"Buy endep 50 mg on line, medications j-tube".

By: X. Koraz, M.A., Ph.D.

Professor, University of California, Merced School of Medicine

Thus the eyes and testes are readily susceptible to thermal damage medications without doctors prescription buy endep 50mg, since these organs do not possess an adequate vascular system for the exchange of heat. Presently available information and experience indicate that the eyes and testes are the most vulnerable to microwave radiation. Experimental Design Quantitation of the biological response to microwaves is a complex problem because of the wide frequency spectrum, the large number of physical and biological variables and the interrelationships of these variables. The factors which have to be considered include: Frequency, intensity, waveform (continuous wave, pulsed, and modulated), animal orientation with respect to source, size of animal with respect to wavelength, portion of the body irradiated, exposure time-intensity factors, environmental conditions (temperature, humidity), and shielding. The condition of the exposed subject such as state of health, restraint, medication, etc. These variables, individually and in combination, affect the biological response to microwaves. Radiation in the millimeter range tends to penetrate only a few millimeters into the body, while radiation of longer wavelength penetrates progressively deeper; body size, therefore, becomes a considerable factor in any comparative evaluation. The inherent thermal regulation ability of the animal is also a factor in such biological responses. One of the problems in studying biologic effects of microwaves, as in all biomedical investigations, is the selection of the most appropriate animal species for study. Animals are quite often selected only on the basis of convenience, economy or familiarity and without regard to their suitability to the problem under study. Because of the lack of awareness and concern in the selection of the experimental animal, many investigations have no inherent value insofar as extrapolation to man is concerned and, in some cases, have led to incorrect interpretations necessitating expensive, time-consuming attempts at confirmation or logical application of the data. Definitive information concerning effects of microwaves in man can be obtained by extrapolatron from animal experimentation and comparison with specific observations following human exposure. Because of the complex nature of the biologic responses to microwave irradiation, it becomes essential to investigate different species of animal under a variety of exposures before experimental results can be reliably extrapolated to man. Most of the earlier investigations of biologic effects of microwaves were conducted on static models or small laboratory animals such as mice, rats, or rabbits. In numerous instances, the exposures were performed while the animal was under the influence of anesthetics, sedatives, tranquilizers, or physically restrained, thus modifying the physiologic or biochemical response. Numerous physiologic factors such as interspecies and interstrain variability in heat regulation and metabolic function must be recognized. Intraspecies body size variation, with resultant differences in the coefficient of heat absorption, cannot be ignored. The effect of previous medication coupled with the physical aspects of exposure, such as frequency or power density, as well as other experimental variables, must be considered. Effect on the Lens of the Eye the eye is sensitive to many types of electromagnetic radiation. Certain parts of the eye are more susceptible to particular wavelengths than others. Longer wavelengths are readily transmitted through the globe of the eye with little if any absorption and do not give rise to any deleterious effects in the lens. Shorter waves, such as those in the centimeter range, however, can be harmful to the anterior half of the eye because of absorption and consequent heating effects (42). According to Zaret (43), the initial site of the pathology is not in the lens substance itself, but in the capsule surrounding the lens at its posterior surface. The lens is avascular, and is located at least 2mm or more from any blood supply, making it much less effective in dissipating heat as compared with most other tissues and organs. Since microwave absorption is associated with the production of heating, this may be an important factor in the greater susceptibility of the lens to certain forms of electromagnetic radiation. Another important consideration is the rather unique method of differentiation and growth which is present in the lens. The major metabolic activity, particularly oxidative respiration, occurs within the layer of epithelial cells located only in the anterior subcapsular region extending toward the equator. Microwaves have been shown to produce cataracts in a variety of experimental animals (see. In these exposures, the dogs could move around in their cages and their eyes were not exposed directly to the microwave beam for prolonged periods of time. With this superficial energy the changes occurred in the anterior segment of the lens, with clouding of the cornea.

discount 10mg endep free shipping

The ultimate judgment regarding a particular clinical procedure or treatment plan must be made by the psychiatrist in light of the clinical data presented by the patient and the diagnostic and treatment options available symptoms 7dpiui purchase 10mg endep. This practice guideline has been developed by psychiatrists who are in active clinical practice. In addition, some contributors are primarily involved in research or other academic endeavors. It is possible that through such activities some contributors, including work group members and reviewers, have received income related to treatments discussed in this guideline. A number of mechanisms are in place to minimize the potential for producing biased recommendations due to conflicts of interest. Any work group member or reviewer who has a potential conflict of interest that may bias (or appear to bias) his or her work is asked to disclose this to the Steering Committee on Practice Guidelines and the work group. Treatment of Patients With Eating Disorders 5 Copyright 2010, American Psychiatric Association. The following guide is designed to help readers find the sections that will be most useful to them. Part A, "Treatment Recommendations," is published as a supplement to the American Journal of Psychiatry and contains general and specific treatment recommendations. Section I summarizes the key recommendations of the guideline and codes each recommendation according to the degree of clinical confidence with which the recommendation is made. Part B, "Background Information and Review of Available Evidence," and Part C, "Future Research Needs," are not included in the American Journal of Psychiatry supplement but are provided with Part A in the complete guideline, which is available in print format from American Psychiatric Publishing, Inc. Part B provides an overview of eating disorders, including general information on their natural history, course, and epidemiology. It also provides a structured review and synthesis of the evidence that underlies the recommendations made in Part A. Part C draws from the previous sections and summarizes areas for which more research data are needed to guide clinical decisions. Of these, 334 were reports of clinical trials (including randomized controlled trials) or meta-analyses. Abstracts for these articles as well as abstracts for an additional 634 review articles were screened individually for their relevance to the guideline. The recommendations contained in this practice guideline are based on the best available data and clinical consensus. The summary of treatment recommendations is keyed according to the level of confidence with which each recommendation is made (indicated by bracketed Roman numeral). In addition, each reference is followed by a bracketed letter that indicates the nature of the supporting evidence. Treatment of Patients With Eating Disorders 7 Copyright 2010, American Psychiatric Association. Considerations for performing a detailed differential diagnosis are not included in this guideline. However, because anorexia nervosa and bulimia nervosa often begin during adolescence and because clinicians commonly treat all ages spanning from childhood to adulthood, this guideline includes recommendations that apply to both age groups and notes if any recommendation applies exclusively to a certain age group. For example, some innovative, university-based programs have demonstrated that specialized interventions can avert or reduce the length of inpatient stays for some patients with anorexia nervosa. However, the availability of such programs is limited, and it is unclear if results of small-scale studies of these interventions are generalizable to other settings and patient groups. The recommendations of this practice guideline are made with the recognition that it is inappropriate to refuse patients and families access to a more intensive treatment simply because a less intensive treatment has been demonstrated to be effective in a few small-scale studies. In general, this practice guideline recommends the performance of only those laboratory tests and procedures most likely needed for clinical decision making. In making a diagnosis of anorexia nervosa, body weight is one of the factors that is taken into consideration.

buy endep 50 mg on line

The major cardiac clinical manifestation of rheumatic fever is medications for osteoporosis endep 50mg lowest price. Therapeutic management for rheumatic fever includes: Penicillin G or Kawasaki Disease Kawasaki Disease is characterized by widespread of the small and medium sized blood with coronary arteries being most suspecptible. In children, types of cardiac defects are classified by patterns. The right side is having to pump harder so this can lead to right sided heart failure. When the left atrium squeezes down it is not as forceful and strong as the left ventricle. This ductus arteriosis is supposed to close when the baby is born and takes their first breath. The blood says "should I go straight to the body or should I hang a right here through this opening that was supposed to close". This leads to increased workload on the left side of the heart and therefore left sided heart failure. Coarctation of Aorta the aorta has a narrowing (pretend there is a tourniquet tied around the aorta). The right ventricles has to work harder to pump the same amount of blood through a smaller opening. Aortic Stenosis: Same as with pulmonic stenosis, but now we are talking about the aortic valve. Yes some blood is getting out to the systemic circulation or the patient would be dead at birth. How do you collect a specimen to diagnose pinworms (enterobiasis) Chicken pox Chicken pox is rare due to the varicella vaccine; however, if a child does contract chicken pox the primary focus is to prevent in the lesions. Hurst Review Services 222 Otitis Media What part of the ear is affected with otitis media? Treatment for otitis media: -Avoid chewing -Lie on affected side -Prevention: -Sit up for feedings -Gentle nose blowing -Upper respiratory Infection? Often the mentally challenged child will deliberately do things to displease the parents? When an infant has had a perineal surgery, what position would you place them in post-op? If you know my core content real well the level of difficulty on your test is going to go through the roof. Remember, just because you have studied 98 hours for this test does not mean you have studied the right way. I know I can pass this test because I Hurst Review Services 1 have studied properly! I can miss a lot of these questions and still pass because this test is not graded like my tests in nursing school were! With every question that you can, try to figure out what you are supposed to be "worried" about. Review lab work or Plan measures to deal with arrhythmias) Go for the arrhythmias, but only if arrhythmias are applicable to the situation at hand. When trying to figure out which patient to see first, always go for the more acute, unstable or complex. For example, a 36 year old female, single mother, who has been discharged home after a right mastectomy. This patient has lots of physiological problems and psychosocial problems Hurst Review Services 2 too, but they are stable. We do take pain seriously, but beware, there could be something there that is an indicator of something more acute, more complex, more life threatening. Do not let yourself start thinking back to the hospital where you did your clinical.

Saito Kuba Tsuruta syndrome

buy endep with amex

Radicular pain may occur alone symptoms miscarriage order endep with a visa, in the absence of spinal pain, whereupon it should be classified as limb pain or trunk pain according to its perceived distribution. When present in conjunction with spinal pain, the two should in the first instance be defined and diagnosed separately, for there is no prima facie reason to maintain that both pains will have exactly the same cause. Clinical Features: the pain is lancinating in quality and travels along a narrow band. It may be episodic, recurrent, or paroxysmal according to the causative lesion or any superimposed aggravating factors. Clinical Features: Subjective sensations of numbness and weakness, confirmed objectively by neurological examination and/or by electrodiagnostic means, occurring in the distribution of a spinal nerve. Radiculopathy may occur in isolation or in association with radicular pain, referred pain, or spinal pain. Paresthesias in a dermatomal distribution can be caused by ischemia of a spinal nerve or its roots, and may be regarded as a feature of incipient conduction block and therefore a feature of radiculopathy. Pathology: Any lesion that causes conduction block in axons of a spinal nerve or its roots either directly by mechanical compression of the axons or indirectly by compromising their blood supply and nutrition. Foraminal stenosis due to vertical subluxation of the intervertebral joint, osteophytes stemming from the zygapophysial joint or intervertebral disk, buckling of the ligamentum flavum, or a combination of any of these. Prolapsed intervertebral disk acting mechanically as a space-occupying lesion that compromises axons. The two conditions may nonetheless coexist and may be caused by the same lesion; or radiculopathy may follow radicular pain in the course of a disease process. There is no physiological or clinical evidence that referred pain can be caused by the same processes that underlie radiculopathy. Referred pain and spinal pain associated with radiculopathy consequently warrant a separate and additional diagnosis. Where spinal and radicular pain occur, the suffixes S and R are used, respectively. If a radicular pain occurs in an area with a different loca tion it should be coded additionally. Thoracic Spinal or Radicular Pain Syndromes X-1 Thoracic Spinal or Radicular Pain Attributable to a Fracture X-1. X4bS/C Primary Tumor of a Zygapophysial Joint Primary Tumor of the Proximal End of a Rib Primary Tumor of a Paravertebral Muscle Primary Tumor of Epidural Fat. X4aS/C * the asterisk is inserted in spinal and radicular codes where no letter is required in the sixth place. X4jR X-4 Thoracic Spinal or Radicular Pain Attributable to Metabolic Bone Disease X-4. X8iR 23 X-9 Thoracic Discogenic Pain X-9(S) Thoracic Discogenic Pain Trauma Degeneration Dysfunctional S codes only 333. X7hS S codes only Trauma Infection Neoplasm Degenerative Dysfunctional Unknown 332. X7dS/C S/C codes R only/in addition X-10 Thoracic Zygapophysial Joint Pain X-10(S) Thoracic Zygapophysial Joint Pain R only/in addition X-11 Costo-Transverse Joint Pain X-11(S) Costo-Transverse Joint Pain R only/in addition X-12 Thoracic Muscle Sprain X-12(S) Thoracic Muscle Sprain R only/in addition X-13 Thoracic Trigger Point Syndrome X-13(S) Thoracic Trigger Point Syndrome R only/in addition X-14 Thoracic Muscle Spasm X-14(S) Thoracic Muscle Spasm R only/in addition X-15 Thoracic Segmental Dysfunction X-15(S)(R) Thoracic Segmental Dysfunction R only/in addition 333. Local Syndromes of the Upper Limbs and Relatively Generalized Syndromes of the Upper and Lower Limbs 1. Brachial Neuritis (Brachial Neuropathy, Neuralgic Amyotrophy, Parsonage-Turner Syndrome) 7. X2 (if in the arms) (known infection) (unknown infective cause) (trauma) (neoplasm) (toxic) (chronic aneurysm) 4. Late Postmastectomy Pain or Regional Carcinoma 13 Post-thoracotomy Pain Syndrome 14. Chest Pain of Psychological Origin Muscle Tension Pain Delusional Pain Conversion Pain With Depression See also: 1-16, Pain of Psychological Origin.

purchase cheap endep on-line

The bulge in the inferolateral border of the lateral ventricle treatment pneumonia order cheap endep line, normally created by the head of the caudate nucleus (lower scan from a patient of the same age for comparison), has been obliterated. Viewed from the molecular perspective, the pathogenesis of this disease is a direct but still poorly understood consequence of the aforementioned expansion of the polyglutamine region of huntingtin (the protein product of the Huntington gene). It has been shown that the expansion predisposes the mutant huntingtin protein to aggregate in the nuclei of neurons. Moreover, the protein accumulates preferentially in cells of the striatum and parts of the cortex affected in Huntington disease. In at least one family in which this clinical picture is dominantly inherited, the fundamental defect is a mutation in the gene encoding the light chain (L chain) of ferritin (Curtis). Affected individuals have axonal changes in the pallidum with swollen, ubiquitin- and tau-positive aggregates; serum ferritin levels may be depressed. The implication of this mutation is that perturbations of iron metabolism may be toxic to neurons, a feature that also characterizes Hallervorden-Spatz disease (page 832). Other problems in differential diagnosis include bilateral thalamic degeneration with dementia and chorea, referred to earlier; paroxysmal choreoathetosis (page 68); Wilson disease (page 830); acquired hepatocerebral degeneration (page 975); and, most often and especially, tardive dyskinesia (page 94). Many drugs in addition to the toxic effects of L-dopa and antipsychotic medications occasionally cause chorea (amphetamines, cocaine, tricyclic antidepressants, lithium, isoniazid). Treatment the dopamine antagonist haloperidol, in daily doses of 2 to 10 mg, is probably the most effective agent in suppressing the movement disorder. Because of the danger of superimposing tardive dyskinesia on the chronic disorder, the chorea should be treated only if it is functionally disabling, using the smallest possible dosages. Haloperidol may also help alleviate abnormalities of behavior or emotional lability, but it does not alter the progress of the disease. The authors have not been impressed with the therapeutic effectiveness of other currently available drugs. Levodopa and other dopamine agonists make the chorea worse and, in the rigid form of the disease, evoke chorea. Drugs that deplete dopamine or block dopamine receptors- such as reserpine, clozapine, and tetrabenazine- suppress the chorea to some degree, but their side effects (drowsiness, akathisia, and tardive dyskinesia) outweigh their desired effects. The juvenile (rigid) form of the disease is probably best treated with antiparkinsonian drugs. Preliminary studies of the transplantation of fetal ganglionic tissue into the striatum achieved mixed results. The psychologic and social consequences of the disease require supportive therapy, and genetic counseling is essential. Huntington disease pursues a steadily progressive course and death occurs as mentioned, on average 15 to 20 years after onset, sometimes much earlier or later. The acanthocytosis, according to Sakai and coworkers, is due to an abnormal composition of covalently (tightly) bound fatty acids in erythrocyte membrane proteins (palmitic and docosahexanoic acids increased and stearic acid decreased). Although the inheritance is usually autosomal recessive, at least one family with the dominantly transmitted trait has been described. The acanthocytosis may be overlooked when it is mild but can be detected by scanning electron microscopy. In the series of 19 cases reported by Hardie and colleagues, the manifestations included dystonia, tics, vocalizations, rigidity, and lip and tongue biting; more than half had cognitive impairment or psychiatric features. Some of the families with dominantly inherited neuroacanthocytosis have mutations in the chorein gene. These individuals have fewer facial tics and orofacial features than those with neuroacanthocytosis. Corticostriatospinal Degenerations Included in this category are a somewhat heterogeneous group of degenerative diseases in which the symptoms of parkinsonism and corticospinal degeneration present in various combinations. Some of the diseases that make up this group have not been sharply delineated and are difficult to separate from one another (see also page 928). The authors have observed several patients in whom extreme rigidity, corticospinal signs, but no dementia have developed over a period of several years.

Discount 10mg endep free shipping. Severe Cocaine Withdrawal Symptoms (TOUGH!).

About the Security Industries Authority Staff

The Security Industies Authority is headed by a Registrar as the CEO and has thirteen (13) other staff members from all four (4) regions of the country working under him. These includes the Manager Finance and Administration, Manager Licensing and Compliance and four (4) Regional inspectors(MOMASE, Islands, Highland and Southern).

The Inspectors job are very challenging because they are at the front line of enforcement to ensure that private security companies are compliant with the provisions of the Security Protection Act to operate a security company. Most of them are former officers of the Royal PNG Constabulary. Apart from them we also have a efficient staff made up of the Executive Secretary, Accounts Officer, HR Officer , I.T Officer & an Office Janitor in Head Office Port Moresby while Admin Assistance/ Driver and an Office Admin/ Reception in Lae Momase & Highlands Region branch office.

Staff Profiles


Mr. Paul Kingston Isari

Registrar & CEO of PNG Security Industries Authority


Mr. Philip Gene, BAC, CPA PNG

Manager Finance & Administration


Mr. Spencer Gelo

Manager Licencing & Compliance

POM Office Staff

Front left – right Ms Margaret Biskum- Security Inspector New Guinea Islands, Ms Alicia Nana – Executive Secretary & Mrs Mackey Kembi Office Janitor

Back left – right Mr. Rinson Ngale – Security Inspector NCD/Southern Region, Mr. Emmanuel Tumbe HR Officer, Mr. Elijah Fave – Accounts Officer, Mr. Andrew Kaiap – I.T Officer


Lae Office Staff

Front left – right Ms Nelison Roberts – Office Secretary / Reception , Mr. Elvis Otare – Office Admin Assistance / Driver & Acting Momase Region Inspector

Back left – right Vacant – Office Manager & Security Inspector Momase Region, Mr. Pius Moi – Acting Office Manager Security Inspector Highlands Region

Security Industries Authority organizational chart


Vacancies for Council Representatives from the Security
Industry to sit in the Council

The Security Industries Authority currently does not have any vacant Council Representative position. There in total six (6) nominated representative from Security Industries in the council.(see SIA Council)

Qualified candidates will be made known here if there is a vacant in Council Representative positions.

Security Industries Authority Position Vacancies

SIA Currently has no vacancy positions available. Public will be notified for any positions available in the future.

Criteria for appointment to the Security Industries Council

  1. The candidates must have a sound knowledge in the operations of private security companies and are quite versed with the Security Protection Act 2004.
  2. The candidates shall not be currently employed in any licensed security companies that are currently registered with the Security Industries Authority or were not previously employed by any licensed security companies.
  3. The candidates shall not be a current owner or a shareholder of a licensed security company currently registered with the Security Industries Authority and the IPA (Investment promotion Authority).
  4. The candidates shall not be a previous owner or a shareholder of a licensed security company registered with the Security Industries Authority or with the IPA. (Investment promotion Authority).
  5. Interested persons may submit their application with a CV with three (3) references named and attached with their latest passport size photos.
  6. Both male and females are encouraged to participate.
  7. Only registered security companies and permitted security guards will participate in the nominations.
  8. All candidates shall be subjected to a fit and proper persons test before they are formally appointed for 3 years term by the Minister for Police & Internal Security.

For enquiries on this matter

Visit us at the Top floor of the Former Fraud Squad blue building, Gorobe Street, Badili, 2 Mile, Port Moresby NCD or Lae at Post Office Building, second street, top floor, suite # 14, Lae Morobe Province or write to the Chairman Security Industries Council PO BOX 80 Port Moresby National capital District. You can also contact Manager Licensing & Compliance – Mr. Spencer Gelo on telephone 3239851 / 3257930, or email executivesecretary@sia.gov.pg

Invitation to the Stake Holders and the Industry to make a submission on the amendments to current security Protection Act

The Registrar now invites all the registered security companies, service receivers and interested stake holders for their written submission to amend the current Security Protection Act to cover many grey areas of the law.

The submissions should clearly state what provisions of the current Security Protection Act 2004 and the Security Protection regulation 2012 are to be amended to enhance the growth of the industry. This is necessary in light of numerous complaints from the security companies and interested stake holders of the short falls in the current Act which is said to be hindering the growth of the industry.

All submissions must be dropped at The Authority Head Office: Former Fraud Squad Office, Top Floor, Gorobe Street, 2 Mile Drive, Badili,Boroko NCD in Port Moresby. They can also be posted or emailed using the address on the last page. Copies of the current Security Protection Act 2004 can be obtained at the Security Industries Authority office for K35 to use as a guide to prepare the submissions.

Appointment to the Board of Complaints

The Security Industries Authority in compliance with section 57 of the Security Protection Act 2004 has already advertised in the media in early February 2013 seeking for two (2) interested persons to sit on the Board of Complaints.

The purposes of the Board of Complaints is to hear allegations made against licensed security companies by the general public and to award appropriate disciplinary penalties to protect the integrity of the security industry. Several applications have already been received and the short listed candidates will be advised in writing by the chairman shortly before a final selection is made for their three (3) yeas appointments by the Minister for Police and Internal Security.