"Buy zyrtec 10 mg online, allergy testing diet".
G. Treslott, M.B. B.CH., M.B.B.Ch., Ph.D.
Medical Instructor, Loma Linda University School of Medicine
Also called ready-cooked meal ready-to-eat ready-to-eat adjective used for describing any convenience food that does not require reheating allergy testing jefferson city mo buy discount zyrtec 5 mg on line. Also called rachitis ricotta ricotta noun a soft white mild-tasting Italian cheese made from whey and used mostly in cooking rigatoni rigatoni plural noun short rounded tubes of pasta with narrow ridges running along them rigor mortis noun the stiffening of the muscles of recently dead animals due to production rigor mortis of lactic acid allergy treatment mouth drops order 10 mg zyrtec visa, which can be reversed by conditioning the meat rillettes rillettes plural noun seasoned pork or goose cooked in its own fat until very tender and potted as a type of soft spreadable pвtй rind rind noun the skin on fruit or meat or cheese ring mould noun a round mould used for cakes allergy shots twice a week buy generic zyrtec 5 mg line, desserts and jellies ring-pull noun a ring or tab of metal on the top of a drinks can that is pulled in order to ring mould ring-pull open it ripe ripe 204 ripe adjective 1 allergy oils purchase zyrtec 10mg overnight delivery. Compare flatworm roux roundworm roux noun a mixture of fat and flour cooked to make a base for a sauce royal jelly royal jelly 206 royal jelly noun a protein-rich substance that worker bees secrete and feed to larvae in the early stages of their development and to the larvae of queen bees in all stages of their development. Compare unsaturated fat, polyunsaturated fat saturated solution saturated solution noun a solution containing the maximum amount of solid that can be dissolved in a liquid solvent and still remain in solution at a particular temperature sauce sauce noun liquid with a particular taste poured over food to give it an extra flavour sauce boat noun an oval shallow wide-mouthed jug on an oval plate, used for serving sauce boat sauces sauce chef sauce chef noun the chef in charge of preparing sauces. Compare best-before date, use-by date seltzer seltzer noun water that has been carbonated by adding sodium bicarbonate semi-hard adjective used for describing cheese that has a consistency firm enough to slice semi-hard but that is moist and pliable semi-skimmed semi-skimmed adjective used for describing milk from which some of the fat has been removed semi-soft semi-soft adjective used for describing a food that holds its shape but is easily cut with a knife semi-sweet semi-sweet adjective lightly sweetened semi-vegetarian noun a person who does not eat all meats, but will eat particular types, semi-vegetarian typically fish or poultry semolina semolina noun hard grains of wheat left when flour is sifted, used in puddings, and stews senescence noun the ageing process. Compare double-acting baking powder single-blind testing single-blind testing noun a form of blind testing in which the researchers are aware from the beginning which subjects are receiving the supplement and which are receiving a placebo. Compare double-blind testing 217 single cream single-crust sliced meat single cream noun liquid cream with a relatively low fat content single-crust adjective used for describing a pie or food dish with a single layer of pastry below the filling, and none above single-malt single-malt noun a whisky that is the product of a single distillery single-serve adjective packaged in small amounts intended for one person sirloin noun the best cut of beef from the back of the animal sitiomania noun a craving for particular types of food sitiophobia noun hatred of food and eating sitology noun the scientific study of food, diet and nutrition as they relate to health sitomania noun a desire to eat particular types and quantities of foods sitotherapy noun the use of food as a therapeutic treatment sitotoxin noun any toxin developed in food by mould or bacteria. Also called food slicer slim slim verb to try to become thinner or try to lose weight slimline adjective designed to help with a weight-reducing diet slimming noun the use of a special diet or special food that is low in calories and is slimline slimming supposed to help a person lose weight slimming pill slimming pill noun a pill that supposedly helps to reduce weight, whether by increasing the metabolism, suppressing hunger or blocking the absorption of fats slimming product slimming product noun a food product that is low-calorie and designed especially for people on a weight-reducing diet slippery elm slippery elm noun 1. Camembert or Brie soft drink noun a drink that is not alcoholic, sold either ready prepared in a bottle or can soft drink or in concentrated form to be mixed with water soften soften verb 1. Also called chef potager soup spoon noun a flattish spoon used for eating soup sour adjective 1. Also called relative density spelt flour specific gravity spelt flour noun flour made from an ancient variety of wheat with a high gluten content and a hard husk that makes it difficult to mill sphygmomanometer sphygmomanometer noun a device for measuring blood pressure spice noun a substance made from the roots, flowers, seeds or leaves of plants, used for spice flavouring food н verb to add spice to a dish spicy spicy adjective tasting of spices spinach noun a common green-leaved vegetable spirit noun any liquid produced by distillation, especially a distilled solution of ethanol and spinach spirit water spirit burner spirit burner 224 spirit burner, spirit lamp noun apparatus in which methylated spirits is burned, used for keeping food hot on the table, or for cooking food rapidly next to the table spirometer spirometer noun a device used for measuring oxygen consumption by an organism Spirulina noun a nutrient-rich algae used as a food supplement spit noun a long metal rod that is passed through meat and turned so the meat is evenly Spirulina spit cooked spit-roast spit-roast verb to roast meat whilst it is being turned on a spit splanchnic adjective used for referring to the internal organs (technical) spleen noun an organ in the top part of the abdominal cavity behind the stomach and below splanchnic spleen the diaphragm, which helps to destroy old red blood cells, form lymphocytes and store blood split split verb if something such as a sauce splits, the ingredients do not mix together as they should split pea split pea noun dehusked dried peas split into two equal hemispheres along the natural dividing line spoilage spoilage noun decay in food spoilage retardant noun any substance that prevents food from decaying or slows down spoilage retardant decay. Also called spoonful spore spore noun a reproductive body of particular bacteria and fungi that can survive in extremely hot or cold conditions for a long time sports drink sports drink noun a soft drink that is intended to quench thirst faster than water and replenish the sugar and minerals lost from the body during physical exercise sports gel sports gel noun a concentrated carbohydrate gel that is easy to metabolise during exercise sports nutrition noun specialised nutrition for a professional sportsperson, designed to sports nutrition provide enough energy to sustain a very active lifestyle as well as providing nutrients that support tissue growth and repair sports nutritionist sports nutritionist noun a professional who looks after the specialised dietary needs of athletes sports supplement sports supplement noun a dietary supplement used by athletes to enhance performance sprat sprat noun a very small herring-like fish spray-drying noun a method of drying solutions of foods by spraying the liquid solution spray-drying into a warm atmosphere and collecting the solid powder spread spread noun a soft food consisting of meat, fish or cheese that you can spread on something such as bread н verb to cover food with a layer of something spreadable butter noun butter with added oil or margarine that allows it to stay soft and spreadable even when refrigerated springer noun a can that appears normal until it is sharply tapped, causing one end to bulge. Also called chef de rang stay-on tab stay-on tab noun a type of ring-pull that does not separate from the can when pulled steak noun 1. Also called bouillon cube stockpot stockpot noun a large pot for cooking soups and stock stock syrup noun a basic sugar solution with many uses stodgy adjective used for describing food which is heavy and filling to eat and usually stock syrup stodgy fairly tasteless stoma stoma noun an opening created surgically, especially in the abdomen to allow a feeding tube to be inserted stomach stomach noun 1. Compare diastolic blood pressure T tabbouleh noun a Middle Eastern dish consisting of bulgur wheat, mint, tomato, spring onions and other herbs, with lemon juice and various seasonings table knife tabbouleh table knife noun a knife used at table with a fork for cutting food, especially the food of a main course table salt table salt noun fine salt suitable for use on food that has been served out tablespoon noun a large spoon for serving food at table tablespoonful noun the amount contained in a tablespoon table sugar noun sugar suitable for use at table tachycardia noun a rapid heartbeat, sometimes linked to anaemia and vitamin B1 defitablespoon tablespoonful table sugar tachycardia ciency tachyphagy tachyphagy noun extremely fast eating taco noun in Mexican cooking, a dish consisting of a maize tortilla with a filling tactile adjective relating to the sense of touch tagine noun 1. Also called sauce tartare tartaric acid noun a white crystalline organic acid found in fruit, used as baking powder and in photographic processes and tanning leather tarte tatin noun an apple tart, cooked upside down, made of sliced apples cooked in butter with the pastry on top, then reversed in the serving dish tartrate tarte tatin tartaric acid tartare sauce tartrate noun any of various salts of tartaric acid used as stabilisers, the principal ones being sodium, potassium and the potassium sodium mixed salt E337 tartrazine tartrazine noun a yellow substance added to food to give it an attractive colour taste noun 1. Full form total body electrical conductivity tocopherol tocopherol noun one of a group of fat-soluble compounds that make up vitamin E, found in vegetable oils and leafy green vegetables toffee toffee noun a sweet that can be soft and chewy or hard and brittle, made by boiling brown sugar or treacle with butter and sometimes flavourings or nuts tofu tofu noun a soft white paste made from soya beans, also available in blocks for use as a meat substitute tolerance tolerance noun the ability of the body to tolerate a substance or an action tomato noun a common red vegetable that is the fruit of a climbing plant of the potato tomato family, widely used in salads and sauces tomato purйe tomato purйe, tomato paste noun partially dehydrated sieved tomato pulp with a deep red colour and spreadable consistency, sold in collapsible tubes, tins and jars tongs tongs plural noun a utensil used for handling things such as hot food and consisting of two hinged or sprung arms that press together in a pinching movement around the object to be lifted tonic water tonic water noun a fizzy drink of water and sugar, containing quinine tooth decay noun the wearing away of tooth enamel caused by attack by acids tooth-friendly adjective used for describing a sweetener that does not cause tooth decay top and tail verb to remove either end of a fruit or vegetable prior to cooking or eating topping noun any covering. Also called typhoid fever н adjective relating to typhoid tyramine tyramine noun an enzyme found in cheese, beans, tinned fish, red wine and yeast extract that can cause high blood pressure if found in excessive quantities in the brain. Compare vegetarian fruit Vegan Society vegetable н adjective involving a diet of only vegetables and Vegan Society noun an association that provides information on living a vegan lifestyle vegetable noun a savoury plant part used as food. Also called vegetable chef chef entremйtier vegetable knife vegetable knife noun a small sharp knife used for chopping vegetables vegetable oil noun an oil that has been extracted from a plant or the seeds of a plant. Compare vegan н adjective involving a diet without meat vegetarian cheese vegetarian cheese noun cheese that has been made with vegetable rennet Vegetarian Economy and Green Agriculture noun a research, information and Vegetarian Economy and Green Agriculture campaigning organisation that focuses on farming, food, health and the land. Also called aneurin, thiamin vitamin B2 noun a water-soluble vitamin that is essential for metabolic processes and for cell maintenance and repair, present in all leafy vegetables, in eggs, milk and the flesh of warm blooded animals. Also called riboflavin vitamin B3 noun a water-soluble vitamin that occurs in the form of niacin, nicotinic acid and nicotinamide and is widely distributed in foodstuffs, with meat, fish, wholemeal flour and peanuts being major sources vitamin B5 vitamin B3 vitamin B2 vitamin B5 noun a water-soluble vitamin that is destroyed by boiling, found in all animal and plant tissues, especially poultry, liver, fish, eggs, potatoes and whole grains. Vitamin D helps in the formation of bones, and lack of it causes rickets in children. Compare curd whey protein concentrate whey protein concentrate noun a high-protein supplement used by bodybuilders, containing bioavailable milk proteins. Full form zinc monomethionine aspartate and magnesium aspartate Zone diet noun a dietary plan in which 40% of daily calories should come from carbohydrates, 30% from proteins and 30% from fats zucchini Zone diet zucchini noun same as courgette zygosaccharomyces plural noun types of yeast that prefer sugary atmospheres zymase noun the enzyme mixture found in yeast zymochemistry noun the chemical reactions involved in fermentation zymogen noun same as proenzyme zymogene noun a microbe that causes fermentation zymogenesis noun the transformation of a zymogen into an enzyme zymogenic adjective causing or promoting fermentation zymology noun the branch of chemistry concerned with the action of enzymes zygosaccharomyces zymase zymochemistry zymogen zymogene zymogenesis zymogenic zymology 259 zymolysis zymurgy zymolysis noun the action of enzymes in the process of fermentation. Metric - Imperial Temperature conversions Fahrenheit 225°F 250° 275° 300° 325° 350° 375° 400° 425° 450° 475° Celsius 110°C 130° 140° 150° 170° 180° 190° 200° 220° 230° 240° Gas Mark ј Ѕ 1 2 3 4 5 6 7 8 9 (All measurements are approximate) Micronutrient Sources and Deficiencies Vitamins: Dietary sources Liver, dairy products, spinach, oily fish, carrots Pork, fruit, eggs, grains, fortified breakfast cereals Milk, eggs, fortified breakfast cereals, rice Beef, pork, chicken, eggs, milk Chicken, kidney, broccoli, tomatoes Pork, cod, eggs, whole grains, milk Meat, fish, yeast, dairy products Kidney, eggs, dried fruit Citrus fruit, vegetables Oily fish, eggs, liver, sunlight Deficiency symptoms Night blindness, anaemia, weakened immune system, dry skin Headache, tiredness, anorexia, muscle wasting Overdose symptoms Bone defects, liver damage. Vitamin A Thiamine None known Riboflavin Weakened nervous system, cracks in mouth and lips Weakened digestive and nervous systems None known Niacin Skin flushing, liver damage, digestive dysfunction Fatigue, nausea, cold hands and feet Pantothenate Impaired absorption of energy from food Vitamin B6 Anaemia, nausea, confusion Anaemia, fatigue, impaired absorption of folic acid Fatigue, hair loss, depression, weight loss Loose teeth, joint pain, hair loss, anaemia Bone softening, loose teeth Temporary nerve damage Vitamin B12 None known Biotin None known Vitamin C Diarrhoea, stomach pain, flatulence Kidney damage, calcium deposits in soft tissues Vitamin D Micronutrient Sources and Deficiencies cont.
This group includes patients who have symptomatic heart failure due to left ventricular systolic dysfunction allergy symptoms phlegm 10 mg zyrtec sale, with or without hypertension allergy testing procedure best zyrtec 10 mg. This group includes patients with Type 1 or Type 2 diabetes who have laboratory evidence of nephropathy allergy on skin zyrtec 10mg on-line, such as albuminuria or decreased creatinine clearance zofran allergy symptoms buy 10 mg zyrtec visa. This group includes patients without diabetes who have laboratory evidence of nephropathy, such as decreased creatinine clearance. Included interventions were treatment with benazepril, captopril, cilazapril, enalapril, fosinopril, lisinopril, moexipril, quinapril, ramipril, perindopril, or trandolapril. Included outcomes varied according to the clinical condition and are listed in Table 2 below: Table 2. Cardiovascular events (stroke, myocardial infarction, or development of heart failure) 3. End-stage renal disease (including dialysis or need for transplantation) or clinically significant and permanent deterioration of renal function (increase in serum creatinine or decrease in creatinine clearance) 4. Cardiovascular events (stroke, myocardial infarction, or development of heart failure) Recent-myocardial infarction 1. Symptomatic improvement (heart failure class, functional status, visual analogue scores) 3. End-stage renal disease (including dialysis or need for transplantation) or clinically significant and permanent deterioration of renal function (increase in serum creatinine or decrease in creatinine clearance) Nondiabetic nephropathy 1. End-stage renal disease (including dialysis or need for transplantation) or clinically significant and permanent deterioration of renal function (increase in serum creatinine or decrease in creatinine clearance) *Trials that focused on blood pressure reduction but not on any health outcomes were excluded from the efficacy review. We obtained full-text articles if the title and abstract review met the following criteria: 1. Large (> 100 patients) placebo-controlled trials for included clinical conditions that reported an included outcome, or 4. While we preferred studies of longer duration, we had no lower limit on the length of follow-up, but excluded "single-dose studies" examining the effects of a single dose of medication rather than a course of treatment or studies that evaluated inpatients before hospital discharge. Data abstraction the following data was abstracted from included trials: study design, setting, population characteristics (including sex, age, race, diagnosis), eligibility, and exclusion criteria, interventions (dose and duration), comparisons, numbers screened, eligible, enrolled, and lost to follow-up, method of outcome ascertainment, and results for each outcome. We recorded intention-to-treat results if available and the trial did not report high overall loss to follow-up. Validity assessment We assessed quality of trials based on the predefined criteria listed in Appendix B, which were submitted to the Health Resources Commission in December 2001 and updated in February 2003. We rated the internal validity of each trial based on methods used for randomization; allocation concealment and blinding; the similarity of compared groups at baseline; maintenance of comparable groups; adequate reporting of dropouts, attrition, crossover, adherence, and contamination; loss to follow-up (less than 15%); and the use of intention-to-treat analysis. External validity of trials was assessed based on: adequate description of the study population; similarity of patients to other populations to whom the intervention would be applied; control group receiving comparable treatment; funding source; and role of the funder. As the "fair-quality" category is broad, studies with this rating vary in their strengths and weaknesses. The results of some fair-quality studies are unlikely to be valid, while others are probably or likely to be valid. The details of the quality assessment of individual studies are provided in evidence tables. The results are at least as likely to reflect flaws in the study design as they are true differences between the compared drugs. These criteria reflect aspects of the study design that are particularly important for assessing adverse event rates. We rated studies as good-quality for adverse event assessment if they adequately met six or more of the seven pre-defined criteria, fair if they met three to five criteria, and poor if they met two or fewer criteria. A particular randomized trial might receive two different ratings: one for efficacy and another for adverse events. Data synthesis We constructed evidence tables showing study characteristics, quality ratings, and results for all included studies. Poor-quality studies would usually be excluded from evidence tables, but we included them to ensure that the reader is familiar with their limitations. To assess the overall strength of evidence for a body of literature about a particular key question, we examined the consistency of study designs, patient populations, interventions, and results. Consistent results from good-quality studies across a broad range of populations suggest a high degree of certainty that the results of the studies were true (that is, the entire body of evidence would be considered "good-quality. Unvalidated assessment techniques or heterogeneous reporting methods for important outcomes may weaken the overall body of evidence for that particular outcome or make it difficult to accurately estimate the true magnitude of benefit or harm.
Percentage Yield: 88% Green Beans Beans new allergy medicine 2013 cheap 10mg zyrtec mastercard, Soy-see Soybeans Beets Identification: A tender allergy shots bruising zyrtec 10mg fast delivery,bulbous allergy forecast greensboro nc cheap zyrtec 5 mg with mastercard,somewhat sweet root allergy forecast baltimore buy zyrtec 10mg fast delivery,usually but not always dark red. The tops can also be cooked like other greens; handle and treat beet tops like Swiss chard (see below), which is in the beet family. Related Varieties: Beets come in several shapes and colors in addition to the common red,including yellow,pink,orange or brick red,and white. Percentage Yield: 4045% (75% if purchased without tops) Bok Choy Identification: An Asian member of the cabbage family,related to Chinese cabbage, except the stalk is thicker and fleshier and the green portion is smoother and darker in color. Choy sum is allowed to become more mature,so the central stem or core is longer, and there may be small yellow flowers among the leaves. Evaluation: Fresh, green appearance for all varieties, with no wilting or discoloration. Preparation: Cut in half lengthwise and wash under running water to remove soil from the crooks of the stalks. Percentage Yield: 80% Bok Choy Broccoli Identification: A green vegetable in the cabbage family,consisting of tight clusters Figure 16. Related Varieties: Pale green broccoflower is closer in character to cauliflower than to broccoli and should be handled like cauliflower. Broccolini is a relatively new broccoli hybrid with slender stems and small,loose florets (flower bud heads). Broccoli rabe (also called broccoli raab, broccoletti di rape, rapini, and cima de rapa), like broccolini, has slenderer stems and loose florets, but it also has tender leaves attached to the stems,and the stems are slightly ribbed rather than smooth. Several varieties of Chinese broccoli are similar to broccoli rabe, in both shape and flavor, except the stems are smoother and fleshier. Handling Vegetables Evaluation: Look for dark green, tightly closed buds in regular broccoli and broccoflower. Percentage Yield: 6575% 519 Brussels Sprouts Identification: this cabbage relative resembles a tiny cabbage head. Related Varieties: Red or purple (the color of red cabbage) brussels sprouts exist but are not often seen,probably because their flavor and texture is less appealing to most people. Percentage Yield: 80% Brussel sprouts Cabbage: Green, Red, and Savoy Identification: Cabbages are large leaf clusters in dense, round heads (heads may also be flat or elongated, depending on the variety). Cabbage and mustard are in the same family, a relationship that can be detected in the faintly peppery taste. Savoy cabbage 520 Chapter 16 · Understanding Vegetables Cabbage, Chinese Identification: Heads of tender, crinkly, pale green leaves with broad, flat center stalks. Related Varieties: There are two main varieties, with different head shapes, although the flavor and texture are virtually the same for both. A more elongated, slender head cabbage is often called celery cabbage for its shape. Evaluation: Look for firm,tightly packed heads with no dry or browned tips,crisp and not limp or wilted. Percentage Yield: 85% Cactus Pads or Nopales Identification: Nopales are tender pads of the prickly pear cactus. When cooked, their texture is slippery,like that of okra,and their flavor slightly resembles cooked green pepper or possibly green beans with a slight sourness. Preparation: If spines are present,wear rubber gloves and brush them vigorously under running water, then with a vegetable peeler remove the eyes that held the spines. Evaluation: Look for bright orange color; crisp, straight, and well shaped; smooth surface. Percentage Yield: 7580% Cauliflower Identification: White or off-white, tight cluster of tiny flowers (florets) branching off a central stalk. Related Varieties: Broccoflower is a light green relative that looks like a cross between broccoli and cauliflower. Evaluation: Look for white color, not yellow or brownish; fine-grained, tightly closed buds; fresh green, well-trimmed leaves. Separate into florets, leaving portion of center stalk attached to each one to minimize trim loss. Percentage Yield: 55% Cauliflower Celery Identification: Pale green stems that form bunches or clusters attached at root end. Evaluation: Look for bunches that are straight,compact,well trimmed;fresh green color.
Three methods for treating subjects who were positive for methane on their lactulose breath test were identified and evaluated allergy forecast east texas 5mg zyrtec otc. These were: neomycin alone at 500mg bid for 10 days allergy forecast baton rouge zyrtec 5mg low price, rifaximin alone at 400mg tid for 10 days and the combination of rifaximin and neomycin for 10 days allergy dizziness cheap zyrtec 5 mg online. The charts were further reviewed to determine if subjects were deemed to be a responder to the therapy and whether or not methane was eliminated on a follow up breath test allergy symptoms of pancreatic cancer purchase 5mg zyrtec visa. Results: During the review, 119 charts made mention of methane in the clinical history. After exclusion criteria were applied, 69 subject charts remained (among these some subjects had received more than one type of therapy). Out of 8 subjects that received neomycin alone, 5 (63%) were deemed to have a clinical response to therapy. Among the 39 subjects with clinical follow up data who received rifaximin alone, 22 (56%) responded clinically (P>0. However, 23 out of 27 (85%) subjects who received the combination of rifaximin and neomycin had a response (P=0. Methane on breath test was also most likely to be eliminated with the combination of rifaximin and neomycin (87%) compared to rifaximin alone (28%) and neomycin alone (33%) (P=0. Of the patients who failed to eliminate methane with rifaximin alone, 66% eliminated methane with a combination of rifaximin and neomycin. Conclusion: In the treatment of bacterial overgrowth, therapy needs to be tailored to optimize therapy based on the type of gas seen on breath test. While rifaximin alone has been shown to be highly effective for hydrogen only patients, a combination of rifaximin and neomycin is more effective in the eradication of methane. Purpose: Triple therapy is commonly prescribed for patients with Helicobacter pylori (H. The symptoms of the patients were recorded and biopsies (antrum and body) were evaluated histologically according to the Sydney system. There were 84 patients, with mean age 40±13 (range 18-84 years) and males were 60 (71%). CagA was positive in 34(46%), vacAs1a 50(68%), vacAs1b 20(27%), vacAm1 30(40%) and vacA m2 in 47(63%) who eradicated H. There was mild and moderate inflammatory activity in 29(39%) and 35(47%) respectively in those eradicating their H. Country-specific Spanish translations, locally validated, preclude multicenter studies and comparisons. Methods: the multinational working group includes Spain, Mexico, Chile, Nicaragua, Honduras and the U. The Rome Committee translation standard is followed: two independent forward (english to spanish) translations, reverse translation, reconciliation, and independent pilots and validation. Eight independent spanish to english translations were completed, two each from each region (Mexico, Spain, Chile, Central America). The translations demonstrated 70% homogeneity, and were consolidated into a unified instrument by consensus. The pilot (both clinic-based & population-based) is complete in each region (n=124), with mean age 41 (range 18-78). The instrument was administered by trained interviewers, with study team observation. The concepts of retching and rumination (Q33-38) and anal relaxation (Q58) were problematic. Synonyms were needed as single word substitutions in 24% of questions (22/93) given differences in literacy and socioeconomic status within each region. The use of validated synonyms, as single word substitutions in a subset of questions, provides clarity for regional, literacy and socioeconomic differences. This approach lends itself to a software platform for each region for the instrument, either with an interviewer or self-administered. Reliability was assessed via comparison with values achieved by the originators of the coding rules. Results: the average time to complete the coding was 5 min for one writing (range 3-15 min). Providers found the coding userfriendly, and simple, but demanding given the number of writings.