Publications by authors named "Peter Joseph"

Doum palm and turmeric are traditional medicinal plants with a rich history of use. This study investigated the phytochemical composition, proximate analysis, and GC-MS characterization of doum palm and turmeric blends at different ratios (100%, 80:20%, 60:40%, and 50:50%) using ethanol and warm-water extracts. Phytochemical screening revealed the presence of various bioactive compounds, including alkaloids, anthraquinones, flavonoids, glycosides, saponins, tannins, terpenoids, and phenols, in the blends at ratios of 80:20%, 60:40%, and 50:50%.

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The immune system is involved in hypertension development with different immune cells reported to have either pro or anti-hypertensive effects. In hypertension, immune cells have been thought to infiltrate blood pressure-regulating organs, resulting in either elevation or reduction of blood pressure. There is controversy over whether macrophages play a detrimental or beneficial role in the development of hypertension, and the few existing studies have yielded conflicting results.

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Balint allows colleagues to explore emotions generated from doctor-patient interactions, complexities sometimes overlooked within traditional curricula. With an increasing burnout rate, evidence-based strategies to support trainee general practitioners (GPs) are needed and we investigated if Balint could be one way to improve this. There are no recent studies looking at Balint in UK GP training.

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Proton-exchange membrane fuel cells are promising energy devices for a sustainable future due to green features, high power density, and mild operating conditions. A facile proton-conducting membrane plays a pivotal role to boost the efficiency of fuel cells, and hence focused research in this area is highly desirable. Major issues associated with the successful example of Nafion resulted in the search for alternate proton conducting materials.

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Henoch-Schönlein purpura is an IgA-mediated, autoimmune, hypersensitivity vasculitis of childhood that results in a triad of symptoms, including a purpuric rash occurring on the lower extremities, abdominal pain or renal involvement, and arthritis. However, any of the triad may be absent, which often leads to a confusion in diagnosing the condition. Although the cause is unknown, Henoch-Schönlein purpura (HSP) is often associated with infectious agents, such as group A streptococci and mycoplasma.

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Unlabelled: Perineuriomas are rare tumors of the peripheral nervous system that occur as either intraneural or extraneural lesions. Intraneural perineuriomas generally affect the major nerve branches in the upper extremity, whereas extraneural perineuriomas have a predilection for the subcutaneous tissues of the lower extremities. In this article, we describe the case of an adult patient who had a perineurioma localized to the foot.

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Our previous paper entitled "Paradoxical ozone associations could be due to methyl nitrite from combustion of methyl ethers or esters in engine fuels" (Env. Int..

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We review studies of the effects of low ambient ozone concentrations on morbidity that found a negative coefficient for ozone concentration. We call this a Paradoxical Ozone Association (POA). All studies were in regions with methyl ether in gasoline.

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A 65 year old female patient presented with one episode of massive haemoptysis requiring transfusion and subsequently cough with streaky haemoptysis. Computerized tomographic scan and angiogram revealed aneurysm of the distal aortic arch. She underwent elective repair of the pseudoaneurysm through median sternotomy and the bronchial communication was closed through left thoracotomy.

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Coronary artery ectasia, a variant of coronary atherosclerosis, is a relatively rare entity. Review of literature did not reveal an exclusive study on isolated ectasia. We decided to analyse the clinical presentation and angiographic prevalence of this subset.

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This paper represents a retrospective survey of the effectiveness of acupuncture in an urban General Practice setting. Patients were treated within normal surgeries and records kept of treatments and outcomes. The paper reveals that when acupuncture is offered by a General Practitioner in the course of his normal working day, a significant number of patients can benefit without an excessive rise in workload.

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During the period between 1992 and 1997, there was an increase in levels of methyl tertiary butyl ether (MTBE) in gasoline in the Philadelphia, Pennsylvania, area. In this study, the authors analyzed billing records from clinical practices that were extensions of the University of Pennsylvania. The authors based their selections on the International Classification of Diseases-9 diagnostic codes, which were determined from (1) previous studies of methyl tertiary butyl ether conducted by the Centers for Disease Control; (2) respiratory symptoms, including asthma and wheezing; and (3) symptoms associated anecdotally with methyl tertiary butyl ether levels in gasoline.

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Purpose: We evaluated the attenuation value of renal calculi on unenhanced axial computerized tomography (CT) images as a predictor of calculous fragmentation by extracorporeal shockwave lithotripsy (ESWL) (Dornier Medical Systems, Inc., Marietta, Georgia).

Materials And Methods: We included 30 patients with renal calculi up to 20 mm.

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