Integrity Health Dictionary

Integrity: From 2 Different Sources


(American) One who is truthful; of good character

Integritey, Integritee, Integritea, Integriti, Integritie

Health Source: Medical Dictionary
Author: Health Dictionary
n. moral honesty, consistency, and truthfulness: one of the requirements of *professionalism. Integrity is particularly important in health care, where patients are vulnerable in all sorts of ways; it implies that someone can be trusted to behave well beyond their particular role.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Carrots

Nutritional Profile Energy value (calories per serving): Low Protein: Moderate Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: High Sodium: Moderate Major vitamin contribution: Vitamin A Major mineral contribution: Potassium

About the Nutrients in This Food Carrots are high-fiber food, roots whose crispness comes from cell walls stiffened with the insoluble dietary fibers cellulose and lignin. Carrots also contain soluble pectins, plus appreciable amounts of sugar (mostly sucrose) and a little starch. They are an extraordinary source of vitamin A derived from deep yellow carotenoids (including beta-carotene). One raw carrot, about seven inches long, has two grams of dietary fiber and 20,250 IU vitamin A (nine times the R DA for a woman, seven times the R DA for a man).

The Most Nutritious Way to Serve This Food Cooked, so that the cellulose- and hemicellulose-stiffened cell walls of the carrot have partially dissolved and the nutrients inside are more readily available.

Diets That May Restrict or Exclude This Food Disaccharide-intolerance diet (for people who are sucrase- and /or invertase-deficient) Low-fiber diet Low-sodium diet (fresh and canned carrots)

Buying This Food Look for: Firm, bright orange yellow carrots with fresh, crisp green tops. Avoid: Wilted or shriveled carrots, pale carrots, or carrots with brown spots on the skin.

Storing This Food Trim off the green tops before you store carrots. The leaf y tops will wilt and rot long before the sturdy root. Keep carrots cool. They will actually gain vitamin A during their first five months in storage. Protected from heat and light, they can hold to their vitamins at least another two and a half months. Store carrots in perforated plastic bags or containers. Circulating air prevents the for- mation of the terpenoids that make the carrots taste bitter. Do not store carrots near apples or other fruits that manufacture ethylene gas as they continue to ripen; this gas encourages the development of terpenoids. Store peeled carrots in ice water in the refrigerator to keep them crisp for as long as 48 hours.

Preparing This Food Scrape the carrots. Ver y young, tender carrots can be cleaned by scrubbing with a veg- etable brush. Soak carrots that are slightly limp in ice water to firm them up. Don’t discard slightly wilted intact carrots; use them in soups or stews where texture doesn’t matter.

What Happens When You Cook This Food Since carotenes do not dissolve in water and are not affected by the normal heat of cooking, carrots stay yellow and retain their vitamin A when you heat them. But cooking will dissolve some of the hemicellulose in the carrot’s stiff cell walls, changing the vegetable’s texture and making it easier for digestive juices to penetrate the cells and reach the nutrients inside.

How Other Kinds of Processing Affect This Food Freezing. The characteristic crunchy texture of fresh carrots depends on the integrity of its cellulose- and hemicellulose-stiffened cell walls. Freezing cooked carrots creates ice crystals that rupture these membranes so that the carrots usually seem mushy when defrosted. If possible, remove the carrots before freezing a soup or stew and add fresh or canned carrots when you defrost the dish.

Medical Uses and/or Benefits A reduced risk of some kinds of cancer. According to the American Cancer Society, carrots and other foods rich in beta-carotene, a deep yellow pigment that your body converts to a form of vitamin A, may lower the risk of cancers of the larynx, esophagus and lungs. There is no such benefit from beta-carotene supplements; indeed, one controversial study actually showed a higher rate of lung cancer among smokers taking the supplement. Protection against vitamin A-deficiency blindness. In the body, the vitamin A from carrots becomes 11-cis retinol, the essential element in rhodopsin, a protein found in the rods (the cells inside your eyes that let you see in dim light). R hodopsin absorbs light, triggering the chain of chemical reactions known as vision. One raw carrot a day provides more than enough vitamin A to maintain vision in a normal healthy adult.

Adverse Effects Associated with This Food Oddly pigmented skin. The carotenoids in carrots are fat-soluble. If you eat large amounts of carrots day after day, these carotenoids will be stored in your fatty tissues, including the fat just under your skin, and eventually your skin will look yellow. If you eat large amounts of carrots and large amounts of tomatoes (which contain the red pigment lycopene), your skin may be tinted orange. This effect has been seen in people who ate two cups of carrots and two tomatoes a day for several months; when the excessive amounts of these vegetables were eliminated from the diet, skin color returned to normal. False-positive test for occult blood in the stool. The active ingredient in the guaiac slide test for hidden blood in feces is alphaguaiaconic acid, a chemical that turns blue in the presence of blood. Carrots contain peroxidase, a natural chemical that also turns alphaguaiaconic acid blue and may produce a positive test in people who do not actually have blood in the stool.... carrots

Electrolytes

In my context, acids, bases, and salts that contribute to the maintenance of electrical charges, membrane integrity, and acid-alkaline balance in the blood and lymph.... electrolytes

Ethics (of Care)

The basic evaluative principles which (should) guide “good” care. Principles typically refer to respect for, and the dignity of, human beings. Basic dimensions are “autonomy” (respect for self determination), “well-being” (respect for happiness, health and mental integrity) and “social justice” (justifiable distribution of scarce goods and services). More specifically, ethics of care refer to ethical standards developed for the care professions which are designed to implement ethical principles in the practice of care provision.... ethics (of care)

Flavonoids

From flavus, Latin for yellow. A 2-benzene ring, 15-carbon molecule, it is formed by many plants (in many forms) for a variety of oxidative-redox enzyme reactions. Brightly pigmented compounds that make many fruits and berries yellow, red, and purple, and that are considered in European medicine to strengthen and aid capillary and blood vessel integrity, they are sometimes (redundantly) called bioflavonoids.... flavonoids

Honora

(Latin) Having a good name and integrity; an honorable woman Honour, Honoria, Honor, Honorata, Honoratas, Honnor, Honorina, Honorine, Honore, Honoree, Honori, Honorie, Honory, Honouri, Honourie, Honoury, Honoura, Honouria, Honoure, Honorea, Honourea... honora

Favism

A type of haemolytic ANAEMIA, attacks of which occur within an hour or two of eating broad beans (Vicia fava). It is a hereditary disease due to lack of an essential ENZYME called glucose-6phosphate dehydrogenase, which is necessary for the continued integrity of the red cell. This defect is inherited as a sex-linked dominant trait, and the red cells of patients with this abnormality have a normal life-span until challenged by certain drugs or fava beans when the older cells are rapidly destroyed, resulting in haemolytic anaemia. Fourteen per cent of African-Americans are affected and 60 per cent of Yemenite Jews in Israel. The perpetuation of the gene is due to the greater resistance against MALARIA that it carries. Severe and even fatal HAEMOLYSIS has followed the administration of the antimalarial compounds pamaquine and primaquine in sensitive individuals. These red cells are sensitive not only to fava beans and primaquine but also to sulphonamides, acetanilide, phenacetin, para-aminosalicyclic acid, nitrofurantoin, probenecid and vitamin K analogues.... favism

Nora

(English) Form of Eleanor, meaning “the shining light”; form of Honora, meaning “having a good name and integrity; an honorable woman”

Norah, Noora, Norella, Norelle, Norissa, Norri, Norrie, Norry, Noreen, Noreena, Norene, Norine, Norena, Norina, Norma, Normina, Normie, Normee, Normi, Neorah, Noirin, Norabel... nora

Onora

(Irish) Form of Honora, meaning “having a good name and integrity; an honorable woman”

Onour, Onoria, Onor, Onorata, Onoratas, Onnor, Onorina, Onorine, Onore, Onoree, Onori, Onorie, Onory, Onouri, Onourie, Onoury, Onoura, Onouria, Onoure, Ohnicio, Omora, Omorra... onora

Code Of Ethics

The following rules are amplified in the official Code of Ethics observed by members of the National Institute of Medical Herbalists. Summarised as follows:–

Rule 1. Members shall at all times conduct themselves in an honourable manner in their relations with their patients, the public, and with other members of the Institute.

The relationship between a medical herbalist and his or her patient is that of a professional with a client. The patient puts complete trust in the practitioner’s integrity and it is the duty of members not to abuse this trust in any way. Proper moral conduct must always be paramount in member’s relationships with patients. Members must act with consideration concerning fees and justification for treatment.

Rule 2. No member may advertise or allow his or her name to be advertised in any way, except in the form laid down by the Council of the Institute.

Any form of commercialism in the conduct of a herbal practice is unseemly and undesirable. Particular considerations govern commencement of practice, partnerships, assistantships, door plates, signs, letter headings, broadcasts, etc.

Rule 3. Members shall comply at all times with the requirements of the Code of Practice.

Rule 4. Members shall not give formal courses of instructions in the practice of herbal medicine without the approval of the Council of the Institute.

Rule 5. It is required that members apply the Code of Practice to all their professional activities.

Rule 6. Infringement of the Ethical Code renders members liable to disciplinary action with subsequent loss of privileges and benefits of the Institute. ... code of ethics

Conflict Of Interest

(in medical ethics) the situation in which a health professional is subject to potential or actual pressures that may conflict with his or her obligation to promote the *best interests of the patient over and above all else. A conflict of interest arises from a particular context or situation and may threaten a doctor’s integrity and undermine trust between professional and patient. For example, a drug company may encourage a doctor to prescribe a particular medicine, which may not be the treatment of choice for a patient, or contractual financial disincentives may discourage a doctor from providing a more expensive treatment of choice for a patient. In medical research, there is always a potential conflict between protecting the individual and benefiting society. Particular problems of this kind occur in randomized controlled trials (see equipoise; intervention study). Doctors will always experience competing pressures and it is important for them to be able to recognize and then, where possible, disclose, resolve, or mitigate morally problematic conflicts.... conflict of interest

Descemetocele

n. thinning of the *stroma of the cornea to such an extent that *Descemet’s membrane is all that is maintaining the integrity of the eyeball. It occurs in severe ulceration of the cornea.... descemetocele

Gag Reflex

(pharyngeal reflex) a normal reflex action caused by contraction of pharynx muscles when the soft palate or posterior pharynx is touched. The reflex is used to test the integrity of the *glossopharyngeal and *vagus nerves.... gag reflex

Values

pl. n. (in ethics) the moral standards and principles that govern personal and institutional behaviour. They derive from asking first what makes a good clinician or caring institution and then identifying the attributes, behaviours, actions, and aims appropriate to this end. They include concepts such as truthfulness, kindness, tolerance, and *integrity.... values

Vitamin C

(ascorbic acid) a water-soluble vitamin with *antioxidant properties that is essential in maintaining healthy connective tissues and the integrity of cell walls. It is necessary for the synthesis of collagen. A deficiency of vitamin C leads to *scurvy. The adult RNI (see Dietary Reference Values) is 30 mg/day; rich sources are citrus fruits and vegetables (the main source of the vitamin in the British diet is potatoes). There is no strong evidence that high intakes of vitamin C reduce the incidence of colds.... vitamin c

Transplantation

Transplantation of tissues or organs of the body are de?ned as an allotransplant, if from another person; an autotransplant, if from the patient him or herself – for example, a skin graft (see GRAFT; SKIN-GRAFTING); and a xenotransplant, if from an animal.

The pioneering success was achieved with transplantation of the kidney in the 1970s; this has been most successful when the transplanted kidney has come from an identical twin. Less successful have been live transplants from other blood relatives, while least successful have been transplants from other live donors and cadaver donors. The results, however, are steadily improving. Thus the one-year functional survival of kidneys transplanted from unrelated dead donors has risen from around 50 per cent to over 80 per cent, and survival rates of 80 per cent after three years are not uncommon. For a well-matched transplant from a live related donor, the survival rate after ?ve years is around 90 per cent. And, of course, if a transplanted kidney fails to function, the patient can always be switched on to some form of DIALYSIS. In the United Kingdom the supply of cadaveric (dead) kidneys for transplantation is only about half that necessary to meet the demand.

Other organs that have been transplanted with increasing success are the heart, the lungs, the liver, bone marrow, and the cornea of the eye. Heart, lung, liver and pancreas transplantations are now carried out in specialist centres. It is estimated that in the United Kingdom, approximately 200 patients a year between the ages of 15 and 55 would bene?t from a liver transplant if an adequate number of donors were available. More than 100 liver transplants are carried out annually in the United Kingdom and one-year-survival rates of up to 80 per cent have been achieved.

The major outstanding problem is how to prevent the recipient’s body from rejecting and destroying the transplanted organ. Such rejection is part of the normal protective mechanism of the body (see IMMUNITY). Good progress has been made in techniques of tissue-typing and immunosuppression to overcome the problem. Drugs are now available that can suppress the immune reactions of the recipient, which are responsible for the rejection of the transplanted organ. Notable among these are CICLOSPORIN A, which revolutionised the success rate, and TACROLIMUS, a macrolide immunosuppressant.

Another promising development is antilymphocytic serum (ALS), which reduces the activity of the lymphocytes (see LYMPHOCYTE) cells which play an important part in maintaining the integrity of the body against foreign bodies.

Donor cards are now available in all general practitioners’ surgeries and pharmacies but, of the millions of cards distributed since 1972, too few have been used. The reasons are complex but include the reluctance of the public and doctors to consider organ donation; poor organisation for recovery of donor kidneys; and worries about the diagnosis of death. A code of practice for procedures relating to the removal of organs for transplantation was produced in 1978, and this code has been revised in the light of further views expressed by the Conference of Medical Royal Colleges and Faculties of the United Kingdom on the Diagnosis of Brain Death. Under the Human Tissue Act 1961, only the person lawfully in possession of the body or his or her designate can authorise the removal of organs from a body. This authorisation may be given orally.

Patients who may become suitable donors after death are those who have suffered severe and irreversible brain damage – since such patients will be dependent upon arti?cial ventilation. Patients with malignant disease or systemic infection, and patients with renal disease, including chronic hypertension, are unsuitable.

If a patient carries a signed donor card or has otherwise recorded his or her wishes, there is no legal requirement to establish lack of objection on the part of relatives – although it is good practice to take account of the views of close relatives. If a relative objects, despite the known request by the patient, sta? will need to judge, according to the circumstances of the case, whether it is wise to proceed with organ removal. If a patient who has died is not known to have requested that his or her organs be removed for transplantation after death, the designated person may only authorise the removal if, having made such reasonable enquiry as may be practical, he or she has no reason to believe (a) that the deceased had expressed an objection to his or her body being so dealt with after death, or (b) that the surviving spouse or any surviving relative of the deceased objects to the body being so dealt with. Sta? will need to decide who is best quali?ed to approach the relatives. This should be someone with appropriate experience who is aware how much the relative already knows about the patient’s condition. Relatives should not normally be approached before death has occurred, but sometimes a relative approaches the hospital sta? and suggests some time in advance that the patient’s organs might be used for transplantation after death. The sta? of hospitals and organ exchange organisations must respect the wishes of the donor, the recipient and their families with respect to anonymity.

Relatives who enquire should be told that some post-mortem treatment of the donor’s body will be necessary if the organs are to be removed in good condition. It is ethical (see ETHICS) to maintain arti?cial ventilation and heartbeat until removal of organs has been completed. This is essential in the case of heart and liver transplants, and many doctors think it is desirable when removing kidneys. O?cial criteria have been issued in Britain to recognise when BRAIN-STEM DEATH has occurred. This is an important protection for patients and relatives when someone with a terminal condition

– usually as a result of an accident – is considered as a possible organ donor.... transplantation

Nerve Restoratives

All degenerative changes in the nervous system arise from breakdown of cell integrity through causes including stress, disease or faulty nutrition. J.M. Thurston classifies the restorative effect of herbs as:

Stomach and intestines: Wild Cherry bark, Black Haw.

Heart: Lily of the Valley, Cactus. Liver: Wild Yam.

Eye: Blue Cohosh, Poke root.

Brain: Oats, Black Cohosh.

Spine: Damiana, Oats, Kola, Unicorn root (Aletris). Hops. Womb: False Unicorn root (Helonias).

General Restoratives: St John’s Wort, Vervain. ... nerve restoratives

Professionalism

n. possession of a high level of intellectual and technical expertise with a commitment to public service and the ability to practise autonomously within the regulations of the discipline. It calls for a special set of *values, behaviours, and relationships including respect and care for oneself as well as patients and others, honesty, *integrity, reliability, *responsibility, communication, collaboration, *compassion, *empathy, altruism, and *advocacy – but also self-awareness and a knowledge of limits (see burnout). Major shortcomings might be reported to a professional body (such as the *General Medical Council for UK doctors).... professionalism



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