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1)This is chronic gastritis
2)alcohol, stress, depression, h pylori, smoking, obesity, poor diet
3)He needs an upper endoscopy with H pylori testing
4)if H pylori positive, he will need antibiotics. A PPI should suffice though if it's simply gastritis.
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Kupffer cells, also known as stellate macrophages due to their particular structure while viewed under a microscope, were first identified by scientist Karl Wilhelm von Kupffer, after whom the cells were named, in 1876.
These cells, whose origin is in the yolk sack during fetal development, later on move to the liver where they will stay and further differentiate into their mature versions.
These cells are part of the liver cells, and are found particularly on the walls of the sinusoids, where they perform their two most important tasks. First, these cells are part of the immune system, as they are essentially macrophages. However, their role is pretty unique, as they are responsible not just for phagocytosis of invading bacteria, and other pathogens, and initiating immune responses, but also, this cell plays a role in decomposing red blood cells who are dying, and taking up the hemoglobin from them to further break that into reusable globin, and the heme group, from which iron is further extracted to be re-used and also to create bilirrubin, a part of bile.
Finally, these cells have been found to be connected to hepatic cirrhosis, as in their process of detoxifying ethanol, they produce toxins that force the liver cells to produce collagen, and thus to become fibrous.
This paper identifies evolving trends in the diagnosis and treatment of chronic obstructive pulmonary disease (COPD), and recommends the integration of nursing strategies in COPD management via widespread implementation of electronic health records. COPD is a complex lung disease with diverse origins, both physical and behavioral, manifested in a wide range of symptoms that further increase the patient’s risk for comorbidities. Early diagnosis and effective management of COPD require monitoring of a dizzying array of COPD symptoms over extended periods of time, and nurses are especially well positioned to manage potential progressions of COPD, as frontline health care providers who obtain, record, and organize patient data. Developments in medical technology greatly aid nursing management of COPD, from the deployment of spirometry as a diagnostic tool at the family practice level to newly approved treatment options, including non-nicotine pharmacotherapies that reduce the cravings associated with tobacco withdrawal. Among new medical technologies, electronic health records have proven particularly advantageous in the management of COPD, enabling providers to gather, maintain, and reference more patient data than has ever been possible before. Thus, consistent and widespread implementation of electronic health records facilitates the coordination of diverse treatment strategies, resulting in increased positive health outcomes for patients with COPD.
Conclusions
COPD patients can be sub-classified into groups with differing risk factors, comorbidities, and prognosis, based on data included in their primary care records. The identified clusters confirm findings of previous clustering studies and draw attention to anxiety and depression as important drivers of the disease in young, female patients.
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An osteoporotic bone is going to be much less dense, porous, and brittle. It is much more prone to fractures than regular bone.
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Does myoglobin or hemoglobin have a higher affinity for oxygen?
This release is potentiated by the Bohr effect in tissues with high energetic demands. Fetal hemoglobin (HbF) exhibits a low affinity for 2, 3-BPG, resulting in a higher binding affinity for oxygen.
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