The Md-Php Details You Need To Know

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  1. pharmaceutical acetic acid says:

    Benzo Chemical – Manufacturer of pharmaceutical acetic acid chemical, pharmaceutical alginates chemical & pharmaceutical benzoic acid chemical

  2. Dependency management says:

    Composer is not a package manager in the same sense as Yum or Apt are. Yes, it deals with “packages” or libraries, but it manages them on a per-project basis, installing them in a directory (e.g. vendor) inside your project. By default it does not install anything globally. Thus, it is a dependency manager. It does however support a “global” project for convenience via the global command.

  3. System Requirements says:

    Composer requires PHP 5.3.2+ to run. A few sensitive php settings and compile flags are also required, but when using the installer you will be warned about any incompatibilities.

    To install packages from sources instead of simple zip archives, you will need git, svn, fossil or hg depending on how the package is version-controlled.

    Composer is multi-platform and we strive to make it run equally well on Windows, Linux and OSX.

  4. What is osteopathy? says:

    Osteopathy takes a holistic, whole-body approach to healthcare.

    It uses manual ‘hands-on’ techniques to improve circulation and correct altered biomechanics, without the use of drugs.

    An osteopathic physician does not concentrate only on the problem area, but uses manual techniques to balance all the body systems, and to provide overall good health and wellbeing.

    Diagnosing and treating conditions using these techniques is called Osteopathic Manipulative Medicine (OMM).

    Techniques include stretching, gentle pressure, and resistance, known as osteopathic manipulative medicine.

    An osteopathic physician may also issue prescription medicine and use surgical methods to support the holistic, manual treatment.

    Many osteopathic physicians also serve as primary care physicians in fields such as family medicine, internal medicine, and pediatrics.

  5. What to expect says:

    People visiting an osteopath should ensure that their doctor is accredited by the American Osteopathic Association (AOA) and licensed to practice.

    Ask to see this documentation if it is not already on display in their practice.

    An individual may have a referral from a primary care physician, or they may refer themselves.

    Self-referring patients should inform their regular doctor, to ensure that ongoing care is consistent.

    Osteopathy is patient-centered. An initial consultation will take place before any active treatment or management begins.

    During this consultation, the osteopathic physician will discuss the patient’s health problems, listen, and take case notes. The session will last approximately 45 minutes.

    Physical examination
    The osteopathic physician will physically examine the patient, who may need to remove some clothing to carry out the diagnosis. Patient privacy should be respected during this process.

    The examination may take 1 to 2 hours.

    The patient will be asked to demonstrate simple stretches and movements to help the osteopathic physician make an accurate analysis of their posture and mobility.

    The doctor will also assess the health of the joints, ligaments, and tissues, using a highly trained technique of touch known as palpation.

    The osteopathic physician will propose a treatment plan to meet the patient’s needs.

    This will include the number of sessions likely to be needed, although this number may change depending on the patient’s response to treatment.

    Osteopathy emphasizes self-healing, so an osteopathic physician may also advise dietary changes, home exercise programs, and lifestyle adjustments.

    The manipulation and hands-on work are gentle, but due to the physical work being carried out, a patient of osteopathy may feel sore for the first 24 to 48 hours.


    The medication levodopa (Sinemet) is a protein building block so it competes for absorption with other proteins. Eating a very proteinic meal reduces the likelihood of effectively absorbing levodopa, so you may want to leave meat, fish and cheese for dinner and eat more carbohydrates and vegetables during the day. Taking medication on an empty stomach — 30 minutes before or 60 minutes after a meal — allows the drug to reach the small intestine and absorb faster. However, a carbohydrate snack (crackers, toast, oatmeal) with the medication may be necessary to prevent nausea.

    Dopamine agonists (pramipexole and ropinirole) do not require any dietetic adjustment. Those who take MAO-B inhibitors (rasagiline or selegiline) should eat with moderation — but not eliminate — foods that contain high concentrations of tyramine. MAO-B inhibitors increase tyramine, and the combination could elevate blood pressure. This list of foods to avoid includes:

    cured, fermented or air-dried meats or fish
    aged cheeses: aged cheddar or Swiss, blue cheeses, Camembert
    fermented cabbage: sauerkraut, kimchi
    soybean products, including soy sauce
    red wine and tap beer
    Iron supplements can also decrease absorption of levodopa so they should be separated from medications by at least two hours.


    Constipation is common in Parkinson’s disease. Increased fluid and fiber consumption can help maintain regularity. Aim to drink six to eight 8 ounce glasses of water per day. Warm liquids, especially in the morning, can stimulate bowel movements. Dietary sources of fiber consist of fruits (with the peel), vegetables, legumes, whole grain breads and cereals. Most of these are high in antioxidants as well.

    Low blood pressure is a symptom of Parkinson’s and a side effect of some medications. Raising fluid and salt intake will boost blood pressure, but talk with your physician, especially if you have heart or kidney problems. Increase cold fluids — water, Gatorade, V8 juice — to five 8 ounce glasses per half day. Limit caffeinated beverages, hot liquids and alcohol as these encourage dehydration and low blood pressure. Eating frequent, small meals can also smooth blood pressure fluctuations.

    Swallowing problems can present as coughing, choking or a sensation of food feeling “stuck.” A speech therapist can prescribe appropriate, individualized dietary modifications and adaptive strategies. These may include adding foods with increased “sensory input” (e.g., seasoned, cold, sour or carbonated items) or altering the consistency of solids and/or liquids. In addition, you might be asked to sit up straight, take smaller bites at a slower pace and allow for longer mealtimes.

    Some people with Parkinson’s experience painful muscle cramping, especially at night and as medication wears off. Eating yellow mustard, which contains the spice turmeric, or drinking tonic water, which contains quinine, may help. Others endorse salt, vinegar or pickle juice. Maintaining adequate hydration may prevent or limit cramping.


    Antioxidants are one of those “good for you” things you hear about all the time. They’re molecules that clear out free radicals — toxic substances formed from stresses like air pollution, sunlight, cigarette smoke and even the process of converting food to energy. Oxidative stress is a biological condition caused by too many free radicals. It’s associated with aging and Parkinson’s disease, so a diet high in antioxidants may offset oxidative stress and cellular damage.

    Antioxidants are present in:

    vegetables: artichokes, okra, kale, bell peppers, potatoes
    fruits: berries, pears, apples, grapes
    legumes: kidney beans, edamame, lentils
    nuts: pecans, walnuts, hazelnuts
    dark chocolate
    some beverages such as red wine, coffee and tea


    Fava beans contain levodopa, so adding them to one’s diet is an attractive idea. Unfortunately the concentration and availability of levodopa in fava beans are unknown and likely minimal.

    No other special foods are recommended for those with Parkinson’s disease. Talk to your doctor or dietitian to craft a diet that helps you manage your Parkinson’s symptoms and feel energized and healthy

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