Write an article based on this "Scoop 4 tbsp (24.56 grams) of powdered peanut butter in a bowl. Pour 2 tbsp (14.78 mL) of water in the bowl. Mix the water and powdered peanut butter until it's smooth. Spread the powdered peanut butter on bread or crackers."
article: Use a scale or measuring spoons to measure the powdered peanut butter. Level off the tablespoon and dump four of them into a dry mixing bowl. This will be the bowl you'll use to mix your powder into creamy peanut butter. Measure out 2 tbsp (14.78 mL) of water from the faucet, or you can use distilled water from a bottle. Pour the water into the mixing bowl on top of the powder. The water will pool on top of the powdered peanut butter until you mix it. 4 tbsp (24.56 grams) of powdered peanut butter will make 2 tsp (12.28 grams) of spreadable peanut butter. Powdered peanut butter will come out to be more gritty in texture to its spreadable counterpart. If your peanut butter is too thick, you can add more water. Once you finish the reconstituting process, the peanut butter should be ready to eat. Powdered peanut butter in powder form has a shelf life up to 10-12 months unopened. After you reconstitute your peanut butter, however, you must refrigerate it, and it goes bad in 48 hours.  Try to reconstitute the peanut butter as you eat it so that it tastes fresh each time.

Write an article based on this "Consider the use of oxytocin. Give the mother ergot alkaloids. Give the mother prostaglandins."
article: Oxytocin stimulates the upper segment of the uterine myometrium to contract rhythmically, which constricts spiral arteries and decreases blood flow through the uterus. Oxytocin is an effective first-line treatment for postpartum hemorrhage.  10 international units (IU) should be injected intramuscularly, or 20 IU in 1 L of saline may be infused at a rate of 250 mL per hour. As much as 500 mL can be infused over 10 minutes without complications. Methylergonovine (Methergine) and ergometrine are ergot alkaloids that cause generalized smooth muscle contraction in which the upper and lower segments of the uterus contract.  However, these ergot alkaloid agents raise blood pressure, hence they are contraindicated in women with hypertension.  Other adverse effects include nausea and vomiting. A typical dose of methylergonovine, 0.2 mg administered intramuscularly, may be repeated as required at intervals of two to four hours. Prostaglandins enhance uterine contractility and cause vasoconstriction. The prostaglandin most commonly used is 15-methyl prostaglandin F2a, or carboprost (Hemabate). Misoprostol is another prostaglandin that increases uterine tone and decreases postpartum bleeding.  Misoprostol is effective in the treatment of postpartum hemorrhage, but side effects may limit its use.  It can be administered sublingually, orally, vaginally, and rectally. Doses range from 200 to 1,000 mcg; the dose recommended by FIGO is 1,000 mcg administered rectally.

Write an article based on this "Pull back your foreskin slowly and gently. Retract your foreskin during a shower or bath. Pull a tight foreskin back incrementally over days or weeks. Try more intensive foreskin-stretching exercises if needed. Consult your doctor for guidance on a painfully-tight foreskin."
article:
In most cases, it's easy to use your fingers to slide your foreskin back and expose the head of your penis. If, however, you have a tighter-than-average foreskin, slide the foreskin back more slowly and deliberately to reduce pain and the chance of injury.  If you feel pain (not just discomfort), stop trying to pull back your foreskin. You could cause a painful tear in the sensitive skin. Move on to trying methods to loosen the foreskin. A tight foreskin is known as phimosis. It's common for a child's uncircumcised penis to have this condition, but it typically goes away during adolescence. It can be an issue for adults as well, though. The warm water and moist air will help to soften and loosen the foreskin. Work slowly and carefully with your fingers to guide the foreskin back onto the shaft of your penis. As a teen or adult, you should clean beneath your foreskin every time you bathe anyway. Pull the foreskin back, use a mild soap and lots of water to gently clean the area, rinse thoroughly, and guide the foreskin back into position. If you cannot retract your foreskin fully without pain because it's too tight, try slowly stretching it out. On the first day, gently pull the foreskin back until you feel discomfort. The next day, gently pull it slightly further back, and keep doing so once or twice per day for up to several weeks. Over time, this process will typically stretch out the foreskin and make it easier and more comfortable to pull back. If the incremental approach isn't helping enough, try a more dedicated stretching program. If the ring at the tip of your foreskin is tight, use your fingers to gently stretch it wider for 20-30 seconds at a time. If other areas of your foreskin are tight, you can similarly use your hands to gently stretch those areas.  Do the exercises for 3-5 minutes, up to 3 times per day. It could take several weeks to a year or more to get noticeable results. You might also consider using a “flesh tunnel,” which is a silicone ring you place under the top ring of your foreskin for a few hours at a time each day. The device will help to incrementally stretch the foreskin. Stop the exercises if you experience pain, redness, or bleeding. Talk to your doctor for guidance. If stretching exercises don't help you retract your foreskin without pain, or if you deal with recurring redness, swelling, or discharge, talk to your doctor. They'll present you with appropriate medical treatment options.  They may prescribe a topical steroid cream for you to apply daily. Topical steroids help to stretch the foreskin. If you have an infection because of a tight foreskin, you might be prescribed an antifungal cream or antibiotics. In some cases, circumcision—the surgical removal of the foreskin—might be recommended as the best option. For adults, this is typically a quick procedure done under local anesthesia, with a healing time of 1 to 2 weeks.