Patient Info

Learning About Your Gut

Dietician courses for those who want to turn their love of science, nutrition, and how food affects the body into a successful profession. Learn about all aspects of meal planning and menu planning. Dietician courses focus on the different aspects of science and its relation to food.  These courses include organic chemistry, food science, nutrition and the life cycle, and food service management. You will learn how to prepare food based on the human body. How does the production of food affect nutrition? Does processing food affect the body and nutrition? What problems exist for newborns which differ from geriatric aged patients? Also, a well-trained dietician will always know how to provide safe, nutritious, and consistent food supplies.

Get health plays an important role

Learning about the Gut

These dietician courses include in-depth information different nutritional needs for varying populations.  As the fundamentals of nutrition go hand-in-hand with available resources, dieticians learn about food regulations, contamination, preservation, food programs through different communities, and considerations for menu planning based on the texture and color appeal. These detailed and certified courses lead you on the path to become a certified dietician, as well as achieving your bachelor’s or master’s degree in dietetics and nutritional programs. 

Paying for Education

But paying for them can be costly. That is why you can play casino slots online to earn the money you need for such education. Most people think of negative qualities associated with gambling, and yet it is a pretty prolific sport. There are also many benefits to it. Approximately one seventh of the entire population enjoy gambling annually and they do so regardless of income levels. Gambling online serves as a type of equalizer among players, allowing those with little income to spare all the way to those with a lot of income to spare to all come together and play the same games.

Playing online games stimulates local economies, even if those games are online. Virtual set ups still have to run out of physical servers and real people have to run those companies. Therefore, playing online games can help stimulate local business. There are many opportunities for local areas to hire employees, contract to IT personnel, and otherwise encourage new growth for those who might have limited employment opportunities where they live. The flexibility of running online companies too means that there can be people hired from areas that need it most.

Playing online games offers a form of entertainment. Yes, some people lose money, but most people come out winners to some degree thanks to the higher payouts and more frequent payouts associated with online revenue. More importantly, the games are fun so any loss of money still leaves players happy that they gambled money they already knew was safe to lose and had a good time doing it. In fact, businesses can even create entire business outings that revolve around such games.

 

 

 

 

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Why Certain Casinos Serve the Best Foods For Digestion

It may sound a little bit weird, but even land based casino restaurants and bars take care of their customers’ health. In fact, casino restaurants and bars are always crowded with casino players who look for a drink or for something good to eat during a break from the games.

Play Games, Eat Good Foods And Have Fun

We all know that land based casino take their highest revenue from games, so the casino administrations’ goal is to allow their customers to play safely and pleasantly all the time. And food has to facilitate this goal – that’s why easy to digest foods are becoming more and more diffused in the best land based casino restaurants.

Foods that are served at the restaurant have to be high quality, strictly selected by experts and absolutely easy to digest (in fact, easy digestible foods allow the consumers to play games more and more!):

  • Ricerice dish
  • Lean meat (chicken, turkey)
  • Ripe bananas
  • Boiled potatoes
  • Egg whites
  • Instant oatmeal
  • Lean fish (cod, haddock, tilapia)
  • Yogurt

And, in order, to make a completely custom-friendly environment, certain casinos designed their game rooms in a manner than players can play in all comfort and calmness.

Are Exciting Games Like Slots Good To Play?

Normally, slot games are always associated to excitement and strong feelings. So, the question is “are slot games bad for digestion?”. Of course, a casino player should choose more relaxing games soon after meals. However, there are also certain slots that are nice to play without to have a too strong impact on the digestive process.

Atlantic Casino Club in the net offers some of the newest slots in the gambling industry. Follow our link to try the free demo version or to even play the best slots for real money.

Slots – So Easy, So Funnyonline slot

However, slots are very affordable games to try, even for those who have zero experience in casinos. Moreover, beginners can always try the free demo version of slots at Atlantic Casino Club and see what the game looks like. Today’s games of slots feature several additional game options. So, playing slots is not only very easy, but also very funny!

The amazing number of different slot games we can currently find in the gambling industry suggests how largely these games are chosen and played by thousands of online players on Atlantic Casino Club. That’s why this online casino takes much care in offering its customers the best and safest slots.

Why Are Atlantic Casino Club’s Slots Safe?

The concept of safety is a critical point when it comes to online gambling. Atlantic Casino Club is close to the casino players’ concerns since ever and in order to meet their needs, it offers absolutely safe and verified slots.

The slots at Atlantic Casino Club are safe because they are designed and released by worldwide appreciated and important game developers, like Amaya Gaming, 1×2 Gaming, GameScale, Betsoft, Microgaming and many more.

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SULFASALAZINE

Azulfidine

DOSING IN  ADULTS

Ulcerative colitis
Initially 1 g 3-4 times/day, 2 g/day maintenance in divided doses; may initiate therapy with 0.5-1 g/day

Since sulfasalazine impairs folate absorption, provide1 mg/day folate supplement.

DOSING IN  RENAL IMPAIRMENT
Administer once daily.

DOSING IN  HEPATIC IMPAIRMENT Avoid use

DOSAGE FORMS 

Tablet: 500 mg
  Azulfidine®, Sulfazine: 500 mg
Tablet, delayed release, enteric coated: 500 mg


SIGNIFICANT
 ADVERSE REACTIONS

Headache (33%)
Photosensitivity
Vomiting
Reversible oligospermia (33%)
Alopecia, anaphylaxis
Aplastic anemia

CONTRAINDICATIONS 

 Hypersensitivity to sulfasalazine, sulfa drugs, salicylates, or any component of the formulation  such as sulfonylureas, carbonic anhydrase inhibitors, thiazides, and loop diuretics (except ethacrynic acid).; porphyria; GI or GU obstruction; pregnancy (at term)

DRUG INTERACTIONS

Azathioprine, mercaptopurine, sulfasalazine: May increase the risk of myelosuppression (due to TPMT inhibition).
Cyclosporine concentrations may be decreased; monitor levels and renal function
Digoxin’s absorption may be decreased
Hypoglycemics: Increased effect of oral hypoglycemics (rare, but severe); monitor blood sugar
Methotrexate-induced bone marrow suppression may be increased
NSAIDs and salicylates: May increase sulfonamide concentrations
PABA (para-aminobenzoic acid – may be found in some vitamin supplements): Interferes with the antibacterial activity of sulfonamides; avoid concurrent use
Sulfinpyrazone: May increase sulfonamide concentrations
Thiazide diuretics: May increase the incidence of thrombocytopenia purpuraUricosuric agents: Actions of these agents are potentiated
Warfarin and other oral anticoagulants: Anticoagulant effect may be increased; decrease dose and monitor INR closely

PREGNANCY RISK FACTOR — B/D

LACTATION — Enters breast milk/use caution.
We offer professional trade-worker services whenever you need them. All of our professionals are licensed and insured in their field of expertise, and they available to help you out.

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RANITIDINE

Zantac 150™ [OTC]; Zantac 75® [OTC]; Zantac® EFFERdose®; Zantac®


DOSING IN  ADULTS

Prevention of heartburn: Zantac®75 [OTC]: 75 mg 30-60 minutes before eating food or drinking beverages which cause heartburn; maximum: 150 mg in 24 hours; do not use for more than 14 days
Erosive esophagitis: 150 mg 4 times/day; maintenance: 150 mg twice daily
Gastric ulcer:150 mg twice daily; maintenance: 150 mg once daily at bedtime
Duodenal ulcer: 150 mg twice daily, or 300 mg once daily after the evening meal or at bedtime; maintenance: 150 mg once daily at bedtime
Eradication of Helicobacter pylori: Oral: 150 mg twice daily; requires combination therapy

DOSING IN RENAL IMPAIRMENT  150 mg every 24 hours

DOSING IN  HEPATIC IMPAIRMENT Adjustments are not necessary

DOSAGE FORMS 

Capsule 150 mg, 300 mg
Syrup: 15 mg/mL (5 mL, 10 mL)
  Zantac®: 15 mg/mL (473 mL) [contains alcohol 7.5%; peppermint flavor]
Tablet: 75 mg [OTC], 150 mg, 300 mg
  Zantac®: 150 mg, 300 mg
  Zantac 75®: 75 mg
  Zantac 150™: 150 mg
Tablet, effervescent:
  Zantac® EFFERdose®: 25 mg [contains sodium 1.33 mEq/tablet, phenylalanine 2.81 mg/tablet, and sodium benzoate]

ADMINISTRATION

EFFERdose®: Should not be chewed, swallowed whole, or dissolved on tongue: 25 mg tablet: Dissolve in at least 5 mL (1 teaspoonful) of water; wait until completely dissolved before administering

ADVERSE REACTIONS SIGNIFICANT 

Dizziness
Headache
Mental confusion
Rash
Pancreatitis
Agranulocytosis
Hepatic failure

CONTRAINDICATIONS — Hypersensitivity to ranitidine or any component of the formulation

DRUG INTERACTIONS 

Antifungals: Ranitidine may reduce the absorption of itraconazole or ketoconazole.
Atazanavir: Histamine H2 antagonists may decrease the absorption of atazanavir.
 Cefuroxime, cefpodoxime: The absorption of some cephalosporins may be reduced by ranitidine (separate administrations times by at least 2 hours).
Warfarin: May increase or decrease prothrombin time when used concomitantly; monitor.

PREGNANCY RISK FACTOR — B

LACTATION — Enters breast milk/use caution.

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RABEPRAZOLE

RABEPRAZOLE
(AcipHex®)

DOSING: ADULTS

GERD, erosive/ulcerative: 20 mg once daily for 4-8 weeks; if inadequate response, may repeat up to an additional 8 weeks; maintenance: 20 mg once daily

GERD, symptomatic: 20 mg once daily for 4 weeks; if inadequate response, may repeat for an additional 4 weeks

Duodenal ulcer: 20 mg/day before breakfast for 4 weeks; additional therapy may be required for some patients
H. pylori eradication: 20 mg twice daily for 7 days; to be administered with amoxicillin 1000 mg and clarithromycin 500 mg, also given twice daily for 7 days.

DOSING IN  RENAL IMPAIRMENT — No dosage adjustment required.

DOSING IN  HEPATIC IMPAIRMENT

Mild to moderate: Elimination decreased; no dosage adjustment required.
Severe: Use caution.

DOSAGE FORMS

Tablet, delayed release, enteric coated, as sodium:
AcipHex®: 20 mg


ADMINISTRATION
 — May be administered with or without food; best if taken before breakfast. Do not crush, split, or chew tablet. May be administered with an antacid.

SIGNIFICANT  ADVERSE REACTIONS

Headache
Diarrhea
Abdominal pain

CONTRAINDICATIONS — Hypersensitivity to rabeprazole, substituted benzimidazoles (ie, esomeprazole, lansoprazole, omeprazole, pantoprazole), or any component of the formulation

DRUG INTERACTIONS

Antifungal agents : Proton pump inhibitors may decrease the absorption and thus the levels/effects of itraconazole and ketoconazole; avoid concomitant use.
Antiretroviral: Proton pump inhibitors may decrease the absorption of atazanavir and Indinavir.
CYP2C8 Substrates: Rabeprazole may increase the levels/effects of CYP2C8 substrates. Example substrates include amiodarone, paclitaxel, pioglitazone, repaglinide, and rosiglitazone.
CYP2C19 inducers: May decrease the levels/effects of rabeprazole. Example inducers include aminoglutethimide, carbamazepine, phenytoin, and rifampin.
CYP2C19 substrates: Rabeprazole may increase the levels/effects of CYP2C19 substrates. Example substrates include citalopram, diazepam, methsuximide, phenytoin, propranolol, and sertraline.
CYP3A4 inducers: CYP3A4 inducers may decrease the levels/effects of rabeprazole. Example inducers include aminoglutethimide, carbamazepine, nafcillin, nevirapine, phenobarbital, phenytoin, and rifamycins.
HMG-CoA reductase inhibitors: Proton pump inhibitors may increase the serum concentration of HMG-CoA reductase inhibitors; monitor for rhabdomyolysis.
Iron salts : Proton pump inhibitors may decrease the absorption
Methotrexate: Proton pump inhibitors may decrease the excretion of methotrexate; monitor for increased toxic effects

PREGNANCY RISK FACTOR — B

LACTATION — Excretion in breast milk unknown/not recommended.

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PREGNANCY RISK CLASSIFICATION OF DRUGS

A   Controlled studies show no risk
Adequate, well-controlled studies in pregnant women have failed to demonstrate risk to the fetus
B No evidence of risk in humans
Either animal findings show risk (but human findings do not) or, if no adequate human studies have been done, animal findings are negative.
C Risk cannot be ruled out
Human studies are lacking and animal studies are either positive for fetal risk or lacking as well. However, potential benefits may justify the potential risk.
D Positive evidence of risk
Investigational or postmarketing data show risk to fetus. Nevertheless, potential benefits may outweigh the risk.
X Contraindicated in pregnancy
Studies in animals or humans, or investigational or postmarketing reports have shown fetal risk which clearly outweighs any possible benefit to the patient.
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PREDNISONE

PredniSONE Intensol; Sterapred DS; Sterapred

DOSING IN  ADULTS 

Generally 0.5  mg/kg/day in 2-3 divided doses FOR SHORT PERIODS in Inflammatory bowel Disease

Administer with meals to decrease gastrointestinal upset


DOSAGE FORMS
 

Tablet: 1 mg, 2.5 mg, 5 mg, 10 mg, 20 mg, 50 mg
  

SIGNIFICANT
ADVERSE REACTIONS

Weight gain
Increased appetite
Headache
Hirsutism
Diabetes mellitus
Arthralgia
Cataracts
Glaucoma
Cushing’s syndrome
Edema
Fractures
Hallucinations
Hypertension
Muscle-wasting

Prolonged use of corticosteroids may also increase the incidence of secondary infection and  mask acute infection (including fungal infections
In patients receiving high doses of systemic corticosteroids for ≥14 days, wait at least 1 month between discontinuing steroid therapy and administering dead organism vaccines.
The use of live vaccines is contraindicated in immunosuppressed patients.


CONTRAINDICATIONS
 — Hypersensitivity to prednisone or any component of the formulation; serious infections; systemic fungal infections; varicella

DRUG INTERACTIONS 

Amphotericin: Corticosteroids may increase the hypokalemic effects of amphotericin B; monitor.
Antacids: May decrease the absorption of corticosteroids; separate administration by 2 hours.
Anticholinesterases: Concurrent use may lead to severe weakness in patients with myasthenia gravis.
Antidiabetic agents: Corticosteroids may decrease the hypoglycemic effects of antidiabetic agents; monitor.
Antifungal agents (azole): May increase the serum levels/effects of corticosteroids; monitor.
Barbiturates: May decrease the levels/effects of corticosteroids.
Bile acid sequestrants: May reduce the absorption of corticosteroids; separate administration by 2 hours.
Calcium channel blockers (nondihydropyridine): May increase the serum levels/effects of corticosteroids; monitor.
Cyclosporine: Corticosteroids may increase the serum levels/effects of cyclosporine. In addition, cyclosporine may increase levels of corticosteroids.
Diuretics, potassium-wasting (loop or thiazide): Hypokalemic effects may be increased by corticosteroids; monitor.
Estrogens: May increase the serum levels/effects of corticosteroids; monitor.
Fluoroquinolones: Concurrent use may increase the risk of tendinopathies (including tendonitis and rupture), particularly in elderly patients (overall incidence rare)
Isoniazid: Serum levels/effects may be decreased by corticosteroids.
Macrolide antibiotics: May increase the serum levels/effects of corticosteroids.
Neuromuscular-blocking agents: Concurrent use with corticosteroids may increase the risk of myopathy.
Nonsteroidal anti-inflammatory drugs (NSAIDs): Concurrent use with corticosteroids may lead to an increased incidence of gastrointestinal adverse effects; use caution.
Rifamycin derivatives: May decrease the levels/effects of corticosteroids (systemic); monitor.
Salicylates: Salicylates may increase the gastrointestinal adverse effects of corticosteroids.
Warfarin: Corticosteroids may increase the anticoagulant effects of warfarin; monitor INR.

PREGNANCY IMPLICATIONS — Crosses the placenta. Available evidence suggests safe use during pregnancy.

LACTATION — Enters breast milk/compatible.

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