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    “Force”, the invisible agent of nature that provides all living things with motion, was a major obsession for Leonardo - the movement of turbulent water, curling hair and leaves that grow in swirling curves were all manifestations of the same natural force. In order to convey a sense of inherent energy in works of art and engineering, such phenomena must be fully understood Since the discovery of the laws of thermodynamics during the mid 19th century, attempts to design perpetual motion machines have been virtually abandoned. But during the Renaissance, the age-old dream of a device capable of operating continuously and supplying useful work without any external source of power was alive and well. In the belief that spirals and screws might hold a solution, Leonardo applied the principle of the vortex to the problem. On the right of Fol 44r, Leonardo illustrated one of a number of solutions or “compound screws” involving planar spirals, conical spirals and V-shaped configurations of tubes combined to achieve continuous motion. The water ascends to the centre of the planar spiral S P and then passes to the pyramidal screw N C running from the point at C to P and acting as an “equidistant lever” to turn the whole apparatus. As the device revolves, further “levers” would come into play. These one-page articles are designed to educate individuals on hot topics in nutrition. We encourage you to distribute these NIBBLES in your ICU to increase awareness about these important nutrition topics! Look out for future issues of NIBBLES which will deal with other important topics.

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    Consumer Medicine Information This leaflet answers some common questions about Zoloft. It does not take the place of talking to your doctor or pharmacist. Your doctor has weighed the risks of you taking Zoloft against the benefits it is expected to have for you. Zoloft is used to treat depression and conditions called obsessive compulsive disorder (OCD), panic disorder, social phobia (social anxiety disorder) and premenstrual dysphoric disorder (PMDD). If you have any concerns about taking this medicine, ask your doctor or pharmacist. PMDD affects some women in the days before their period. PMDD is different from premenstrual syndrome (PMS). The mood symptoms (anger, sadness, tension, etc) in PMDD are more severe than in PMS and affect the woman's daily activities and relationships with others. Zoloft belongs to a group of medicines called selective serotonin reuptake inhibitors (SSRIs). They are thought to work by blocking the uptake of a chemical called serotonin into nerve cells in the brain. Serotonin and other chemicals called amines are involved in controlling mood. Zoloft sertraline hydrochloride for Depression - ZOLOFT 25 mg, gélule, boîte de 7 - doctissimo.fr Antidepressants Comparison Guide Most Commonly. - Health Alliance
     
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    Background: Being a selective estrogen receptor inhibitor (SERM) tamoxifen may be used an alternative to clomiphene citrate for ovulation induction in women with anovulatory infertility. Comparison of tamoxifen and clomiphene citrate for ovulation induction: a meta-analysis. This study was conducted to evaluate the safety and efficacy of tamoxifen as compared to clomiphene citrate in women with primary or secondary anovulatory infertility due to Polycystic Ovarian Syndrome (PCOS). Methods: One hundred women suffering from anovulatory infertility and attending the infertility clinic and were recruited for the study. Williamson JG and Ellis JD The induction of ovulation by tamoxifen. Patients were randomized to receive either clomiphene citrate (100-150 mg) or tamoxifen treatment (40-80 mg). Kettal LM, Roseff SJ, Berga S et al: Hypothalamic-pituitary-ovarian response to clomiphene citrate women with polycystic ovary syndrome. Brown J, Farquhar C, Beck J, Boothroyd C, Proctor M, Hughes E. Eden JA, Place J, Carter GD, Jones J, Alaghband-Zadeh, Pawson ME. Characteristics relating to ovarian risk: Collaborative analysis of 12 US case-control studies. The ovulation was monitored from day 5 to day 9 of menstrual cycle followed up by transvaginal ultrasound from day 11 every alternate day for 10 days. Results: The baseline characteristics of mean age, weight, proportion of patients with primary and secondary infertility and mean duration of infertility were comparable between both the study groups. Clark JH, Markaverich BM: The agonistic-antagonistic properties of clomiphene: A review. Oral anti-estrogen and medical adjuncts for subfertility associated with anovulation. The effect of clomiphene citrate on follicular phase increase in endometrial thickness and uterine volume. Out of 50 patients who received clomiphene citrate, 37 showed successful ovulation (ovulation rate of 64%) and 16 patients conceived (pregnancy rate of 32%). In tamoxifen group 41 women showed successful ovulation (ovulation rate of 82%) and 18 women conceived (pregnancy rate of 36%). Clomiphene Citrate Versus Tamoxifen for Ovulation Induction in PCOs. Clomiphene Citrate Versus Tamoxifen for Ovulation Induction in. Tamoxifen for ovulation induction in infertile PCOS women who did not.
     
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