From: owner-ammf-digest@smoe.org (alt.music.moxy-fruvous digest) To: ammf-digest@smoe.org Subject: alt.music.moxy-fruvous digest V14 #4438 Reply-To: ammf@fruvous.com Sender: owner-ammf-digest@smoe.org Errors-To: owner-ammf-digest@smoe.org Precedence: bulk alt.music.moxy-fruvous digest Thursday, June 25 2020 Volume 14 : Number 4438 Today's Subjects: ----------------- Invest Your Trust In Trump America Today! ["Trump Inauguration Card" <23K] Is This The WORST Food You Can Possibly Eat? ["Dr. Theo Diktaban" Subject: Invest Your Trust In Trump America Today! Invest Your Trust In Trump America Today! http://visiday.live/0j3vGl-URwjVnozS8iwdMVTnIJHhM6Q_gkFdgmDp_JuVbq-S http://visiday.live/FizavStuWEtRc2kDjKzAac61Mfy2m67_ePn_gZccp_gL4MoF Medical availability and clinical practice varies across the world due to regional differences in culture and technology. Modern scientific medicine is highly developed in the Western world, while in developing countries such as parts of Africa or Asia, the population may rely more heavily on traditional medicine with limited evidence and efficacy and no required formal training for practitioners. In the developed world, evidence-based medicine is not universally used in clinical practice; for example, a 2007 survey of literature reviews found that about 49% of the interventions lacked sufficient evidence to support either benefit or harm. In modern clinical practice, physicians personally assess patients in order to diagnose, prognose, treat, and prevent disease using clinical judgment. The doctor-patient relationship typically begins an interaction with an examination of the patient's medical history and medical record, followed by a medical interview and a physical examination. Basic diagnostic medical devices (e.g. stethoscope, tongue depressor) are typically used. After examination for signs and interviewing for symptoms, the doctor may order medical tests (e.g. blood tests), take a biopsy, or prescribe pharmaceutical drugs or other therapies. Differential diagnosis methods help to rule out conditions based on the information provided. During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. The medical encounter is then documented in the medical record, which is a legal document in many jurisdictions. Follow-ups may be shorter but follow the same general procedure, and specialists follow a similar process. The diagnosis and treatment may take only a few minutes or a few weeks depending upon the complexity of the issue. The components of the medical interview and encounter are: Chief complaint (CC): the reason for the current medical visit. These are the 'symptoms.' They are in the patient's own words and are recorded along with the duration of each one. Also called 'chief concern' or 'presenting complaint'. History of present illness (HPI): the chronological order of events of symptoms and further clarification of each symptom. Distinguishable from history of previous illness, often called past medical history (PMH). Medical history comprises HPI and PMH. Current activity: occupation, hobbies, what the patient actually does. Medications (Rx): what drugs the patient takes including prescribed, over-the-counter, and home remedies, as well as alternative and herbal medicines/herbal remedies. Allergies are also recorded. Past medical history (PMH/PMHx): concurrent medical problems, past hospitalizations and operations, injuries, past infectious diseases or vaccinations, history of known allergies. Social history (SH): birthplace, residences, marital history, social and economic status, habits (including diet, medications, tobacco, alcohol). Family history (FH): listing of diseases in the family that may impact the patient. A family tree is sometimes used. Review of systems (ROS) or systems inquiry: a set of additional questions to ask, which may be missed on HPI: a general enquiry (have you noticed any weight loss, change in sleep quality, fevers, lumps and bumps? etc.), followed by questions on the body's main organ systems (heart, lungs, digestive tract, urinary tract, etc.). The physical examination is the examination of the patient for medical signs of disease, which are objective and observable, in contrast to symptoms that are volunteered by the patient and not necessarily objectively observable. The healthcare provider uses sight, hearing, touch, and sometimes smell (e.g., in infection, uremia, diabetic ketoacidosis). Four actions are the basis of physical examination: inspection, palpation (feel), percussion (tap to determine resonance characteristics), and auscultation (listen), generally in that order although auscultation occurs prior to percussion and palpation for abdominal ------------------------------ Date: Sun, 21 Jun 2020 10:15:26 -0400 From: "Dr. Theo Diktaban" Subject: Is This The WORST Food You Can Possibly Eat? Is This The WORST Food You Can Possibly Eat? http://sleepdiabe.buzz/TpLO1FB6hve5BrZqNYXM1I4Pj-qebCDlma6h8t6kxWUweQ http://sleepdiabe.buzz/x3NsE-CQyFUDydjVZXnegbEtrYtfhGv9JT1yieGxJIrIVQ anged for ICI to build a small plant to produce uranium metal. By 1947, it was operational and producing 3,000 pounds (1,400 kg) per week. This would be used in BEPO, the experimental reactor built at Harwell, but the plant required uranium oxide feed, and the export of this from the United States was banned under the McMahon Act. Hinton and his staff at Risley built a new uranium metal plant at Springfields, on the site of a former poison gas plant, at a cost of B#5.5 million. The first uranium metal was produced in October 1948. Uranium ore was crushed and dissolved in acids. Impurities were separated and uranium oxide was precipitated. Radium was returned to Union MiniC(re under the contract with the company. The uranium oxide was then purified. It was dissolved in nitric acid to produce uranyl nitrate. This was then dissolved in ether, drawn off and precipitated by the addition of ammonia, producing ammonium diuranate. The ammonium diuranate was heated in a furnace and reduced with hydrogen and hydrofluoric acid to produce uranium tetrafluoride. Heating and mixing with calcium metal reduced it to metallic uranium, leaving calcium fluoride behind as a slag. The metallic uranium was then cast into billets. These were extruded into rods and sealed in aluminium cans. Nuclear reactors The first nuclear reactor in the UK, a small 100 kW research reactor known as GLEEP, went critical at Harwell on 15 August 1947. It was fuelled by 12 long tons (12 t) of uranium metal and 21 long tons (21 t) of uranium dioxide, and used 505 long tons (513 t) of nuclear graphite as a neutron moderator. This was fine for some experimental work, but the production of radioactive isotopes required a more powerful 6,000 kW reactor with a higher neutron flux. British staff at the Montreal Laboratory had designed BEPO in 1945 and 1946; Risley handled the engineering and construction. The key choices in reactor design are the selection of the fuel, the neutron moderator, and the coolant. Since enriched uranium was unavailable, the only available fuel was natural uranium. Similarly, while the Montreal Laboratory had experience with designing and building the ZEEP heavy-water reactor in Canada, no heavy water was available in the UK, so graphite was the only choice for a neutron moderator. That left cooling, and for an experimental reactor, air cooling was the obvious choice. The resulting reactor was thus quite similar to the American X-10 Graphite Reactor. BEPO, which went critical on 5 July 1948, used 40 long tons (41 t) of metallic uranium and 850 long tons (860 t) of graphite, encased in 600 long tons (610 t) of steel and 3,000 long tons (3,000 t) of concrete. domed factories with two large chmineys The Windscale Piles (centre and right) For the plutonium-producing production reactors, the same reasons mandated the use of natural uranium fuel and graphite as a moderator; but it was originally assumed that they would be water-cooled like the American reactors at the Hanford Site. A water-cooled reactor of the required size would require about 30,000 imperial gallons (140,000 l; 36,000 US gal) of water per day, preferably very pure so as to avoid corroding the metal pipes. Moreover, there were concerns about safety. Water absorbs neutrons, so if there is a sudden loss of cooling water this will result in an increase in the neutr ------------------------------ End of alt.music.moxy-fruvous digest V14 #4438 **********************************************