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There are over 30, conservation organizations in the United States.
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In severe cases there may be difficulty in swallowing with the risk of aspirating food into the lungs and difficulty in breathing, due to weakness of the respiratory muscles, which can be life threatening if untreated. Not all muscle groups are affected in all patients, and the disease has a variable progression.
See Figure a diagram of the digestive system. The function of the digestive system is to provide nutrients for the body through the processes of mechanical degradation and liquefaction and the action of enzymes on the food we eat. Drugs taken orally are also subjected to these processes. The digestive system consists of the mouth, oesophagus, stomach, small intestine, large intestine, rectum and anus together with the liver and pancreas. The mouth is where food is chewed and mixed with saliva before being swallowed. The oesophagus conveys food to the stomach.
Since the are non-ionic contrast agents and therefore do not dissociate in solution. Because of this, they are less toxic and produce fewer side effects. However, they contain fewer radio-opaque iodine atoms and therefore are less effective as contrast agents. The higher the concentration of iodine in a contrast agent the greater is the positive radiographic contrast that can be achieved. The latest non-ionic dimeric contrast agents have six iodine atoms per molecule. Some are nearly isosmolar with plasma, others are hypo-osmolar and they have very low toxicity.
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For many of these drugs the mode of action is not fully understood, but they all interfere with the activity of cells of the immune system in one way or another. Gold salts accumulate in phagocytic cells thereby reducing their activity and inhibit the migration of lymphocytes into inflamed tissue.
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