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For occasion heart attack questions to ask doctor 5mg amlodipine amex, fruits and vegetables have natural acids together with soda and potash in the type of acid salts arteria d8 trusted 10mg amlodipine. When the acids are burnt or utilised in the physique blood pressure chart for 14 year old generic 2.5mg amlodipine with mastercard, the alkaline soda or potash is left behind blood pressure young buy discount amlodipine 2.5mg online. Vitamins, that are of several sorts, differ from one another in physiological operate, in chemical construction and of their distribution in food. They are broadly divided into two categories, particularly, fats-soluble and water-soluble. Vitamins A, D, E and K are all soluble in fats and fats solvents and are therefore, known as fats-soluble. They can be used in two methods, particularly, correcting deficiencies and treating illness in place of medication. Latest researches indicate that many vitamins taken in giant doses far above the actual nutritional wants, can have a miraculous healing impact in a variety of widespread complaints and illnesses. The major sources of this vitamin are fish liver oil, liver, entire milk, curds, pure ghee, butter, cheese, cream and egg yolk, inexperienced leafy and certain yellow root greens corresponding to spinach, lettuce, turnip, beets, carrot, cabbage and tomato and ripe fruits corresponding to prunes, mangoes,pappaya, apricots, peaches, almonds and other dry fruits. The beneficial every day allowance of vitamin A is 5,000 international items for adults and a pair of,600 to 4,000 international items for children. This has raised the hope in the struggle against a big explanation for childhood mortality in growing nations. Prolonged ingestion of huge doses of any one of many isolated B advanced vitamins might end in high urinary losses of other B-vitamins and lead to deficiencies of those vitamins. The major sources of this vitamin are inexperienced leafy greens, milk, cheese, wheat germ, egg, almonds, sunflower, seeds, citrus fruits and tomatoes. Its deficiency can cause a burning sensation in the legs, lips and tongue, oily pores and skin, premature wrinkles on face and arm and eczema. It is contained in liver, fish, poultry, peanut, entire wheat,inexperienced leafy greens, dates, figs, prunes and tomato. It helps in the absorption of fat and proteins, prevents nervous and pores and skin problems and protects against degenerative illnesses. It is important for the growth and division of all physique cells for healing processes. A deficiency may end up in certain kinds of anaemia, severe pores and skin problems, lack of hair, impaired circulation, fatigue and psychological melancholy. Some authorities believe that folic acid is contraindicated in leukemia and cancer. The major sources of this vitamin are entire grain bread and cereals, inexperienced greens,peas, beans, peanuts and egg yolk. In some research, 1,000 mg or more were given every day for six moths with out unwanted side effects. It is important for proper functioning of the central nervous system, manufacturing and regeneration of pink blood cells and correct utilisation of fats, carbohydrates and protein for physique constructing. Its deficiency can lead to certain kinds of anaemia, poor appetite and lack of energy and psychological problems. It prevents and cures colds and infections effectively, neutralises various toxins in the system, speeds healing processes in just about all instances of ill. It assists in the assimilation of calcium, phosphorus and other minerals from the digestive tract. The beneficial every day allowance of this vitamin for both adults and youngsters is 400 to 500 international items. Therepeutically, upto 4,000 to 5,000 items a day for grownup or half of this for children, is a safe dose, if taken for not longer than one month. It is useful in the treatment of muscular fatigue, constipation and nervousness. Signs of toxicity are unusual thirst, sore eyes, itching pores and skin, vomiting, diarrhoea, urinary urgency, irregular calcium deposits in blood vessel partitions, liver, lungs, kidneys and stomach. It is important for the prevention of heart illnesses, bronchial asthma, arthritis, and many other conditions.

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When he took supplements of hydrochloric acid before meals arteria recurrens ulnaris quality amlodipine 5 mg, he was capable of blood pressure vs heart rate buy amlodipine 2.5 mg on-line digest food comparatively normally heart attack kiss the way we were goodbye discount amlodipine online amex. After two weeks treatment of her belly area arteria gastroepiploica sinistra buy amlodipine 5 mg free shipping, her well being utterly reversed. A New York doctor handled a case of prostatis by way of the rectum with a glass vacuum electrode. Benjamin Ward Richardson (1828?896) published an article refuting the anesthetic properties of electrical energy, but he was willing to attempt it. Sloan Lancet 2:1043, 1908 "The Treatment of Atonic Dilation of the Stomach by Means of HighFrequency Currents" A. Lancet 1:1068, 1911 "The Value of Ionization in Inflammatory Disease of the Lower Bowel" J. Einhorn Medical Record 64:209, 1903 "Electricity in the Treatment of Diseases of the Stomach" E. According to the strength and course of the electrical current, it could be made to produce different, and even opposite effects. Every contraction of the center, excited by too powerful an impulse, and at an improper time, lessens the small stays of vital energy. After shocks have been administered, the pain ceased, and the man fell right into a deep sleep. Duchenne put electrodes on the nipples and the affected person screamed when the shocks have been applied. One affected person could bring on angina pains by violently swinging his arms and bending his physique. It has been handled in latest time with a single shock of 250 volts with a length of 0. The coronary heart stands nonetheless for a number of beats, and then resumes the traditional rhythm within 10 seconds. After his first treatment, the shortness of breath subsided and coronary heart palpitation became less frequent. Paul Oudin found that he could raise the arterial blood pressure as a lot as ninety to one hundred forty mm. Elevated blood pressure is related to coronary heart illness, shortness of breath and strokes. Blood pressure is dependent upon the vitality of the center, the resistance of the arteries and the volume of the blood. High blood pressure is related to arteriosclerosis and an elevated demise fee. The constant taking of medication brings it into regular, but little effort has been made to bring the pressure into regular with physical methods. With very sturdy fields in the autocondensation cage, it was generally possible to bring the blood pressure to near regular in 6 to eight treatments. They usually needed to take the treatments again in less than a 12 months to be able to have regular blood pressure. The couch had poor outcomes, however the spiral wire cage was extra active in reducing blood pressure. They found that the average drop in blood pressure per 25-minute treatment for all cases was 10 mm. A forty three-12 months-old trainer suffered from gout with high blood pressure and an enlarged coronary heart. She planned on going south for well being, but she had a severe attack of gout and was unable to journey. Violet ray treatments over the liver, spleen and lengthy bones of the legs the place red blood cells are generated are said to significantly increase the red blood cell count. After 13 applications of the violet ray for 20 minutes, her blood pressure fell to 145 mm. Her anemia left and she or he had extra strength, appetite and an absence of the prickly sensation in her toes. Another software of electrical energy in coronary heart and blood circumstances is the use of current to treat aneurysms. In 1847, a medical thesis showed that a constructive needle electrode applied to aneurysms could produce coagulation and strengthen the cell partitions. Laqueur Boston Medical and Surgical Journal 159:233, 1908 "High-Frequency Electricity in the Treatment of Cardiac Disease" H.

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Balance deficits must even be resolved particularly for the athlete to be able to heart attack high dead end counterpart buy cheapest amlodipine say the damage is one hundred% cured hypertension 37 weeks pregnant amlodipine 5 mg on line. Exercise capacity is an excellent gauge for determining the true standing of the joint hypertension va compensation amlodipine 10mg low cost. In essence blood pressure medication with alcohol cheap amlodipine 2.5mg overnight delivery, the individual acts as his or her own control for the success of the remedy. The ligaments are inspired to strengthen and tighten the joint in to proper alignment, eliminating fixed subluxations and instability, and thereby halting the vicious cycle of feeling the need to crack or pop the joints and spine. It is astounding what number of of our sufferers who improve with Prolotherapy, after years of negativity surrounding their lives with persistent pain, look back and see the ordeal as a wake-up call. During their battle to come back from an damage, to get off narcotic pain medication, or to restore mobility that was misplaced, they find that the need to confront other areas of their life that had been holding them back. Evidence of tendinitis provoked by fluoroquinolone remedy: a case-control research. The pathological adjustments in articular cartilage associated with persistent joint deformity: an experimental investigation. Degeneration of articular cartilage in osteoarthritis by corticosteroid injections. An experimental research on the effect of cortisone on the therapeutic course of and tensile power of tendons. Corticosteroids: a evaluation with emphasis on complication of prolonged systemic therapy. Glucocorticoids inhibit tenocyte proliferation and tendon progenitor cell recruitment. The results of dexamethasone on human patellar tendon stem cells: implications for dexamethasone remedy of tendon damage. Efficacy and safety of corticosteroid injections and other injections for administration of tendinopathy: a systematic evaluation of randomised managed trials. Suppression by nonsteroidal anti-inflammatory drugs on proteoglycan synthesis in articular cartilage. The detrimental results of systemic Ibuprofen supply on tendon therapeutic are time-dependent. The acceleration of articular cartilage degeneration in osteoarthritis by non steroidal anti-inflammatory drugs. Predictive elements of complete hip alternative due to major osteoarthritis: a prospective 2 yr research of 505 sufferers. Alteration of rabbit articular cartilage of intra-articular injections of glucocorticoids. Ligament derived matrix stimulates a ligamentous phenotype in human adipose-derived stem cells. Marrow stromal cells as a source of progenitor cells for nonhematopoietic tissues in transgenic mice with a phenotype of osteogenesis imperfecta. Marrow stromal cells from guiding strands within the injured spinal cord and promote restoration. Differentiation of transplanted mesenchymal stem cells in large osteochondral defect in rabbit. Effect of plateletrich plasma versus autologous complete blood on pain and performance improvement in tennis elbow: a randomized scientific trial. Autologous fats grafting as mesenchymal stem cell source and residing bioscaffold in a patellar tendon tear: a case report. Biologic properties of mesenchymal stem cells derived from bone marrow and adipose tissue. Tendon tissue engineering with mesenchymal stem cells and biografts: an possibility for big tendon defects? The effect of persistent temporomandibular joint dislocation: frequence on the success of autologous blood injection. Enhanced early tissue regeneration after matrix-assisted autologous mesenchymal stem cell transplantation in full thickness chondral defects in a minipig model. Tissue-engineered cartilage and bone using stem cells from human infrapatellar fats pads.

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Melatonin arrhythmia technologies institute greenville sc amlodipine 2.5mg amex, L-tryptophan (an amino acid) prehypertension systolic blood pressure purchase amlodipine without prescription, valerian root blood pressure ziac buy amlodipine 10mg online, and gamma hydroxybutyrate are also useful natural sleep aids percentil 95 arteria uterina effective 5mg amlodipine. This train program will strengthen the muscles around the joint and improve the pliability of the muscles which defend the joint from reinjury. If inflammation is so useful, why not use Prolotherapy for the remedy of an acute damage? Isometric exercising involves contracting a muscle with out movement of the affected joint. Natural substances, such because the enzymes bromelain, trypsin, and papain, help gentle tissue healing by reducing the viscosity of extracellular fluid. Your physique produces its personal narcotics, called endorphins, which work to reduce ache from an acute damage. Treatments corresponding to physical remedy, massage, chiropractic care, ultrasound, myofascial launch, and electrical stimulation all improve blood move and help gentle tissue healing. An particular person who would normally wait two to three months for an acute damage to heal, could heal in only two to three weeks if given Prolotherapy. Most individuals with chronic ache admit that they need to stop utilizing ache medications. Proteoglycans are important for the elasticity and compressive stiffness of articular cartilage. Since all tissues heal by inflammation, one can see why long-time period use of these medications could have dangerous results. Our group of professionals is ready to reply your questions and allow you to Prolo your ache away! The "best" Prolotherapy candidate has the next: ?Pain originating from a ligament or tendon. The primary indication for Prolotherapy is #1: ache originating from joint instability due to a ligament or tendon weak spot. Common painful signs point out that an issue resides with ligament laxity, including tenderness, clicking and grinding of the joint, muscle spasms and more. It is usually like attempting Figure 24-1: Common signs and symptoms as potential indications for Prolotherapy. In our expertise, seeking Prolotherapy from a clinic that addresses the reasons why a patient could not heal can help their possibilities of success with the remedy. However, most people recognized with tendonitis even have developed tendinosis. Again, this is why turning off the ache sign with cortisone and ache medication is so dangerous in the long-time period. The patient on the left was a great candidate who offered with full vary of motion and only gentle lack of joint house. The patient on the proper offered with very limited vary of motion, lack of cartilage, and a large bone spur. The time period arachnoiditis signifies an inflammation of the arachnoid membrane which covers the spinal wire. The scar tissue was not present earlier than the surgical procedure, however the back and leg pains had been. Epidural steroid injections, more surgeries, spinal wire stimulator implantation, or other invasive remedies for arachnoiditis are only marginally useful. This is frequent with radiculopathy the place the capsular ligaments of the spine have allowed the vertebra to pinch the nerve when the person strikes, sending wildfire-like ache down the arm or leg. Once the nerve is recognized with ultrasound, nourishing solutions are injected round it to launch the entrapment. Our part is to correctly determine all the ache-causing buildings and to comprehensively treat them. This could mean making some "uncomfortable" or even downright "difficult" adjustments to create new wholesome habits and relationships. Caring Medical strives to be an oasis of hope for instances that might have otherwise needed multiple surgeries, prolonged day without work work and sports activities, or ever increasing amounts of ache medication.

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Mild; rare episodes of epigastric distress with characteristic gentle circulatory signs or steady gentle manifestations pulse pressure nhs buy generic amlodipine 10 mg line. I (7?2 Edition) Rating Intermittent fatigue arrhythmia questions buy amlodipine with amex, malaise hypertension nursing care plan 10mg amlodipine sale, and anorexia blood pressure ratio buy amlodipine 10mg, or; incapacitating episodes (with signs such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and proper upper quadrant ache) having a total length of no less than one week, however less than two weeks, in the course of the past 12-month period. Moderately severe; with no less than 4? typical assaults of abdominal ache per year with good remission between assaults. I (7?2 Edition) Rating Long-term drug therapy, 1? hospitalizations per year and/or requiring intermittent intensive management. Note 2: When evaluating any declare involving loss or loss of use of one or more creative organs or anatomical loss of one or both breasts, refer to ?3. Requiring the carrying of absorbent materials which must be modified two to 4 instances per day. Cases of symptomatic sickle cell trait might be forwarded to the Director, Compensation and Pension Service, for consideration beneath ?3. Note (1):The eight traits of disfigurement, for purposes of evaluation beneath ?4. Note (4): Separately consider disabling effects apart from disfigurement which are associated with particular person scar(s) of the pinnacle, face, or neck, such as ache, instability, and residuals of related muscle or nerve harm, beneath the suitable diagnostic code(s) and apply ?4. I (7?2 Edition) Rating With localized or episodic cutaneous involvement and intermittent systemic treatment, such as immunosuppressive retinoids, required for a total length of less than six weeks in the course of the past 12month period. One or two crises in the course of the past year, or; two to 4 episodes in the course of the past year, or; weak spot and fatigability, or; corticosteroid therapy required for management. If inactive, these evaluations are not to be mixed with the graduated scores of fifty percent or 30 percent for non-pulmonary tuberculosis specified beneath ?4. In rating incapacity from the situations in the preceding sentence refer to the suitable schedule. Assign a one hundred-percent evaluation if ``whole' is the extent of evaluation for one or more sides. These actions are distinguished from ``Activities of daily residing,' which refers to fundamental self-care and contains bathing or showering, dressing, eating, getting in or out of bed or a chair, and using the bathroom. For even routine and familiar selections, normally unable to identify, understand, and weigh the options, understand the implications of selections, and make an inexpensive decision. When the involvement is wholly sensory, the rating ought to be for the gentle, or at most, the average degree. Long thoracic nerve 8519 Paralysis of: Complete; incapability to raise arm above shoulder degree, winged scapula deformity. Averaging no less than 1 main seizure in 4 months during the last year; or 9?0 minor seizures per week. I (7?2 Edition) deficits or different impairments stemming from the same etiology. If a psychological dysfunction has been assigned a total evaluation as a result of a steady period of hospitalization lasting six months or more, the rating agency shall proceed the entire evaluation indefinitely and schedule a mandatory examination six months after the veteran is discharged or released to nonbed care. A change in evaluation primarily based on that or any subsequent examination shall be topic to the provisions of ?3. Rating companies must be completely conversant in this handbook to correctly implement the directives in ?4. I (7?2 Edition) Rating General Rating Formula for Mental Disorders: Total occupational and social impairment, as a result of such signs as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent incapability to perform actions of daily residing (together with maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of shut relatives, own occupation, or own name. Binge eating followed by self-induced vomiting or different measures to stop weight acquire, or resistance to weight acquire even when beneath expected minimum weight, with prognosis of an eating dysfunction however with out incapacitating episodes. Criterion March 10, 1976; criterion September 23, 2002; revised and moved to 5235?243 September 26, 2003. Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; eliminated December 18, 1987; re-designated ?4. Evaluation September 9, 1975; evaluation September 22, 1978; evaluation January 12, 1998. Criterion July 6, 1950; criterion September 22, 1978; criterion and evaluation October 23, 2008. I (7?2 Edition) Delirium, Dementia, Amnestic and Other Cognitive Disorders 9300 9301 9304 9305 9310 9312 9326 9327.

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Mind-body medication consists of teaching sufferers tips on how to arrhythmia reference guide generic amlodipine 2.5 mg visa management elements of their physiology to help scale back pain prehypertension at 19 generic 10 mg amlodipine with mastercard, anxiousness arrhythmia vs pvc generic amlodipine 2.5 mg on-line, rigidity prehypertension and stress cheap amlodipine 5 mg amex, and worry. This class encompasses yoga and hypnosis, where a therapist suggests adjustments in perceptions of sensations, ideas, and behaviors. Guided imagery and relaxation methods corresponding to progressive muscle relaxation and controlled deep respiration are also forms of thoughts-body medication. Hypnosis is a state of targeted consideration or altered consciousness by which distractions are blocked, allowing a person to concentrate intently on a particular subject, memory, sensation, or drawback. National Institutes of Health judged hypnosis an effective intervention for alleviating pain from most cancers and different continual circumstances. Research means that hypnotic sensory analgesia is a minimum of partially mediated by reduction in spinal twine antinociceptive mechanisms in response to hypnotic suggestion. Hypnotic analgesia also could also be associated to brain mechanisms that stop consciousness of pain as soon as nociception has reached higher centers by way of brain mechanisms. It also might scale back the affective dimension, maybe as the subject reinterprets meanings related to the painful sensation. Barrie Cassileth and Jyothirmai Gubili Does physical exercise or exercise scale back most cancers pain? Exercise has shown to provide a number of benefits, and some great benefits of exercise for sufferers is properly documented for both noncancer pain and most cancers pain. In addition to pain reduction, there are positive effects on temper, in addition to on muscular, pulmonary, and cardiovascular functioning. Studies have shown that most cancers sufferers might even scale back fatigue symptoms with exercise. Herbal brokers also might contain dangerous constituents, and in sufferers on prescription medication, serious antagonistic effects might result from herb-drug interactions. Yoga is a physical and psychological exercise that mixes postures and meditation to calm the thoughts, body, and spirit. The practice promotes relaxation and blood circulate, preserving the backbone limber and the muscles flexible. Sessions, often carried out in small groups, are tailored to individual capabilities, with light, meditative classes for most cancers sufferers and others with extreme pain. The combined elements of yoga-its light postures, deep respiration, meditation, and group interaction-scale back pain perception and help coping and recovery. For example, in a small research of girls with metastatic breast most cancers, individuals reported considerably lower ranges of pain and fatigue the day after yoga practice. Concerns about topical brokers Allergic reactions Some common essential oils, corresponding to tea tree, lavender, bergamot, and ylang-ylang, are able to inflicting contact dermatitis. Music can attain deep emotional ranges, and particular forms of music might maintain special meanings for every individual. Music therapy is particularly effective in the palliative care setting, where it improves high quality of life and enhances comfort and relaxation. Music might involve active affected person participation corresponding to singing, track writing, or taking part in musical devices, or personal listening. The use of music to ease pain, anxiousness, and despair is increasingly well-liked, and its effects on pain depth and distress related to pain have been documented in research. Many herbal pores and skin products, like lavender or tea tree oil, have delicate estrogenic effects. When utilized in large portions over extended intervals of time, important amounts could be absorbed via the pores and skin. Topical use of bloodroot can result in extreme antagonistic effects together with disfigurement. Complementary Therapies for Pain Management 63 Poison hemlock (Conium maculatum) apparently is utilized in parts of Africa for neuralgia and most cancers pain, however it has not been shown to be helpful for this function. Instead, its historic function in producing dying is corroborated in literature stories.

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A blood pressure medication causes nightmares buy 10 mg amlodipine free shipping, In the sitting place blood pressure chart 40 year old male purchase 5 mg amlodipine amex, the patient turns the pinnacle 45 to the proper with the eyes open and stuck blood pressure chart adolescent purchase amlodipine 2.5 mg online. The classic constructive response is counterclockwise nystagmus with the pinnacle down and turned to the proper and clockwise nystagmus with the pinnacle down and turned to the left hypertension impact factor buy generic amlodipine. When constructive, a brisk nystagmus will develop after a short delay of 5?0 seconds. The nystagmus will be identical to the traditional nystagmus provoked whereas moving into the provocative place (i. When the patient is returned to the sitting place, a second burst of nystagmus may develop. Returning the patient to the pinnacle-hanging place will usually provoke a less intense response. However, video-based systems enable the examiner to extra fastidiously consider eye movements offline. Central positioning nystagmus is a rare abnormality related to posterior fossa illness. In certain lesions across the fourth ventricle, severe nausea may accompany the nystagmus. The nystagmus will crescendo and then gradually diminish, usually within 10?0 seconds of onset. Intoxication or centrally acting medication results will commonly trigger this eye motion behavior. Peripheral vestibulopathy may also produce irregular gaze nystagmus with the eyes open and stuck. Importantly, this nystagmus will demonstrate the three cardinal behaviors of vestibular nystagmus mentioned above. Eye motion recordings allow calculation of nystagmus slow-element velocities so that the effects of eye place, visual fixation, and nystagmus path can be objectively established. The purpose for testing upper torso elevated by 30 is to have a reference for establishing the quantity of spontaneous nystagmus current during caloric irrigation (see under). Visual fixation and volitional suppression of nystagmus are common pitfalls of the positional take a look at. Directionchanging can be geotropic (fast phase beats toward the ground in lateral head positions), ageotropic (fast phase beats toward the ceiling in lateral head positions), or path-changing in a single head place. Direction-mounted positional nystagmus is commonly observed in chronic unilateral hypofunction and often beats toward the unaffected or less affected ear. Direction-changing nystagmus may be seen with otolith organ involvement, although not completely so. The depth of positional nystagmus can be helpful in monitoring physiologic compensation during the illness process, as a result of the nystagmus diminishes as compensation happens. The stimulus used is water (? C relative to normal body temperature) or air (?three C relative to normal body temperature). Bithermal irrigations are used to induce eye movements in both directions from every ear. This minimizes the impact of underlying spontaneous nystagmus on caloric asymmetry calculations. Kinocilium and stereocilia are vertical, producing a normal resting potential in vestibular nerve. B, Stimulation with warm water (forty four C) causes upward convection current (utriculopetal endolymph flow). Stereocilia bend toward kinocilium, depolarizing the dendrites at base of hair cell, thus growing firing price of the vestibular nerve. C, Stimulation with cool water (30 C) induces downward convection current (utriculofugal endolymph flow), inflicting kinocilium to bend toward stereocilia, which hyperpolarizes dendrites at base of hair cell, thus decreasing firing price of the vestibular nerve. In most testing laboratories, a unilateral weak point of a minimum of 25% is needed to be clinically significant.

References:

• https://www.lths.net/site/handlers/filedownload.ashx?moduleinstanceid=31169&dataid=30342&FileName=Identifying%20the%20Mode%20of%20Inheritance_14-15_KEY.pdf
• http://npic.orst.edu/factsheets/archive/ddttech.pdf
• https://www.aota.org/-/media/Corporate/Files/Practice/MentalHealth/Distinct-Value-Mental-Health.pdf