Friday, May 22, 2020
Essay on Impact of Stigma of HIV-AIDS in the South African...
Question 1: Introduction (objectives problem): The topic of this research study is ââ¬Å"Impact of Stigma of HIV/AIDS in the South African workplace.â⬠This falls under a discipline of business management in the financial management degree I am currently doing and one of the key areas of focus within business management is workplace challenges. I believe that HIV/AIDS stigmas are challenges regularly faced in the South African work environment. The purpose of this research review is to gain insight and deeper understanding of what workplace stigma towards HIV/AIDS is in the workplace from a South African company perspective with specific reference to how it can affect the workplace. In the South African politics whose history is filled withâ⬠¦show more contentâ⬠¦This could also provide a basis for more research to be conducted on the topic. This topic is related to a strategic business management module I am currently completing within my degree. Workplace challenges is a section covered in this module and one of the challenges in the workplace is discrimination. Theoretical foundation: The first theory that supports my research review is the theory that HIV has a stigma attached to it that leads to discrimination in the workplace. Further elaborating, as seen above in the introduction, a stigma is a ââ¬Å"deeply discrediting attributeâ⬠meaning this is negative or bad and will lead to discrimination. It is relevant to this review/study to assess the extent of this theory being true. The second theory that I believe supports my research review/study is that the prevalence of HIV Stigma in workplace resulting has a negative or undesirable impact on employee relationships with each other. Conceptualisation: Stigma HIV: As defined in the introduction by (molefe, 2009), a stigma is a characteristic or belief that are negative and discrediting and have negative impact persons being stigmatised. A common stigma associated with HIV infected persons is that the virus is easily contagious like the common cold, as aShow MoreRelatedThe Prevalence Of Hiv Is Higher Among Women Essay2100 Words à |à 9 PagesThe prevalence of HIV is higher among women (30%) than men (19%) (Ministry of Health [Lesotho] ICF International, 2014). For both men and women, HIV prevalence increases with age and then declines. HIV prevalence is highest for women at age group 35-39 (46%) and for men at age group 40-44 (44%). Taking employment into consideration, employed individuals in Lesotho have higher prevalence of HIV than unemployed for both men and women. The prevalence among employed men and women is 39% and 23%, respectivelyRead MoreDiscuss the Importance of Non Verbal Communication to Education24125 Words à |à 97 Pagess upport * Result and impact management system * South-south and triangular cooperation * Grants * Policy dialogue * Anticorruption policy * Guidelines, manuals and handbooks * * IFAD/Belgian Fund for Food Security Joint Programme * Global Environment Facility ------------------------------------------------- Top of Form Bottom of Form IFAD strategy paper on HIV/AIDS for East and Southern Africa IFAD strategy paper on HIV/AIDS for East and Southern Africa Read MoreHow Hiv/Aids Affect Population2855 Words à |à 12 Pages E F E R E N C E B U R E A U HOW HIV AND AIDS AFFECT POPULATIONS by Lori S. Ashford T he AIDS epidemic is one of the most destructive health crises of modern times, ravaging families and communities throughout the world. 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Diversified into Bottles, Lodging, and Mineral Water in Early 20th Century 3. Takeover of Ohlssons and United Breweries in 1956 4. Reincorporated in South Africa in 1970 5. Government Restrictions Leading to More Diversification: 1980s and Early 1990s 6. International Expansion in the Post-Apartheid Era 7. Moving into the Developed World AsRead MoreStrategic Analysis of Sabmiller16447 Words à |à 66 PagesTable of Content Chapter 1 1. Introduction to South African Breweries (SABMiller plc) 1.1 History 1. Early history 2. Diversified into Bottles, Lodging, and Mineral Water in Early 20th Century 3. Takeover of Ohlssons and United Breweries in 1956 4. Reincorporated in South Africa in 1970 5. Government Restrictions Leading to More Diversification: 1980s and Early 1990s 6. International Expansion in the Post-Apartheid Era 7. Moving into theRead More Mke-si-mume: Neocolonialism and Sexual Practice in Kenya Essay4007 Words à |à 17 Pageshow the issue of homosexuality rainfalls into many other aspects such as the economy, globalization, neo-colonialism, family and the workplace. Besides all the social issues same-sex offenders must deal with the principal reason most Africans never reveal their sexuality is because of the government. The continent is among the most war-torn, but several African leaders have found one thing on which they agree: homophobia. The fact is that it is illegal to be gay in Kenya. Sections 162 to 165Read MoreInternational Management67196 Words à |à 269 Pagesshort exercises that can be used in class to reinforce both the substantive topic and studentsââ¬â¢ skills in negotiation, presentation, and analysis. The cases have been extensively updated and several are new to this edition. Cases concerning the global AIDS epidemic, HSBC, Nike, Walmart, Tata, AirAsia, Sony, Danone, Chiquita, Coca-Cola, Microsoft, and others are unique to this book and specifically to this edition. Of course, instructors also have access to Create (www.mcgraw-hillcreate. com), McGraw-Hillââ¬â¢sRead MoreHuman Resources Management150900 Words à |à 6 04 Pagespoint to the likelihood that employers in many industries will have difficulties obtaining sufficiently educated and trained workers. Estimates are that about half of the U.S. workforce (about 50 million workers) needs or will need new or enhanced workplace training to adapt to the myriad job and technological changes that are occurring. At the same time, many individuals who are obtaining higher education degrees are doing so in nontechnical or nonscientific fields rather than engineering or computerRead MoreEssay about Alcoholism and Drug Addiction17765 Words à |à 72 Pagesthe person stops. Alcohol damages almost every organ in the body, including the brain. The cumulative toxic effects of chronic alcohol abuse can cause both medical and psychiatric problems. Identifying alcoholism is difficult because of the social stigma associated with the disease that causes people with alcoholism to avoid diagnosis and treatment for fear of shame or social consequences. A common method for diagnosing alcoholism is evaluating responses to a group of standardized questions. These
Saturday, May 9, 2020
The Ultimate Solution for Essay Topics for 9th Grade
The Ultimate Solution for Essay Topics for 9th Grade Choosing Good Essay Topics for 9th Grade The most frequently encountered paper writing service that the vast majority of our clients require is essay writing. The apps are free and they can typically be adjusted to any form of essay for absolutely any educational level. It aids the reader get to understand you better and makes it possible to understand yourself better. In writing your descriptive paper, make certain it is such that could be appreciated by your intended readers. SATs ought to be eliminated. Therefore, many students and employees decide to get low-cost essay rather than writing it themselves. School tests aren't effective. Do not begin to write without drafting an outline of your essay that should contain just main points that are going to be covered. Students are requested to indicate how a specific sentence may be corrected or improved or the way the organization or development of a paragraph may be strengthened. If you are requested to compose an expository essay for one of your ninth grade classes, you will need to ensure you decide on a great topic to compose your paper on. Descriptive essay is a sort of academic paper that students write and submit once every so often. If you pose a question, you may want to give your own reply at the conclusion of your essay. In order to get this done, you want to get a list of argumentative essay topics, decide on the very best for you and present strong arguments. The revisions are completely free! Write about your stance on the matter. School should happen in the evenings. Children should be asked to read more. Parents should speak to kids about drugs at a youthful age. Parents of bullies should need to pay a fine. Although at precisely the same time, such essays are challenging in their very own way. Then you will make an outline that will organize your ideas, so you can be sure that you present your ideas in the most logical purchase. This topic offers you the possiblity to write how you are going to shell out the time when you'll be together. Though it can be fun having to select your own topic but sometimes, it may also be an immense challenge as you find it challenging to settle for a specific topic. There's, obviously, a limit on the range of pages even our finest writers can produce with a pressing deadline, but generally, we figure out how to satisfy all the clients seeking urgent assistance. The precise order in which things occurred is also important if observing an event occurring. Yearly driving tests ought to be mandatory for the initial five years after obtaining a license. You shouldn't be very much concerned on the degree of accuracy at this time. Think of what you could do in order to make your school more beautiful. Year round school isn't a good idea. Every student demands help with homework from time to time. Many students have a tendency to encounter the writing issues due to the shortage of suitable comprehension. Use the assistance of true academic experts and receive the service you have earned! You should have your reasons, and our principal concern is that you wind up getting an excellent grade. Tell our experts what kind of homework help on the internet you will need to get. To guarantee that you will discover a complete answer to every question, we've got a support team that is always online. There's a huge number of things to explore. The ideal body is, to start with, the healthy one. There are a few various ways to start an essay and all of them have their own location. Don't worry, just imagine that it's taking place at this time before you.
Wednesday, May 6, 2020
Blood Test Free Essays
How to Quickly and Easily Understand Your Blood Tests Without A Medical Degree The Simplified Patient Reference Guide By Ronald J. Grisanti D. C. We will write a custom essay sample on Blood Test or any similar topic only for you Order Now Limits of Liability/Disclaimer of Warranty The author, Ronald Grisanti and publisher, Busatti Corporation have made their best effort to produce a high quality, informative and helpful book. The author and Publisher make no representation or warranties with respect to the accuracy, applicability, fitness or completeness of the contents of this program. They accept no liability of any kind for any losses or damages caused or alleged to be caused directly or indirectly, from using the information contained in this book. This book is not intended for use as a source of any legal or medical advice. The Publisher wants to stress that the information contained herein may be subject to varying international, federal, state and/or local laws or regulations. The purchaser or reader of this publication assumes responsibility for the use of these materials and information. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. You should seek prompt medical care for any specific health issues and consult your physician before starting a new fitness regimen. How to Quickly and Easily Understand Your Blood Tests Without A Medical Degree Copyright à © 2004 Busatti Corporation All right reserved worldwide Busatti Corporation and Ronald Grisanti own all right, title, and interest in this publication. No part of this book may be reproduced, distributed, or transmitted in any form, in whole or in part, or by any means, mechanical or electronic, including photocopying and recording, or by any information storage and retrieval system, or transmitted by email, without permission in writing from the Publisher. 2 About the Author Dr. Ronald Grisanti is a practicing chiropractic physician since 1981. In addition to earning his doctorate in chiropractic medicine, Dr. Grisanti is a Board Certified Chiropractic Orthopedist and Board Certified Sports Physician. He is presently completing his Masterââ¬â¢s Degree in Nutrition from the University of Bridgeport. In addition, Dr. Grisanti has had extensive training in Functional Diagnostic Medicine and frequently consults with patients suffering with difficult to diagnose health problems like fibromyalgia, chronic fatigue syndrome, diabetes, hypertension, depression, anxiety, acid reflux and other challenging health conditions. His admirable success record has earned him the title, ââ¬Å"Your Medical Detective. â⬠Dr. Grisanti has discovered that many health problems can be successful treated once the underlying cause has been found. He is known for his tenacity and strong will to find the root cause of a patientââ¬â¢s health problem. In 2001, with his ever-growing love for research, Dr. Grisanti launched his weekly medical report titled, ââ¬Å"The Grisanti Reportâ⬠and has written over 400 articles on a host of medical conditions. His weekly reports have gained worldwide attention and are now read in over 40 countries around the world. His list of subscribers has grown into the thousands. Just recently, Dr. Grisanti launched his exclusive membership site called YourMedicalDetective. com. Dr. Grisanti invites you to take a tour of his new site. Go to www. YourMedicalDetective. com 3 This site gives you exclusive, in-depth information and tools to help you and your doctor track down the real cause of your health challenges and solve them. Dr. Grisanti would like to thank you for purchasing his digital book titled ââ¬Å"How to Quickly and Easily Understand Your Blood Tests Without A Medical Degree. â⬠I believe you will benefit from a book that finally makes sense out of your blood chemistry results. Take care and enjoy the book. 4 Table of Contents Glucose Sodium Potassium Magnesium Chloride Blood Urea Nitrogen (BUN) Creatinine BUN/Creatinine Ratio Uric Acid Phosphorus Calcium Albumin Calcium Albumin Ratio Globulin A/G Ratio Alkaline Phosphorus SGOT/AST and SGPT/ALT GGT LDH Total Protein Iron Ferritin Triglycerides Cholesterol LDL Cholesterol HDL Cholesterol Cholesterol/HDL Ratio CO2 White Blood Cell Count Neutrophils Monocytes Lymphocytes Eosinophils Basophils Red Blood Cells Hemoglobin Hematocrit Platelets Reticulocyte Count MCV MCH T3 T4 T7 T3 Update TSH Erythrocyte Sedimentation Rate (ESR) 5 Comprehensive Blood Test Guide Donââ¬â¢t you just hate when you get your blood test back and you have absolutely no idea what all those numbers mean on a standard chemistry profile? Well now you can use this book to help you understand your test a bit better. GLUCOSE Glucose: This is the chief source of energy for all living organisms. A level greater than 105 in someone who has fasted for 12 hours suggests a diabetic tendency. If this level is elevated even in a non-fasting setting one must be concerned that there is a risk for developing diabetes. This is an incredibly powerful test and can predict diabetes ten years or more before one develops the strict definition of diabetes which is levels greater than 120. Common Causes of Glucose Increase: Diabetes, poor carbohydrate utilization, syndrome X Less Common Causes of Glucose Increase: Cerebral lesions, uremia, pregnancy, intracranial pressure, cushingââ¬â¢s disease, hyperthyroidism, chronic nephritis, infections, first 24 hours after a severe burn, pancreatitis, cerebral lesions, uremia, early hyperpituitarism Common Causes of Glucose Decrease: Fasting Hypoglycemia Clinical Note: LDH will frequently be decreased or in the low normal with Fasting Hypoglycemia, however, LDH will almost ALWAYS be decreased with Reactive Hypoglycemia Less Common Causes of Glucose Decrease: liver damage, pancreatic adenoma, addisonââ¬â¢s disease (adrenal insufficiency), starvation, late hypopituitarism Carcinoma of islet tissue Clinical Adult Range: 70-115 mg/dL Optimal Adult Range: 85-100 mg/dL Red Flag Range 250 mg/dL Clinical Notes: Order Glycohemoglobin (HGB A1C) with serum glucose values above 160 and to monitor diabetics under therapy Nutrition Tip: Thiamine Deficiency has been linked to increase in glucose levels 6 SODIUM Sodium: This element plays an important role in salt and water balance in your body. A low level in the blood can be caused by too much water intake, heart failure, or kidney failure. A low level can also be caused by loss of sodium in diarrhea, fluid or vomiting. A high level can be caused by too much intake of salt or by not enough intake of water. Clinical Adult Range: 135-145 Optimal Adult Range: 140-144 Red Flag Range 155 mmol/L Common Causes of Sodium Increase: Nephritis (kidney problems), dehydration, hypercorticoadrenalism (increased adrenal function) Clinical Notes: Water Softeners have been linked to cause an increase in sodium Common Causes of Sodium Decrease: Reduced kidney filtration, diarrhea, Addisonââ¬â¢s disease, adrenal hypo-function POTASSIUM Potassium: This element is found primarily inside the cells of the body. Low levels in the blood may indicate severe diarrhea, alcoholism, or excessive use of water pills. Low potassium levels can cause muscle weakness and heart problems. Clinical Adult Range: 3. 5-5. 0 Optimal Adult Range: 4. 0-4. 6 Red Flag Range 6. mmol/L Common Causes of Potassium Increase: Adrenal hypo-function, cortisol resistance, acidosis, ongoing tissue destruction Common Causes of Potassium Decrease: Diarrhea, diuretic use, kidney problems, adrenal hyperfunction Less Common Causes of Potassium Decrease: Anemia, overdosage of testosterone, hereditary periodic paralysis, hypertension Nutrition Tip: Excessive licorice consumption has been linked to lower potassium levels 7 MAGNESIUM Magnesium: This important element is found in the arteries, heart, bone, muscles, nerves, teeth. Clinical Adult Range: 1. 7-2. 4 Optimal Adult Range: 2. 2-2. 6 Red Flag Range 1. 6 mg/dL Common Causes of Creatinine Increase: Kidney Problems, Gout Clinical Note: If Creatinine is 1. or higher in a male over the age of 40, Prostate Hypertrophy MUST be ruled out Less Common Causes of Creatinine Increase: Renal Hypertension, uncontrolled diabetes, congestive heart failure, urinary tract infection, dehydration Clinical Note: Suspect early nephritis ( kidney disease) if creatinine is between 2-4 mg/dL. Suspect severe nephritis is creatinine is between 4-35 mg/dL Common Causes of Creatinine Decrease: Amyotonia congenita BUN/CREATININE RATIO BUN/Creatinine Ratio: increased values may indicate catabolic st ates, dehydration, circulatory failure leading to fall in renal blood flow, congestive heart failure, acute and chronic renal (kidney) failure, urinary tract obstruction, prostatic enlargement, high protein diet. Decreased values may indicate overhydration, low protein/high carbohydrate diet, pregnancy Clinical Adult Range: 6-10 Optimal Adult Range: 10-16 Red Flag Range 30 Common Causes of BUN/Creatinine Ratio Increase: Kidney problems Less Common Causes of BUN/Creatinine Ratio Increase: Catabolic states, prostatic hypertrophy, high protein diet, dehydration, shock Common Causes of BUN/Creatinine Ratio Decrease: Low protein/high carbohydrate diet, pregnancy 10 URIC ACID Uric Acid: Uric acid is the end product purine metabolism. High levels are seen in gout, infections, high protein diets, and kidney disease. Low levels generally indicate protein and molybdenum (trace mineral) deficiency, liver damage or an overly acid kidney. Clinical Female Range: 2. 4-6. 0 mg/dL Clinical Male Range: 3. 4-7. 0 mg/dL Optimal Female Range: 3. 0-5. 5 mg/dL Optimal Male Adult Range: 3. 5-5. 9 mg/dL Red Flag Range 9. mg/dL Common Causes of Uric Acid Increase: Gout, kidney problems, arteriosclerosis, arthritis Les s Common Causes of Uric Acid Increase: Metallic poisoning (mercury, lead), intestinal obstruction, leukemia, polycythemia, malignant tumors, drug diuretics Common Causes of Uric Acid Decrease: Chronic B-12 or folate anemia, pregnancy Less Common Causes of Uric Acid Increase: Salicylate and atrophine therapy Nutrition Tip: If the uric acid is low with a normal MCV and MCH, a molybdenum deficiency may be present PHOSPHORUS Phosphorus: Phosphorus is closely associated with calcium in bone development. Therefore most of the phosphate in the body is found in the bones. But the phosphorus level in the blood is very important for muscle and nerve function. Very low levels of phosphorus in the blood can be associated with starvation or malnutrition and this can lead to muscle weakness. High levels in the blood are usually associated with kidney disease. However the blood must be drawn carefully as improper handling may falsely increase the reading. Clinical Adult Range: 2. 5-4. 5 Optimal Adult Range: 3. 2-3. 9 Red Flag Range 5. 0 mg/dL Common Causes of Phosphorus Increase: Parathyroid dysfunction, kidney dysfunction, excessive phosphoric acid in soft drinks. Important Fact: Children will have an increase in Phosphorus due to normal bone growth. In addition, people with fractures will usually reveal an increase. Less Common Causes of Phosphorus Increase: Bone tumors, edema, ovarian hyper-function, diabetes, excess intake of vitamin D Common Causes of Phosphorus Decrease: Parathyroid Hyper-function, osteomalacia, rickets 11 Less Common Causes of Phosphorus Decrease: Diabetes, liver dysfunction, protein malnutrition, neurofibromatosis, myxedema Nutrition Tip: Phosphorus is frequently decreased with diets high in refined sugars Clinical Note: Suspect Vitamin D deficiency with low levels of calcium, phosphorus and increased levels of alkaline phosphorus Clinical Note: Phosphorus is a general indicator of digestive function. Consider hypochlorhydria when phosphorus is below 3. 0 and total serum globulin is greater than 3. 0 or less than 2. 4 CALCIUM Calcium: Calcium is the most abundant mineral in the body. It is involved in bone metabolism, protein absorption, fat transfer, muscular contraction, transmission of nerve impulses, blood clotting, and heart function. It is highly sensitive to elements such as magnesium, iron, and phosphorous as well as hormonal activity, vitamin D levels, CO2 levels and many drugs. Diet, or even the presence of calcium in the diet has a lot to do with ââ¬Å"calcium balanceâ⬠ââ¬â how much calcium you take in and how much you lose from your body. Clinical Adult Range: 8. 5-10. 8 Optimal Adult Range: 9. 7-10. 1 Red Flag Range 12. 0 mg/dL Common Causes of Calcium Increase: Hyperparathyroidism Less Common Causes of Calcium Increase: Tumor of the thyroid, hypervitaminosis (excess Vitamin D), multiple myeloma, neurfibromatosis, osteoporosis, ovarian hypo-function, adrenal hypo-function Clinical Note: Serum protein influences calcium levels. Calcium goes up with increased protein and goes down with decreased protein Common Causes of Calcium Decrease: Hypoparathyroidism, pregnancy, hypochlorhydria, kidney dysfunction Less Common Causes of Calcium Decrease: Vitamin D deficiency, diarrhea, celiac disease, protein malnutrition, chemical/heavy metal toxicity, HPA-axis dysfunction Clinical Fact: Poor intestinal fat absorption may be suspected with low levels of calcium, bilirubin and phosphorus Nutrition Note: Pancreatic enzyme deficiency may be suspected with low levels of calcium, triglycerides and increased levels of LDH 12 Clinical Note: Circadin rhythm abnormality should be a primary consideration with calcium levels either above or below normal ALBUMIN Albumin: The most abundant protein in the blood, it is made in the liver and is an antioxidant that protects your tissues from free radicals. It binds waste products, toxins and dangerous drugs that might damage the body. Is also is a major buffer in the body and plays a role in controlling the precise amount of water in our tissues. It serves to transport vitamins, minerals and hormones. Lower levels are seen in poor diets, diarrhea, fever, infections, liver disease, kidney disease, third-degree burns, edemas or hypocalcemia. Clinical Adult Range: 3. 0-5. 5 Optimal Adult Range: 4. 0-4. 4 Red Flag Range 90U/L Common Causes of GGT Increase: Biliary obstruction, alcoholism, cholangitis/cholecystitis (bile duct and gall bladder inflammation) Clinical Note: If GGT is greater than 150 U/L with a serum bilirubin of over 2. 8 mg/dL, strongly suspect biliary obstruction. Seek immediate medical attention Clinical Note: If GGT values are five times igher than the clinical range suspect pancreatitis Less Common Causes of GGT Increase: Brucellosis, hepatitis, mononucleosis, bacterial and viral infection, malignancy, congestive heart failure biliary. Nutrition Note: Low levels of GGT may indicate a B-6 deficiency. Additional Clinical Notes: Food allergy/sensitivity is a very common finding with biliary dysfunction LDH Lactate Dehydrogenase (LDH): LDH is an enzyme found in all tissues in the body. A high level in the blood can result from a number of different diseases such as hepatitis, anemia etc. Also, slightly elevated levels in the blood are common and usually do not indicate disease. The most common sources of LDH are the heart, liver, muscles, and red blood cells. Clinical Adult Range: 60-225U/L Optimal Adult Range: 140-200U/L Red Flag Range ;250U/L Common Causes of LDH Increase: Liver/biliary dysfunction, pulmonary embolism, myocardial infarction, tissue inflammation, tissue destruction, malignancy anywhere in the body, several types of anemias Clinical Note: LDH will frequently increase with low thyroid function Clinical Note: LDH is frequently increased with birth control usage 16 Nutrition Note: Decrease LDH may indicate reactive hypoglycemia. (Check glucose) TOTAL PROTEIN Total Protein: This is a measure of the total amount of protein in your blood. Total protein is the combination of albumin and total globulin and is affected by the albumin and total globulin. A low or high total protein does not indicate a specific disease, but it does indicate that some additional tests may be required to determine if there is a problem. Clinical Adult Range: 6. 0-8. 5g/dL Optimal Adult Range: 7. 1-7. 6g/dL Red Flag Range 8. g/dL Common Causes of Prote in Increase: Dehydration, ââ¬Å"earlyâ⬠carcinoma, multiple myeloma (should be correlated with serum protein electrophoresis) Less Common Causes of Protein Increase: malignancy, diabetes, rheumatoid arthritis Common Causes of Protein Decrease: Protein malnutrition, digestive inflammation (colitis, gastritis) Less Common Causes of Protein Decrease: hypothyroidism, leukemia, adrenal hyper-function, congestive heart failure Nutrition Note: If protein and calcium are found to be on the low side of the optimal range suspect poor protein absorption. Additional Nutrition Notes: Decreased protein, cholesterol and SGPT may indicate fatty liver congestion IRON Iron: The body must have iron to make hemoglobin and to help transfer oxygen to the muscle. If the body is low in iron, all body cells, particularly muscles in adults and brain cells in children, do not function up to par. If this test is low you should consider getting a Ferritin test, especially if you are a female who still has menstrual cycles. Clinical Adult Range: 40-150ug/ml Optimal Adult Range: 50-100ug/ml Red Flag Range 200ug/ml Common Causes of Iron Increase: Hemochromomatosis, liver dysfunction, iron therapy, pernicious and hemolytic anemia Less Common Causes of Iron Increase: cooking with iron utensils 17 Common Causes of Iron Decrease: Pathologic bleeding (especially in geriatric population), iron deficiency anemia Less Common Causes of Protein Decrease: chronic infections, kidney and liver problems Nutrition Note: Increased iron with decreased hemocrit (HCT) suggests intrinsic factor deficiency Clinical Notes: An iron evaluation is not complete without ordering Ferritin (see below) FERRITIN Ferritin: This test is considered the ââ¬Å"gold standardâ⬠in documenting iron deficiency anemia. Low levels below 25 indicate a need for iron. High levels may an inflammatory disorder, infections, rheumatoid arthritis, chronic kidney disease Clinical Male Adult Range: 33-236ng/mL Clinical Female Adult Range (before menopause): 11-122ng/mL Clinical Female Adult Range (after menopause): 12-263ng/mL Optimal Male Adult Range: 20-200ng/mL Optimal Female Adult Range (before menopause): 10-110ng/mL Optimal Female Adult Range(after menopause): 20-200ng/mL Red Flag Range 500ng/mL Common Causes of Ferritin Increase: Iron overload, hemochromatosis Less Common Causes of Ferritin Increase: inflammation, liver disease, rheumatoid arthritis Common Causes of Ferritin Decrease: Iron deficiency nemia Less Common Causes of Ferritin Decrease: Free radical pathology Clinical Notes: Serum ferritin greater than 1000 suspect hemochromatosis Clinical Notes: Iron overload and/or hemochromatosis are silent and can result in cirrhosis of the liver, bacterial infections, dementia, arteriosclerosis, diabetes and stroke Nutrition Note: Doctors specializing in chelation have found a correlation with increased iron and arteriosclerosis. TRIGLYCERIDES Triglycerides: These are fats used as fuel by the body, and as an energy source for metabolism. Increased levels are almost always a sign of too much carbohydrate intake and hyperlipidism. Decreased levels are seen in hyperthyroidism, malnutrition and malabsorption. 18 Clinical Adult Range: 50-150mg/dL Optimal Adult Range: 70-110mg/dL Red Flag Range 350mg/dL Common Causes of Triglycerides Increase: Hyperlipidism, diabetes, alcoholism Less Common Causes of Triglycerides Increase: Hypothyroidism, early stages of fatty liver Common Causes of Triglycerides Decrease: chemical/heavy metal overload, liver dysfunction, hyper thyroid function Clinical Notes: Resistive exercise training has been found to be effective in lowering elevated triglycerides CHOLESTEROL Cholesterol: Group of fats vital to cell membranes, nerve fibers and bile salts, and a necessary precursor for the sex hormones. High levels indicate diet high in carbohydrates/sugars. Low levels indicate low fat diet, malabsorption, anemia, liver disorders, carbohydrate sensitivity. Cholesterol values below 140 are considered one of the four OMINOUS signs. Clinical Adult Range: 120-200mg/dL Optimal Adult Range: 150-180mg/dL Red Flag Range 400mg/dL Common Causes of Cholesterol Increase: Early stages of diabetes, fatty liver, arteriosclerosis, hypothyroidism Less Common Causes of Cholesterol Increase: biliary obstruction, multiple sclerosis, pregnancy Common Causes of Cholesterol Decrease: Liver dysfunction, chemical/heavy metal overload, hyperthyroidism, viral hepatitis, free radical pathology Nutrition Note: Increased cholesterol levels have been found to be lowered y the amino acid methionine Clinical Notes: Cholesterol level below 130 is considered an Ominous sign Clinical Notes: If cholesterol is above 220 with a SGPT below 10 suspect liver congestion/fatty liver LDL CHOLESTEROL LDL Cholesterol: LDL is the cholesterol rich remnants of the lipid transport vehicl e VLDL (very-low density lipoproteins) there have been many studies to correlate the association between high levels of LDL and arterial arteriosclerosis. 19 Clinical Adult Range: 50mg/dL Clinical Adult Female Range: ;55mg/dL Optimal Adult Male Range: ;55mg/dL Optimal Adult Male Range: ;60mg/dL Red Flag Range 3. 0) may indicate intestinal parasites LYMPHOCYTES Lymphocytes: elevated in acute and chronic infections. Decreased in viral infection and immune deficiency Clinical Adult Range: 20-40 percent of total WBC Optimal Adult Range: 25-40 percent of total WBC Red Flag Range 55 percent of total WBC 22 Common Causes of Lymphocytes Increase: Chronic viral or bacterial infection, Childhood diseases (measles, mumps, chicken-pox, rubella, etc. ), HIV, Hepatitis Less Common Causes of Lymphocytes Increase: Chemical/heavy metal toxicity Common Causes of Lymphocytes Decrease: Active infections Clinical Notes: Suspect a viral infections when the lymphocytes increase to a point that either equal or exceeds the neutrophil level EOSINOPHILS Eosinophils: Elevated in allergic conditions, skin diseases, parasitic diseases Clinical Adult Range: 0-7 percent of total WBC Optimal Adult Range: 0-3 percent of total WBC Red Flag Range 55 percent of total WBC Common Causes of Eosinophils Increase: Allergic condition (asthma), food sensitivities, parasitic infection Less Common Causes of Eosinophils Increase: Chemical/heavy metal toxicity, Hodgkinââ¬â¢s disease, ovarian and bone tumors BASOPHILS Basophils: Elevated in Infections Clinical Adult Range: 0-2 percent of total WBC Optimal Adult Range: 0-1 percent of total WBC Red Flag Range 2. 0% Common Causes of Reticulocyte Count Increase: Internal bleeding Common Causes of Reticulocyte Count Decrease: Vitamin b-12, B-6 and folic acid anemia MCV Mean Corpuscular Volume (MCV) The MCV indicates the volume occupied by the average red blood cell Clinical Adult Range: 81. 0-99. 0cu. microns Optimal Adult Range: 82. 0-89. 9cu. microns Red Flag Range 95. 0cu. microns Common Causes of MCV Count Increase: Vitamin B-12/Folic Acid Anemia Common Causes of MCV Count Decrease: Iron anemia, internal bleeding Clinical Notes: If the MCV is ;89. 9 and the MCH is ;31. 9, suspect Vitamin B-12 or folic anemia. This should be confirmed with a serum or urinary methylmalonic (vitamin B-12) and a serum or urinary homocysteine (folic acid and vitamin B-6) Clinical Notes: If iron, ferritin are normal and MCV, MCH, Hemoglobin and Hematocrit are all decreased, suspect a toxic metal body burden MCH Mean Corpuscular Hemoglobin (MCH) The MCV indicates the volume occupied by the average red blood cell Clinical Adult Range: 26. 0-33. 0micro-micro grams Optimal Adult Range: 27. 0-31. 9micro-micro grams Red Flag Range 34. 0micro-micro grams Common Causes of MCV Count Increase: Vitamin B-12/Folic Acid Anemia Common Causes of MCV Count Decrease: Iron anemia, internal bleeding 26 Clinical Notes: If the MCV is ;89. 9 and the MCH is ;31. 9, suspect Vitamin B-12 or folic anemia. This should be confirmed with a serum or urinary methylmalonic (vitamin B-12) and a serum or urinary homocysteine (folic acid and vitamin B-6) Clinical Notes: If iron, ferritin are normal and MCV, MCH, Hemoglobin and Hematocrit are all decreased, suspect a toxic metal body burden T3 T3 (Tri-Iodothyronine): T-3 is a thyroid hormone produced mainly from the peripheral conversion of thyroxine (T-4) Clinical Adult Range: 22-33% Optimal Adult Range: 26-30% Common Causes of T3 Increase: Hyperthyroidism Common Causes of T3 Decrease: Hypothyroidism T4 T-4 (Tetra-Iodothyronine): T-4 is the major hormone secreted by the thyroid gland. Clinical Adult Range: 4. 0-12. 0mcg/dL Optimal Adult Range: 7. 0-8. 5mcg/dL Common Causes of T4 Increase: Hyperthyroidism Common Causes of T3 Decrease: Hypothyroidism, anterior pituitary hypofunction T7 T7 (FTI-Free Thyroxine Index) FTI is an estimate, calculated from T-4 and T-3 uptake. Clinical Adult Range: 4. 0-12. 0mcg/dL Optimal Adult Range: 7. 0-8. 5mcg/dL Common Causes of T7 Increase: See T-3 uptake Common Causes of T3 Decrease: See T-3 uptake T-3 UPTAKE T-3 Uptake T-3 uptake measures the unsaturated binding sites on the thyroid bindng proteins 27 Clinical Adult Range: 22-36% Optimal Adult Range: 27-37% Red Flag Range 39 percent of uptake Common Causes of T-3 Uptake Increase: Thyroid hyperfunction Less Common Causes of T-3 Uptake Increase: Kidney dysfunction, salicylates toxicity and protein malnutrition Common Causes of T3 Decrease: Thyroid hypo-function TSH TSH (Thyroid Stimulating Hormone): is used to confirm or rule out suspected hypothyroidism when T3, T4, T7 are essentially normal and clinical signs suggest hypothyroidism Clinical Adult Range: 0. 4-4. 4mlU/L Optimal Adult Range: 2. 0-4. 0mlU/L Red Flag Range 10. 0mlU/L Common Causes of TSH Increase: Thyroid hypofunction Less Common Causes of TSH Increase: liver dysfunction Common Causes of TSH Decrease: Thyroid hyper-function, anterior hypofunction Clinical Notes: The axillary temperature (underarm) will frequently be How to cite Blood Test, Papers
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