121]. The scenario approach for countries considering the addition of oral cholera vaccination in cholera preparedness and control plans [122]. Factors Associated with Fatal Outcomes Following Cholera-Like Syndrome in Far North Region of Cameroon: A Community-Based Survey [123]. The potential impact of case-area targeted interventions in response to cholera outbreaks: A modeling study [124]. Introducing cholera vaccination in Asia, [125]Africa [125] and Haiti: A meeting report [125]. Effectiveness of reactive oral cholera vaccination in rural Haiti: a case-control study and bias-indicator analysis [126]. Immune Responses to an Oral Cholera Vaccine in Internally Displaced Persons in South Sudan [128]. Safety of the oral cholera vaccine in pregnancy: Retrospective findings from a subgroup following mass vaccination campaign in Dhaka, Bangladesh [129]. Adapting to the global shortage of cholera vaccines: targeted single dose cholera vaccine in response to an outbreak in South Sudan [135]. Prolonging herd immunity to cholera via vaccination: Accounting for human mobility and waning vaccine effects [137]. Feasibility and effectiveness of oral cholera vaccine in an urban endemic setting in Bangladesh: a cluster [139]randomised [139] open-label trial [139]. Evaluation of targeted mass cholera vaccination strategies in Bangladesh: a demonstration of a new cost-effectiveness calculator [142]. Health seeking behaviour among suspected cases of cholera in Cameroonian health districts in Lake Chad basin [145]. The aim of this study was to evaluate the prevalence of the disease cholera among people suffering from acute diarrhea in the Aran va Bidgol. Materials and Methods: In this study, patients with acute diarrhea were examined for cholera detection in the city of Aran va Bidgol in summer 2011. All 294 patients with acute diarrhea referred to rectal swabs in the laboratory of health centers and in the specific microbial culture medium of thiosulfate citrate bile sucrose agar. Furthermore, some information about health behaviors, such as drinking water supply, status of food preservation, toilets status, drinks, and food consumption in the outdoors was collected from all participants in this study. Results: Laboratory results showed that Vibrio cholerae isolated from 21 patient stool cultures and these patients were to have cholera disease. Conclusion: Consumption of raw vegetables and water (springs and subterranean) are the important factors for mobility to cholera and it should be more considered prevention and control program and monitoring methods about using of safe water and food. In Cholera still represents a major public health another occurrence, 1150 cases of cholera and problem in developing countries and 11 deaths have been reported in 2005 (3). Vibrio cholerae is a Gramwith serotype Ogawa Eltor biotype represents negative bacterium which belongs to the in south and central of Iran especially in Vibrionaceae family (2,4) and the incubation summer (2). There is not a published data period of disease varies from a few hours to 5 about the prevalence of cholera in Aran va days (5). Cholera infection is mild or without Bidgol city of Iran, and it is necessary to do a symptoms, with assuming that 90% infection research about cholera prevalence in this city. The primary symptom appearance prevalence and causes of cholera among with bowel movements, abdominal fullness, patients with acute diarrhea in Aran va Bidgol and growl it’s them. Sample collection the intensity of anxiety thirst, weakness, and this study was a descriptive and cross-sectional abdominal cramps related to excretion rate study, aimed to investigate the cholera infection and dehydration fluid. The main source of cholera accomplished in summer of 2011 in Aran va and similar disease can be surface water and Bidgol city of Iran. The city of Aran va Bidgol the rout of spread prevalent in epidemics is has located in the North of Isfahan province. There is a possibility services are done by six urban health centers, outbreak in all seasons, but the incidence is two rural health centers, and nine health home higher in May-November in Iran (1,2,4,5). A total of 294 patients that Causes in summer are the warm weather, had acute watery diarrhea and refer to the health which increases the ability to reproduce the center for sampling Eltor was examined. About 1,076,372 cases of cholera Sampling was done with using rectal swabs and and 10,098 deaths have been reported by Pan Cary–Blair transport medium then send to American Health Organization in 1995 which microbial laboratory. A total of 16,000 persons were and incubated in 37° C for 18-24 h, in the diagnosed with cholera in an epidemic of presence of acid/base reaction without gas cholera in 1969. Complete the questionnaire Patient persons with positive stool culture are All patients with positive stool culture were included 76. How to complete the stool culture during diagnosed with cholera questionnaire for people in this way was that disease according the sex were 52. Among these factors the most frequent before the disease, (2) consumption the of risk factor were consumption of fruit and remaining food in the 7 days before the vegetable (42. The results showed that the days before the disease, (4) consumption frequency distribution of risk factors announced industrial ice in 7 days prior to the occurrence by patients with positive stool culture including of disease, (5) toilet water supply location, consumption of leftover food, consumption of and (6) drinking water status of residence apricot strips, consumption of juice, and use of (piping or without piping) were surveyed, and factorial ice were 4. Occurrence of cholera is the significance from ecological and epidemiological aspects. Results sources and food such as fruits and vegetables this study included patients who had a positive and seafood can be environmental reservoir to stool culture during this time had Eltor. Infection due cholera starts with of 21 patients were diagnosed with cholera ingestion contaminated water or food and during this time, which 15 persons of them entrance the bacterium to the human body and were Nag and 6 persons were Eltor (Table 1). Frequency distribution of positive stool culture during diagnosed with Eltor according the sex Patients Female, N (%) Male, N (%) Total, N (%) Positive stool culture 16 (76. Among these diagnosed with cholera disease through stool culture to factors, the most frequent of risk factor were express themselves answers in questionnaire consumption of fruit and vegetable (42. They announced that in all studies have been reported that men more than 54 patient stool cultures have been isolated V. They reported that consumption of occurrence of cholera in Gorgan city, 20 4 factorial ice and consumption of vegetables people were male and 26 people were female. The affected by minor differences in epidemic of results showed that the frequency distribution Hamadan city. It reported that 45 people were of risk factors announced by patients with male, and 42 were female with frequency 52% positive stool culture including history of and 48%, respectively (11).
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