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The design and first results of a large-solid-angle X-ray emission spectrometer that is optimized for energies between 1. The smallest achievable energy bandwidth is smaller than the core hole lifetime broadening of the absorption edges in this energy range. Energy scanning is achieved using an innovative design, maintaining the Rowland circle conditions for all crystals with only four motor motions. The entire spectrometer is encased in a high-vacuum chamber that allocates a liquid helium cryostat and provides sufficient space for in situ cells and operando catalysis reactors. Keywords: X-ray instrumentation ; wavelength dispersive spectrometer ; X-ray optics ; tender X-rays ; Johansson crystal analyzers. X-ray emission spectroscopy is attracting growing interest as a tool to characterize local electronic and atomic structure. We define emission spectroscopy as measuring the emitted X-rays from a fluorescence source with an energy bandwidth that is of the order of the core hole lifetime broadening.
It can be a reaction to contact with chemicals including some drugs, metals or allergens, in which case it is known as contact dermatitis. In some cases, eczema occurs without an obvious cause and is known as atopic eczema. Characteristics of eczema are red itchy epidermis and oedema of the dermis. Most often, the skin is dry and scaly, but sometimes in the early stages of eczema, the lesions weep and can become infected.
If the cause of eczema is known, every effort should be made to avoid contact with the cause.
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Thus, acidic drugs are preferentially absorbed in the stomach and basic drugs are preferentially absorbed in the intestine. In practice however, because of the large surface area of the small intestine, the majority of drug absorption takes place there. Nevertheless, alteration of stomach pH can alter the absorption characteristics of acidic drugs. A few drug molecules are small enough to diffuse through aqueous pores in the cell membrane with water, for example alcohol.
However, the majority of drugs are too large to diffuse in this way.
Penicillin is a drug that is approximately eliminated by a kidney transport system. This was a disadvantage in the days when penicillin was expensive and difficult to produce, because its action was prematurely terminated unless high doses were given. Penicillin used to be administered together with probenecid. Probenecid is slowly transported by the same system and therefore considerably reduces the elimination of penicillin.
(Probenecid is used to treat gout because it also inhibits the reabsorption of uric acid by a similar mechanism.
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This minimizes the damage to the skin structure and reduces the possibility of systemic adverse effects. Oral antihistamines that have a sedative effect may be useful at night to reduce nocturnal itching, which can cause skin damage and secondary infection. In very severe eczema, topical corticosteroids may not be sufficient to relieve the inflammation. In these cases, specialist treatment with drugs that suppress the immune system may be required.
These drugs are normally used to prevent transplant rejection. For severe eczema refractory to other treatment, ciclosporin is licensed for oral use and tacrolimus is licensed for topical use.
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Pagets disease is a disorder of bone turnover of unknown aetiology producing characteristic bone deformities. The disease is rarely seen before the age of approximately that is often without symptoms and progresses slowly over many years, being discovered during other investigations in approximately one-fifth of those diagnosed.
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In addition treatment aims to prevent destruction of joints by the use of disease-modifying antirheumatic drugs.
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Particle size is a major determinant of absorption from this site of administration.
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It is important that the patient uses the same brand of lithium, as bioavailability may differ with different brands.
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Atrophy of the hippocampus (a part of the limbic system) is seen in depression possibly through neurodegeneration.
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The centre of gravity is forward and the patient walks on the front of the feet with quick short steps.
However, topiramate is teratogenic and should not be used in women of childbearing age. Adverse effects of topiramate are gastrointestinal disturbances, dizziness and drowsiness.
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Over several years, uric acid crystals can build up in other tissues to form large deposits, called tophiunder the skin. Tophi are often found in or near severely affected joints, on or near the elbow, over the fingers and toes and in the outer edge of the ear.
They are toxic drugs capable of causing skin reactions ranging from erythema to exfoliating dermatitis, inflammation of mucous membranes and blood dyscrasias. Penicillamine may inhibit production of inflammatory mediators and can delay the progress of disease. It has severe side effects; in particular bone marrow depression, and precipitation of myasthenia gravis and myositis.
Sulfasalazine is split by bacteria in the colon to produce aminosalicylic acid and sulfapyridine, the latter of which is probably the active drug. Its mode of action is unknown.
There is a yellow card scheme to notify the Medicines and Healthcare Products Regulatory Agency or the Commission on Human Medicines (CHM; formerly the Committee on Safety of Medicines) of unexpected adverse reactions. This is especially important for new drugs as adverse reactions can be missed during clinical trials. Patients as well as health care professionals can use the yellow card scheme. A new system of reporting adverse reactions, the National Reporting and Learning System has recently been set up by the National Patient Safety Agency.
Any health care professional who becomes a supplementary prescriber or an independent prescriber would be expected to contribute to these schemes.