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The authors hope this paper provides communities interested in developing and improving stroke systems of care with a better understanding of EMSS for stroke through the recommendations, examples, and resources discussed.
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Research indicates that patients with impaired kidney function, including premature neonates, who receive parenteral levels of aluminum at greater than 4 to 5 mcg/kg/day accumulate aluminum at levels associated with central nervous system and bone toxicity.
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The dosage should be adjusted accordingly, or preferably, the blood concentration should be determined at appropriate intervals.
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The clinical relevance of genotypic and phenotypic changes associated with didanosine therapy has not been established.
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They usually disappear by themselves and seldom require treatment.
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If the patient has not adhered to the prescribed schedule, the possibility of pregnancy should be considered at the time of the first missed period and further use of oral contraceptives should be withheld until pregnancy has been ruled out.
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Inhibitors of CYP2D6 — Because CYP2D6 is involved in duloxetine metabolism, concomitant use of duloxetine with potent inhibitors of CYP2D6 may result in higher concentrations of duloxetine.
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In genes that undergo genomic imprinting, the parent of origin is often marked, or “stamped,” on the gene during the formation of egg and sperm cells.
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Abdominal pain and discomfort: Some people have pain when gas is present in the intestine.

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Others that are not stained by crystal violet are referred to as Gram negative, and appear red.
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Measurement of indices of iron in the blood plays an important role in making the diagnosis of hemochromatosis.
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If full diagnostic facilities are not immediately available, cyanosis (pO2 less than 40 torr) and restricted pulmonary blood flow apparent on an X-ray are appropriate indicators of congenital heart defects.
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Similarly, in other reports, serious toxicity from theophylline is seen principally at serum concentrations >30 mcg/mL.
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Ultrasound can also detect whether there is an artery or blood vessel causing the lump.

Therefore, Ceftriaxone Injection, USP and calcium-containing solutions, including continuous calcium-containing infusions such as parenteral nutrition, should not be mixed or co-administered to any patient irrespective of age, even via different infusion lines at different sites.
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In many instances, these obstacles can be related to a fragmentation of stroke-related care caused by inadequate integration of the various facilities, agencies, and professionals that should closely collaborate in providing stroke care.
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Previous PageGlossary Printer-Friendly Format |  Email to a Friend Privacy Policy Emotional Wellness Get tips on therapy and treatment.
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When medications are not effective, one additional option is surgery to destroy the abnormal brain cells that are responsible for the tremors.
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Those individuals who carry the defective geneare at a very high risk (75%-100%) for developing colon cancer.
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Editors: N Stuart Harris, MD, MFA, Staff Physician, Department of Emergency Medicine, Harvard Medical School; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; James Kimo Takayesu, MD, Staff Physician, Department of Emergency Medicine, Brigham and Women's Hospital/Massachusetts General Hospital.
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It belongs to a family of antimigraine drugs called triptans.

External radiation therapy uses a machine outside the body to send radiation toward the cancer.
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Because the body does not have a mechanism to rid the excess iron, this imbalance between gains and losses results in accumulation of the extra iron in some of the organs in the body.
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In muscle and other tissues (except the brain), insulin causes rapid transport of glucose and amino acids intracellularly, promotes anabolism, and inhibits protein catabolism.
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While maximum plasma concentrations of losartan and its active metabolite are approximately equal, the AUC of the metabolite is about 4В times as great as that of losartan.
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The mitral valve controls the flow of blood through two of the chambers in the heart, the left atrium and the left ventricle.
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IN THIS ARTICLEHistory of Biological WarfareHow Biological Agents Are Delivered and DetectedBacteriaVirusesToxinsMultimediaSynonyms and KeywordsReferencesAuthors and EditorsBacteriaANTHRAX Anthrax bacteria occur worldwide.
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These symptoms are even more significant if accompanied with high fever and chills: Urinary burning or painDifficulty passing urineDifficulty or pain when starting urinationPain in your genital areaPain with ejaculationDoctors usually diagnose and treat prostate infections on an outpatient basis.
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It is even speculated that an effective "immunization" procedure could be developed - by ingesting the coctail at an early age.
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For more information on NICHD-supported research on miscarriage, read the Institute's news releases on miscarriage.
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General anesthesia is provided, which means the patient is asleep during the procedure.
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FLUID AND ELECTROLYTE BALANCE– THE USE OF MOTOFEN® DOES NOT PRECLUDE THE ADMINISTRATION OF APPROPRIATE FLUID AND ELECTROLYTE THERAPY.
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Coauthor(s):Marc D Feldman, MD, Clinical Professor of Psychiatry, Department of Psychiatry and Behavioral Medicine, Private Practitioner.
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IN THIS ARTICLEAS Neurologic OverviewAS Neurologic CausesAS Neurologic SymptomsExams and TestsAS Neurologic TreatmentSelf-Care at HomeMedicationsSurgeryPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsSurgerySurgical treatment may be necessary for some complications of ankylosing spondylitis.
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IN THIS ARTICLEChronic Kidney Disease OverviewChronic Kidney Disease CausesHow Common is Chronic Kidney Disease?Chronic Kidney Disease SymptomsWhen to Seek Medical CareExams and TestsChronic Kidney Disease TreatmentMedical TreatmentDialysisTransplantationNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsViewer Comments: Chronic Kidney Disease - Describe Your ExperienceChronic Kidney Disease SymptomsThe kidneys are remarkable in their ability to compensate for problems in their function.
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Coauthor(s):Kathryn L Hale, MS, PA-C, Medical Writer, eMedicine.
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Patients with renal insufficiency had a shortened elimination half-life and decreased total AUC (free and bound).
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A physician insert, patient information, and insertion and removal instructions are also provided in the box.
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Intravenous Immunoglobulin (IVIG) with C. diff antitoxin has been used in the treatment of recurrent infections, but the results are not better than the standard treatment.
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The synthetic compound provided better therapeutic benefit than vitamin A, while also producing fewer side effects.
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IN THIS ARTICLEHead Injury OverviewHead Injury CausesHead Injury SymptomsWhen to Seek Medical CareExams and TestsHead Injury TreatmentSelf-Care at HomeMedical TreatmentNext StepsPreventionOutlookSynonyms and KeywordsAuthors and EditorsViewer Comments: Head InjuryWhen to Seek Medical CareEmergency personnel should immediately attend to all potentially serious head injuries.
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Epirubicin pharmacokinetics are linear over the dose range of 60 to 150 mg/m2 and plasma clearance is not affected by the duration of infusion or administration schedule.
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IN THIS ARTICLEVomiting and Nausea OverviewVomiting and Nausea CausesVomiting and Nausea SymptomsWhen to Seek Medical CareExams and TestsVomiting and Nausea TreatmentSelf-Care at HomeMedical TreatmentMedicationsOther TherapyNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsViewer Comments: Nausea And Vomiting - Describe Your ExperienceNext StepsFollow-upRest and diligently drink plenty of fluids.

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The hypotension was symptomatic (mainly diaphoresis or dizziness) in about 12% of patients, and therapy was discontinued in about 11% of patients, about half of whom were symptomatic.
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You should continue using the medicines that were chosen to treat the acute attack of glaucoma for 1 day after leaving the hospital or clinic following the iridotomy; after 1 day, you may stop taking these medications.

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Authors and EditorsAuthor:&nbsp;Scott H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine.
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Last Editorial Review: 10/6/2005123456789101112131415&laquo; Previous PageGlossary Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Cancer Get the latest treatment options.
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The mRNA interacts with a specialized complex called a ribosome, which “reads” the sequence of mRNA bases.
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IN THIS ARTICLEAcute Angle-Closure Glaucoma OverviewAcute Angle-Closure Glaucoma CausesAcute Angle-Closure Glaucoma SymptomsWhen to Seek Medical CareExams and TestsAcute Angle-Closure Glaucoma TreatmentSelf-Care at HomeMedical TreatmentMedicationsSurgeryNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsMedications Medicines that are used for acute angle-closure glaucoma prepare you to undergo either a laser iridotomy or a surgical iridotomy.
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Media type:&nbsp; Image12345678&laquo; Previous PageGlossaryNext Page &raquo;Next: Synonyms and Keywords &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Women's Health Find out what women really need.
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IN THIS ARTICLECircadian Rhythm Disorder OverviewCircadian Rhythm Disorder CausesCircadian Rhythm Disorder SymptomsWhen to Seek Medical CareQuestions to Ask the DoctorExams and TestsCircadian Rhythm Disorder TreatmentSelf-Care at HomeMedical TreatmentMedicationsNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsNext StepsFollow-upPersons with DSPS who respond initially to chronotherapy may gradually shift back to their old sleep pattern.
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A compendium of inspirational and motivational quotations organized by theme: Grief.
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Editors:&nbsp;Scott H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; Jeter (Jay) Pritchard Taylor III, MD, Vice-Chief, Compliance Officer, Attending Physician Emergency Medicine Residency, Department of Emergency Medicine, Palmetto Richland Memorial Hospital, University of South Carolina.
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IN THIS ARTICLEStingray Injury OverviewStingray Injury CausesStingray Injury SymptomsWhen to Seek Medical CareExams and TestsStingray Injury TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookPicturesSynonyms and KeywordsAuthors and EditorsPreventionTo prevent stingray injury, don't purposely harass or handle a stingray.
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The main binding protein was serum albumin although the drug was slightly bound to О±-1-acid glycoprotein.
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When restarting patients who have had even a brief interval off FazaCloВ® (clozapine, USP) (ie, 2В days or more since the last dose), it is recommended that treatment be reinitiated with a 12.5-mg dose once or twice daily.
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This summary section refers to specific treatments under study in clinical trials, but it may not mention every new treatment being studied.

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IN THIS ARTICLESmall-Cell Lung Cancer OverviewSmall-Cell Lung Cancer CausesSmall-Cell Lung Cancer SymptomsWhen to Seek Medical CareExams and TestsSmall-Cell Lung Cancer TreatmentMedical TreatmentMedicationsSurgeryOther TherapyNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsOther Therapy Radiation therapy Radiation therapy is the use of high-dose x-rays or other high-energy rays to kill cancer cells.
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IN THIS ARTICLESprains and Strains OverviewSprains and Strains CausesSprains and Strains SymptomsWhen to Seek Medical CareExams and TestsSprains and Strains TreatmentSelf-Care at HomeMedical TreatmentSurgeryNext StepsPreventionOutlookAuthors and EditorsMedical TreatmentSprains and strains can usually be treated with home therapy using the RICE interventions.
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Renal Impairment – After oral administration of hydromorphone at a single 4 mg dose (2 mg hydromorphone hydrochloride tablets), exposure to hydromorphone (Cmax and AUC0-48) is increased in patients with impaired renal function by 2-fold in moderate (CLcr = 40 to 60 mL/min) and 3-fold in severe (CLcr &lt; 30 mL/min) renal impairment compared with normal subjects (CLcr &gt; 80 mL/min).
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Prions may infect humans who eat meat from infected cattle.
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Wernecke- Korsakoff syndrome is one type of alcoholic encephalopathy that is caused by thiamine (vitamin B1) deficiency due to malnutrition.
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Following an intravenous dose of 1В gram of cefoxitin, serum concentrations were 110В mcg/mL at 5В minutes, declining to less than 1В mcg/mL at 4В hours.
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J. Hygiene 8: 445–456. ^ Leigh, B.C., &amp; Dunford, R.G. Alcohol use in scuba divers treated for diving injuries: A comparison of decompression sickness and arterial gas embolism.
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Almost entirely founded on Shiva and Shakti worship, Tantra visualizes the ultimate Brahman as Param Shiva, manifested through Shiva (the passive, masculine force of Lord Shiva) and Shakti (the active, creative feminine force of his consort, variously known as Ma Kali, Durga, Shakti, Parvati and others).

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In this test, dye is injected into a vein, and x-rays are assessed to look for evidence of a blood clot in a deep vein of the leg.
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The lactose molecules draw water into the intestines (by a process similar to osmosis).

Median Tlag occurs 1 hour earlier and Tmax occurs 0.5 hours earlier, and median Cmax and AUC are 2-fold and 2.5-fold higher, respectively.
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Authors and EditorsAuthor:&nbsp;Scott H Plantz, MD, FAAEM, Research Director, Assistant Professor, Department of Emergency Medicine, Mount Sinai School of Medicine.
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While there was an increase in uterine adenocarcinomas in rats receiving sertraline at 10–40 mg/kg (0.5–2.0 times the MRHD on a mg/m2 basis) compared to placebo controls, this effect was not clearly drug related.
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Spironolactone (Aldactone) is a first line diuretic medication that helps block the chemical aldosterone which is responsible for salt retention in the body.
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The complete blood count test measures the quantity of all the different types of cells in the blood.
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As the uterus grows in size and weight, these ligaments become very long and thin, stressing and tensing like rubber bands.
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Decreased ovary weight, and corpora luteal depletion and uterine atrophy were observed to a greater extent in the females receiving the high–dose combination than in females receiving either olanzapine or fluoxetine alone.
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The doctor can use the endoscope to open a duct or remove a gallstone (ERCP).

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In addition, the complete text of the MedGuide is reprinted at the end of this document.
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A few adverse effects on the child have been reported, including yellowing of the skin (jaundice) and breast enlargement.
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More than one surgery may be needed to treat the condition.
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Creatinine clearance rate (either carefully measured or estimated from published   nomograms or equations based on patient’s age, sex, body weight, and serial   creatinine concentrations) (preferred over BUN).
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LEEP can sometimes also be used to treat severe dysplasia or cancers that have not invaded into the deeper tissues of the cervix (known as carcinoma in situ).
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PatientsВ and their families or other caregivers should discuss allВ treatment choices with the healthcare provider, not just the use of antidepressants.

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Because modern acupuncture needles are disposable and used only once, there is no risk of transmitting infections from one person to another.
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When clinical trials show that a new treatment is better than the standard treatment, the new treatment may become the standard treatment.

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Hi  Bernard &amp; Takao;

I have to say  all those knowledge are  new for me , but after i read   sometimes i feel those  knowledge have base in physiotherapy literature  , but you are using different terminologies.
What i have understood ,There is painful certain movement  , even without that movement performing ,and painful movement with a background in different site .

Am i on the right track?
Please  , example could be so clear to help

thanks emad

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Editors:&nbsp;N Stuart Harris, MD, MFA, Staff Physician, Department of Emergency Medicine, Harvard Medical School; Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine; James Kimo Takayesu, MD, Staff Physician, Department of Emergency Medicine, Brigham and Women's Hospital/Massachusetts General Hospital.
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The chakras are thought to vitalize the physical body and to be associated with interactions of both a physical and mental nature.
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IN THIS ARTICLEWhy is good nutrition such a challenge for people with Crohn disease?What are nutrients and why are nutritional deficiencies such a hazard for those with Crohn disease?Is my diet to blame for my Crohn disease?I have had food allergies for many years, and now I have Crohn disease.
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Severe changes in renal function (equivalent to WHO Grade 4) occurred in no more than 1% of patients, while severe changes in hepatic function (equivalent to WHO Grade 4) occurred in less than 5% of patients.
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Previous PageGlossaryNext Page &raquo;Next: Outlook &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Women's Health Find out what women really need.
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See [#section-9 Adverse Reactions].) Psychiatric disturbances, agitation, anxiety, and sleep disorders may be more common with lomefloxacin than other products in the quinolone class.
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Patients should receive supplemental calcium and vitamin D if dietary intake is inadequate (see [#section-9.1 PRECAUTIONS, General]). Calcium supplements or calcium-, aluminum-, and magnesium-containing medications may interfere with the absorption of ACTONEL and should be taken at a different time of the day, as with food.
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Figure 2 presents the proportion of patients (X axis) whose percentage reduction from baseline in complex partial seizure rates was at least as great as that indicated on the Y axis in the monotherapy study.
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Adverse events that occurred with an incidence of 1.5% or greater at any of the recommended doses of 2.5 mg to 10 mg once a day (PLENDIL, N = 861; Placebo, N = 334), without regard to causality, are compared to placebo and are listed by dose in the table below.
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The procedures used for prenatal testing carry a small but real risk of losing the pregnancy (miscarriage) because they require a sample of amniotic fluid or tissue from around the fetus.

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Electroencephalography (EEG) IntroductionThe electroencephalogram (EEG) is a measure of brain waves.
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The resulting solution will contain approximately 100 mg/mL of ceftriaxone.
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Previous PageGlossaryNext Page &raquo;Next: Medical Treatment &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Living Better Find the secrets to longer life.

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IN THIS ARTICLECircumcision OverviewWhen to Seek Medical CareCircumcision TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsNext StepsFollow-upTake your child for follow-up care with his pediatrician at two weeks if no complications arise.

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Two thousand three hundred twenty-one women from the original HERS trial agreed to participate in an open-label extension of HERS—HERS II.
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If miliaria or folliculitis occurs, use of the occlusive dressing should be discontinued.
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This property of CORTROSYNв„ў assumes added importance in view of the known antigenicity of natural ACTH.
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Can I get some help?For More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsWhat is an elemental diet?Elemental diets are liquid diets that contain all the nutrients your body needs.
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Such tests include penile or pelvic blood flow studies, nocturnal penile tumescence testing, penile biothesiometry (nerve testing), and/or more blood tests.
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All patients should be carefully and constantly monitored for 24 hours after the procedure for signs of internal hemorrhage or bile leakage; if these complications are recognized immediately, remedial measures can be instituted promptly with minimal increase in morbidity.
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The mean time to onset of maximum T1 suppression was generally faster for pediatric patients induced with halothane compared to thiopentone/fentanyl and the clinically effective duration (time to 25% recovery) was longer (by up to 15%) for pediatric patients under halothane anesthesia.
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The card should alert emergency personnel about the need to inject 100 mg of cortisol if its bearer is found severely injured or unable to answer questions.

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In this uncontrolled study, acyclovir was detected in the blood of 9В patients and in the urine of all patients tested.
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Abnormalities will be noted in the rectum and colon in persons with Crohn&nbsp;disease and ulcerative colitis.
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The diagnosis of cardiomyopathy begins with history.
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Gastroparesis is a disorder in which the stomach takes too long to empty its contents.
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Researchers are working to determine how this change in the protein's function affects early development.
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Also, a person must be able to sense, understand, and respond to the urge to urinate.

Cataract development is usually a very gradual process of normal aging but can occasionally occur rapidly.
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Patients had received daily ACTONEL (2.5 mg or 5 mg) or placebo for 2 to 3 years.
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Variable expressivity refers to the range of signs and symptoms that can occur in different people with the same genetic condition.
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In adult HIV-infected patients taking 500- or 1000-mg doses of clarithromycin every 12 hours, steady-state clarithromycin Cmax values ranged from 2 to 4 Вµg/mL and 5 to 10 Вµg/mL, respectively.
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When the causative organism is Streptococcus, the disease is called streptococcal toxic shock syndrome (STSS).
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Several procedures help remove air or fluid from the chest and abdominal cavities and prevent them from building up in the chest cavity.

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Stroke is also a leading cause of functional impairments, with 20% of survivors requiring institutional care after 3 months and 15% to 30% being permanently disabled.
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Other less common complications include infection and retinal detachment either during surgery or afterward, both of which can be immediately treated.
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You can request that medical students or residents not take care of you when you are admitted to your personal doctor&rsquo;s care, but as a rule, not when admitted to the care of a service doctor.
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IN THIS ARTICLEHuntington Disease Dementia OverviewHuntington Disease Dementia CausesHuntington Disease Dementia SymptomsWhen to Seek Medical CareExams and TestsHuntington Disease Dementia TreatmentSelf-Care at HomeMedical TreatmentMedicationsNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsViewer Comments: Huntington Disease - Describe Your ExperienceMedical TreatmentNo known treatment improves cognitive deficits in HD.
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IN THIS ARTICLEHow to Use a Condom OverviewThe Male CondomBefore SexPreparing for SexDuring SexAfter SexStoring CondomsEffectivenessFemale CondomDental DamsFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsEffectivenessThe failure rate of condoms in couples&nbsp;who use them consistently and correctly during the first year of use is estimated to be about 3%. However, the true failure rate is estimated to be about 14% during the first year of typical use.
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There is a direct relationship between renal function, as measured by serum creatinine or creatinine clearance, and the elimination rate of sotalol.
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The course of whooping cough is divided into three stages.
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Neither enalapril maleate nor the active diacid was mutagenic in the Ames microbial mutagen test with or without metabolic activation.
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Systemic acyclovir should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
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However, co–administration of Cymbalta with aluminum– and magnesium–containing antacids (51 mEq) or Cymbalta with famotidine, had no significant effect on the rate or extent of duloxetine absorption after administration of a 40–mg oral dose.
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IN THIS ARTICLEIntroduction to BreastfeedingComparison with Formula-FeedingBenefits of BreastfeedingPrepare for BreastfeedingFirst FeedingsPositioning and Latch-on SkillsMilk ProductionHome and Medical CareFor More InformationWeb LinksMultimediaSynonyms and KeywordsReferencesAuthors and EditorsMilk ProductionBreast enlargement during pregnancy occurs primarily from the growth of milk-producing glands.
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Lower dosages are also recommended for outpatients compared to hospitalized patients, who are closely supervised.
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Qualified health claims continue to be the subject of heated controversy and litigation.

Alcohol: Alcohol increased the AUC of tizanidine by approximately 20% while also increasing its Cmax by approximately 15%. This was associated with an increase in side effects of tizanidine.
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Trifluridine Ophthalmic Solution should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
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In the paragraphs that follow, the frequencies of less commonly reported adverse clinical events are presented.
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Some cases of myasthenia gravis may go into remission temporarily, and muscle weakness may disappear so that medications can be discontinued.
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EPZICOM is not recommended for patients with impaired renal function or impaired hepatic function (see PRECAUTIONS and DOSAGE AND ADMINISTRATION).
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It has an obligatory blood feeding habit of several times a day and will die in 2-3 hrs if it falls off the body.
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In the usual patient, the most frequent side effects are likely to be an extension of the pharmacological activity of alprazolam, eg, drowsiness or lightheadedness.
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Even if the doctor removes all the cancer that can be seen at the time of the surgery, some patients may be given chemotherapy or radiation therapy after surgery to kill any cancer cells that are left.

PPHN occurs in 1—2 per 1000 live births in the general population and is associated with substantial neonatal morbidity and mortality.
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Irritating additive medications may need to be injected at another venous site.
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A small proportion of type 1 diabetics carry a mutation that causes maturity onset diabetes of the young (MODY).
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The effects of combining ACTONEL 5 mg daily with conjugated estrogen 0.625 mg daily (n = 263) were compared to the effects of conjugated estrogen alone (n = 261) in a 1-year, randomized, double-blind study of women ages 37 to 82 years, who were on average 14 years postmenopausal.
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Undertreatment may result in poor school performance due to impaired concentration and slowed mentation and in reduced adult height.
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During these trials the appearance of new opacities was noted in both the lovastatin immediate-release and placebo groups.
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Humalog is synthesized in a special non–pathogenic laboratory strain of Escherichia coli bacteria that has been genetically altered to produce insulin lispro.

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IN THIS ARTICLEDementia in Head Injury OverviewDementia in Head Injury CausesDementia in Head Injury SymptomsWhen to Seek Medical CareExams and TestsDementia in Head Injury TreatmentSelf-Care at HomeMedical TreatmentMedicationsOther TherapyNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsPreventionHead injury and its resulting complications, such as dementia, are highly preventable.

IN THIS ARTICLEMedical Acupuncture IntroductionHistoryTaoist OriginsAcupuncture PhysiologyAcupuncture NeedlesSide EffectsMedical InsuranceMultimediaSynonyms and KeywordsReferencesAuthors and EditorsMultimediaMedia file 1: The traditional symbol of Yin and Yang, symbolizing the dual, polar nature of the universe.
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IN THIS ARTICLEAcromegaly OverviewAcromegaly CausesAcromegaly SymptomsWhen to Seek Medical CareExams and TestsAcromegaly TreatmentSelf-Care at HomeMedical TreatmentMedicationsSurgeryNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsAcromegaly CausesHormones are chemicals that control important body functions such as metabolism, growth and development, and reproduction.
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A range of search terms* identified &gt;1000 articles of potential interest, and a review of these primary articles generated additional references, as did Task Force members.
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Bronchoscopy involves inserting a flexible fiberoptic scope into the airway (trachea).

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The contribution of the underlying disease and/or prior corticosteroid treatment to the risk is also not known.
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This summary section refers to specific treatments under study in clinical trials, but it may not mention every new treatment being studied.
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Hematologic—Anemia was reported significantly more frequently in nizatidine- than in placebo-treated patients.
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KETEK was studied in four randomized, double-blind, controlled studies and four open-label studies for the treatment of community-acquired pneumonia.
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Since the reproductive fitness of affected individuals is low, almost all cases of Apert syndrome result from new mutations in the gene, and occur in people with no history of the disorder in their family.
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In the U.S., the recommended treatment regimens for both paucibacillary leprosy and multibacillary leprosy differ from the WHO recommendations.

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Benazeprilat is only slightly dialyzable, but dialysis might be considered in overdosed patients with severely impaired renal function (see WARNINGS).
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These include MRI, bone marrow aspiration and biopsy, lumbar puncture, and ultrasound, which do not use radiation.
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The chest X-ray also has a poor ability to detect infection in the early stages of disease, the damage to the lungs may not yet have become sufficiently marked to be detectable by chest X-ray and thus people who have active tuberculosis can be missed.
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Patients with severe hepatic disease metabolize metronidazole slowly, with resultant accumulation of metronidazole and its metabolites in the plasma.
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IN THIS ARTICLEShoulder Separation OverviewShoulder Separation CausesShoulder Separation SymptomsWhen to Seek Medical CareExams and TestsShoulder Separation TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upOutlookMultimediaSynonyms and KeywordsAuthors and EditorsAuthors and EditorsAuthor:&nbsp;Samuel M Keim, MD, Program Director, Associate Professor, Department of Surgery, Division of Emergency Medicine, University of Arizona Health Sciences Center.
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In the 8-week, double-blind period of the comparative trial with bromocriptine, Cabergoline (at a dose of 0.5 mg twice weekly) was discontinued because of an adverse event in 4 of 221 patients (2%) while bromocriptine (at a dose of 2.5 mg two times a day) was discontinued in 14 of 231 patients (6%). The most common reasons for discontinuation from cabergoline were headache, nausea and vomiting (3, 2 and 2 patients respectively); the most common reasons for discontinuation from bromocriptine were nausea, vomiting, headache, and dizziness or vertigo (10, 3, 3, and 3 patients respectively).
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However, evidence shows that although men are nine times more likely than women to develop reactive arthritis due to sexually acquired infections, women and men are equally likely to develop reactive arthritis as a result of food-borne infections.
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The symptoms occurred in two of the five subjects during the third day of the treatment and disappeared within 2 days of discontinuation of the drug.
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Oral-contraceptive use should be discontinued if pregnancy is confirmed.
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If this treatment is not successful, women with PCOS and infertility may require other, more aggressive, treatments for infertility such as injection of gonadotropin hormones and assisted reproductive technologies.

The degree of toxicity to male reproduction was related to dose and duration of exposure.
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If you do not need hospitalization, your ophthalmologist will prescribe eyedrops and pain medications for you to take regularly at home.
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Less than 2% of the dose is excreted in the feces.
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When blood vessels are damaged or begin to leak, blood is able to clot to repair the damage and restore integrity to the circulatory system.
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A decreased clearance was also observed in the elderly (348 mL/min) compared to young subjects (519 mL/min) following intravenous administration.
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The total blood clearance of fluticasone propionate is high (average, 1,093В mL/min), with renal clearance accounting for less than 0.02% of the total.
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In patients who develop unexplained lethargy and vomiting or changes in mental status, hyperammonemic encephalopathy should be considered and an ammonia level should be measured.
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Persons with stage IIIB or IV tumors are generally not candidates for surgery.
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Most patients received a single dose of Ca-DTPA.
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Knowledge about drug use and abuse is key to preventing abuse in the first place and avoiding relapse among those who are recovering.

They help you see that your situation is not unique and not hopeless, and that gives you power.
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All NSAIDs, both COX-2 selective and non-selective, may have a similar risk.
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The effectiveness of Valium in long-term use, that is, more than 4 months, has not been assessed by systematic clinical studies.
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Brain hemorrhage is rare with platelet counts &gt;20 000 mm3. Even with lower platelet counts, spontaneous ICH is uncommon in the absence of trauma.
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Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs.
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Given the likelihood that a substantial proportion of patients exposed chronically to neuroleptics will develop tardive dyskinesia, it is advised that all patients in whom chronic use is contemplated be given, if possible, full information about this risk.
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Additionally, they may fall asleep, watch TV, or listen to music at this time.

This blood vessel disease is called cardiac allograft vasculopathy (CAV).
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Important Safety Information                Do not take UROXATRAL if you have liver problems or if you are taking antifungal drugs like ketoconazole or itraconazole, or HIV drugs like ritonavir.
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If intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatment, then resuming the previously prescribed dose may be considered.

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A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer, tumors, and related conditions.
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It is this rhythmic quality that defines and distinguishes tremors from any other abnormal movements.
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Many people with the disorder recover substantial function after their initial injury, and the ability to walk is recovered in most cases, although some impairment may remain.
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The management of NMS should include 1) immediate discontinuation of metoclopramide and other drugs not essential to concurrent therapy, 2) intensive symptomatic treatment and medical monitoring, and 3) treatment of any concomitant serious medical problems for which specific treatments are available.
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When a person is not speaking, the vocal cords remain apart to allow breathing.
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If a person's chest x-ray film or scan suggests that a tumor is present, he or she will undergo a procedure for diagnosis.
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Previous PageGlossaryNext Page &raquo;Next: Dizziness Treatment &raquo;Viewer Comments &amp; ReviewsDizziness - Describe Your DiagnosisThe eMedicineHealth physician editors ask:Please describe your diagnosis of your dizziness.

The right side of the heart pumps blood to the lungs to pick up oxygen.
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Pregnant women with innocent murmurs due to increased blood volume also do not need treatment.
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PROPULSIDВ® should not be used concomitantly with other drugs known to prolong the QT interval: certain antiarrhythmics, including those of Class IA (such as quinidine and procainamide) and Class III (such as sotalol); tricyclic antidepressants (such as amitriptyline); certain tetracyclic antidepressants (such as maprotiline); certain antipsychotic medications (such as sertindole); bepridil, and sparfloxacin.
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It is important to know that men with testicular cancer often have fertility problems even before their cancer is treated.
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IN THIS ARTICLEChronic Kidney Disease OverviewChronic Kidney Disease CausesHow Common is Chronic Kidney Disease?Chronic Kidney Disease SymptomsWhen to Seek Medical CareExams and TestsChronic Kidney Disease TreatmentMedical TreatmentDialysisTransplantationNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsViewer Comments: Chronic Kidney Disease - Describe Your ExperienceMultimediaMedia file 1: Kidney and surrounding anatomy.
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Antidepressants increased the risk of suicidal thinking and behavior (suicidality) in short-term studies in children and adolescents with Major Depressive Disorder (MDD) and other psychiatric disorders.
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IN THIS ARTICLEPersonal Protective Equipment IntroductionHow Exposure OccursCivilian EquipmentMilitary EquipmentLevels of Personal Protective EquipmentChoosing the Right Protective EquipmentLimitations of Protective EquipmentMultimediaSynonyms and KeywordsReferencesAuthors and EditorsAuthors and EditorsAuthor:&nbsp;Jeffrey L Arnold, MD, FACEP, Medical Director, Office of Emergency Preparedness, Assistant Clinical Professor of Emergency Medicine, Section of Emergency Medicine, Yale New Haven Hospital.
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These bones go from the elbow to the wrist and are regarded as the forearm.

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Although the walk through the valley of the shadow of death is the toughest part of life for the human spirit to endure, most of us move beyond the shadows and once again enjoy the sunlight.
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Evidence supporting this claim was obtained in randomized controlled clinical investigations that compared the effects of added selegiline or placebo in patients receiving levodopa/carbidopa.
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If adequate response is not obtained with this dose, it may be increased to 1 ВЅ caplets (750 mg) three or four times daily.
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When Reversal of Naltrexone Blockade is Required: In an emergency situation in patients receiving fully blocking doses of naltrexone, a suggested plan of management is regional analgesia, conscious sedation with a benzodiazepine, use of non-opioid analgesics or general anesthesia.

At present, the only means of preventing new cases of hepatitis C are to screen the blood supply, encourage health professionals to take precautions when handling blood and body fluids, and inform people about high-risk behaviors.
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This sample is then taken to the laboratory for analysis, and the complete blood count results may be available within hours after collection.
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The liposomes encapsulating daunorubicin are dispersed in an aqueous medium containing 2,125 mg sucrose, 94 mg glycine, and 7 mg calcium chloride dihydrate in a total volume of 25 mL/vial.
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Or, the histamine-liberating effect of these compounds may induce an allergic-like reaction which may range in severity from rhinitis or angioneurotic edema to laryngeal or bronchial spasm or anaphylactoid shock.
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According to a study by the National Institute on Deafness and Other Communication Disorders (NIDCD), approximately one-third of individuals with EVA and hearing loss have Pendred syndrome.

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The Centers for Disease Control and Prevention (CDC) has compiled guidelines for the management and treatment of chronic hepatitis C.[4] These guidelines are based on published research summarized below.
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An estimated 1 million people in the U.S. have Paget's disease, or about 1.3 people per 100 men and women age 45-74. The disease is more common in older people and those of Northern European heritage.
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The mean minimum lithium concentration increased 15% and the renal clearance was decreased by approximately 20%. These effects have been attributed to inhibition of renal prostaglandin synthesis by the NSAID.
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Studies from Britain and the US have shown an increased risk of developing hepatocellular carcinoma in long term (≥ 8 years)52-54,96 oral contraceptive users.

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Rare reports of intestinal obstruction, including two deaths, have been reported in pediatric patients.
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Two of the most common cardiomyopathies are ischemic (due to poor blood supply to the heart muscle as described above) and hypertensive.
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In individuals whose internal contamination is only by inhalation within the preceding 24 hours, Ca-DTPA can be administered by nebulized inhalation as an alternative route of administration.
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The increased blood flow can put a strain on the heart.
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These steps have demonstrated in vitro inactivation of a panel of model viruses, including human immunodeficiency virus (HIV-1). The risk of contamination from slowly acting or latent viruses, including the Creutzfeldt-Jacob disease agent, is believed to be remote but has not been tested.
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Since most disorders of vocal abuse and misuse easily recur following surgery if the vocal misuse continues, another period of voice therapy by a speech-language pathologist after surgery may help prevent recurrence of the problem.
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Here we are using the conventional prefix anti- to designate the class of drugs that opposes or reduces the effects of a condition.
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This process is termed posterior capsule opacification, or a "secondary cataract.
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IN THIS ARTICLECerebral Palsy OverviewCerebral Palsy CausesCerebral Palsy SymptomsWhen to Seek Medical CareExams and TestsCerebral Palsy TreatmentMedical TreatmentMedicationsOther TherapyNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsPreventionOften the cause of cerebral palsy is not known, and nothing can be done to prevent it.
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Chronic mucocutaneous disease (disease of mucous membrane and regular skin) involves the nail plate (fingernail or toenail) and eventually the nail fold (the skin fold behind the cuticle, where the nail meets the finger or toe).

This disease is called bipolar disorder because the mood of a person with bipolar disorder can alternate between two completely opposite poles, euphoric happiness and extreme sadness.
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NSAIDs may decrease inflammatory changes that are common in Alzheimer disease, or they may inhibit platelets, thereby protecting blood flow in the brain.
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Patients must be instructed on handling of special situations such as intercurrent conditions (illness, stress, or emotional disturbances), an inadequate or skipped insulin dose, inadvertent administration of an increased insulin dose, inadequate food intake, or skipped meals.
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Prior to complete conversion, commonly used immunoanalytical techniques, such as TDxВ®/TDxFLxв„ў (fluorescence polarization) and EmitВ® 2000 (enzyme multiplied), may significantly overestimate plasma phenytoin concentrations because of cross-reactivity with fosphenytoin.
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Of the patients receiving ACTONEL in postmenopausal osteoporosis studies (see [#section-4 CLINICAL STUDIES]), 47% were between 65 and 75 years of age, and 17% were over 75. No overall differences in efficacy or safety were observed between these patients and younger patients but greater sensitivity of some older individuals cannot be ruled out.

A voice recording is often made, and trial therapy techniques may be used to test their effectiveness at improving the voice.
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The trial included 457 patients valid for the primary efficacy determination.
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After approximately one week, gradual withdrawal of the systemic corticosteroid is started by reducing the daily or alternate daily dose.
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The majority of patients received between 7 and 14 days of SPORANOXВ® Injection.
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Absorption of nasally administered calcitonin has not been studied in postmenopausal women.
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This information does not take the place of talking to your healthcare provider about your medical condition or your treatment.

Babies born with PPHN have abnormal blood flow through the heart and lungs and do not get enough oxygen to their bodies.
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In Phase 5, human-to-human spread is documented in at least two countries in one WHO region and may well indicated a pandemic is imminent.
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It is now commonly recognized that even minor head injuries can have long-term consequences (usually psychological or learning disabilities).
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Previous PageGlossaryNext Page &raquo;Next: Outlook &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Parenting and Pregnancy Get tips for baby and you.
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These agents were administered more frequently with combination therapy than with monotherapy (granulocyte growth factors: 23.6% and 10.1%, respectively; erythropoetic agents: 7.3% and 3.9%, respectively).
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The identity of the toxin is unknown.

The NCI Web site provides online access to information on cancer, clinical trials, and other Web sites and organizations that offer support and resources for cancer patients and their families.
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RIBAVIRIN THERAPY SHOULD NOT BE STARTED UNTIL A REPORT OF A NEGATIVE PREGNANCY TEST HAS BEEN OBTAINED IMMEDIATELY PRIOR TO PLANNED INITIATION OF THERAPY.
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Since the function of the blood is to carry oxygen and other nutrients, this poor circulation causes decreased oxygen delivery to tissues in different parts of the body and subsequent damage to those tissues.
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CLAFORAN contains approximately 50.5 mg (2.2 mEq) of sodium per gram of cefotaxime activity.
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IN THIS ARTICLEEye Foreign Body OverviewEye Foreign Body CausesEye Foreign Body SymptomsWhen to Seek Medical CareQuestions to Ask the DoctorExams and TestsEye Foreign Body TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsPreventionEye protection is the best prevention.
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IN THIS ARTICLEDizziness OverviewDizziness CausesDizziness SymptomsWhen to Seek Medical CareExams and TestsDizziness TreatmentSelf-Care at HomeMedical TreatmentNext StepsOutlookSynonyms and KeywordsAuthors and EditorsViewer Comments: Dizziness - Describe Your DiagnosisMedical TreatmentTreatment depends on the cause of the patient's dizziness.

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Tell your ophthalmologist if you have any allergies.
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If an underlying emotional condition is diagnosed the patient should be referred to a psychologist or a psychiatrist.

Endoscopic laser surgery versus serial amniocenteses in the treatment of severe twin-twin transfusion syndrome.
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Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia.
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The drug granulocyte colony stimulating factor, or GCSF, can stimulate white cell production by the bone marrow and help combat infection.

In managing overdose, the possibility of multiple drug involvement should be considered.
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When to Seek Medical CareIf experiencing tooth squeeze, have a dental evaluation and have any damage repaired.
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Cryopexy freezes the area around the hole and helps reattach the retina.
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The potential for supine and sitting hypertension should be evaluated at the beginning of midodrine therapy.
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For really thick, stuck-on scalp flakes, a small soft toothbrush dipped in warm olive oil can be used to very gently massage away some of the flakes daily or every other day.
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In moderate to severe cases, consideration should be given to management with fluids and electrolytes, protein supplementation, and treatment with an antibacterial drug clinically effective against Clostridium difficile colitis.

IN THIS ARTICLEEye Foreign Body OverviewEye Foreign Body CausesEye Foreign Body SymptomsWhen to Seek Medical CareQuestions to Ask the DoctorExams and TestsEye Foreign Body TreatmentSelf-Care at HomeMedical TreatmentNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsEye Foreign Body TreatmentSelf-Care at HomeYou should be able to care for minor debris in your eye at home.
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The 20 mL vial, intended for ICU use only, contains cisatracurium besylate, equivalent to 10 mg/mL cisatracurium.
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Temperature, blood pressure, pulse, and respiratory rate will help guide the direction of testing.

Water is fluoridated in about two-thirds of cities and towns in the United States.
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In both studies, the percentage of patients achieving headache response 2 hours after treatment was significantly greater in patients who received either MAXALT-MLT 5 or 10В mg compared to those who received placebo.
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Certain pain relievers, such as aspirin and non-steroidal anti-inflammatory agents (such as ibuprofen [Advil] or naproxen [Aleve]) are to be avoided for at least seven days before the surgery.

Furosemide (Lasix) and metolazone (Zaroxolyn) may also be added.
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The IL2RG gene encodes for a protein that is essential to immune system function.

Small, pin-point red spots will soon appear.
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In post-marketing experience, cases of severe pulmonary toxicity have been observed with Fludara use which resulted in ARDS, respiratory distress, pulmonary hemorrhage, pulmonary fibrosis, and respiratory failure.
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When chemotherapy is placed directly into the spinal column, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy).
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More than 90% of people with IP have normal vision, but some have a problem with the blood vessels in the back of the eye (retina).

In later stages of osteonecrosis, x-rays may show bone damage, and once the diagnosis is made, they are often used to monitor disease progression.
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Because chemotherapy that is given by mouth or injected into a vein may not reach leukemia cells in the CNS (brain and spinal cord), the cells are able to find “sanctuary†(hide) in the CNS.

Outcomes are poor because the disease is almost always detected too late to initiate effective treatment.
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Depending on the type and severity of encephalopathy, common neurological symptoms are progressive loss of memory, loss of the ability to think, personality changes, inability to concentrate, lethargy, and progressive loss of consciousness.
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Other information may be gathered from past medical history including history of high blood pressure, high cholesterol, and diabetes.
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This name, while the international standard and adopted by many countries, may be different from the approved local name for some older established drugs and will be different from their brand names.
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Decisions to include these reactions in labeling are typically based on one or more of the following factors: (1) seriousness of the reaction, (2) frequency of reporting, or (3) strength of causal connection to MICARDIS tablets.
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There may be an increased risk of low blood pressure and fainting when taking UROXATRAL in combination with blood pressure medication or nitrates, or erectile dysfunction medication.

Some people taking these antibiotics have side effects, such as an upset stomach, dizziness or lightheadedness, changes in skin color, and increased tendency to sunburn.
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For the Kirby-Bauer method of susceptibility testing, a 20 mcg (10 mcg ampicillin + 10 mcg sulbactam) diffusion disk should be used.
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Any psychoactive drug may impair judgment, thinking, or motor skills, and patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that the drug treatment does not affect them adversely.
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Treatment of new-onset hypercholesterolemia with lipid-lowering agents was required in 42В -В 52% of patients enrolled in the Rapamune arms of Studies 1 and 2 compared with 16% of patients in the placebo arm and 22% of patients in the azathioprine arm.
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Rarely, clots occur in the blood vessels of the eye and may cause blindness, double vision, or impaired vision.

Abortion by surgery may be necessary in these cases.
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In controlled US studies, more than 3,300 patients with seasonal allergic, perennial allergic, or perennial nonallergic rhinitis received treatment with intranasal fluticasone propionate.

Care for hip pain that exists because of an underlying medical condition should be coordinated with the health care practitioner.
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After infection, the virus invades the central nervous system, including the brain and spinal cord.
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You receive an eye injury from high-speed equipment that could cause a fragment to go into your eye, such as from a grinding wheel, from hammering upon metal, or from carpentry sanding and sawing.
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Three patients discontinued CUBICIN due to CPK elevation.

Patients should be advised about substances they should not take concomitantly with simvastatin and be advised to report promptly unexplained muscle pain, tenderness, or weakness (see list below and [#section-6.1 WARNINGS, Myopathy/Rhabdomyolysis]). Patients should also be advised to inform other physicians prescribing a new medication that they are taking ZOCOR.
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Blood draws to monitor iron, ferritin, and transferrin saturation are typically done every few months in those undergoing phlebotomy.
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A few institutions have completed their correlation studies and offer patients sentinel lymph node biopsy alone.

Previous PageGlossary Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Sleep Disorders Get tips for better sleep.
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Coauthor(s):Alexandre F Migala, DO, FAAEM, Aerospace Medicine Service, Assistant Clinical Professor, Department of Family Care Medicine, Darnall Army Community Hospital.
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However, there are exceptions: radiation therapy may be used for some advanced tumors, and hormonal therapy is used for some early stage tumors.
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Maintenance dosage for long term continuous infusion of LIORESAL INTRATHECAL (baclofen injection) has ranged from 12 mcg/ day to 2003 mcg/ day, with most patients adequately maintained on 300 micrograms to 800 micrograms per day.

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After a while, patients may also require oxygen full-time.

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When in doubt, call your fitter for information as to how to proceed; remember that opticians do not treat eye diseases.
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In the primary efficacy analysis, 40% of Sensipar® patients and 5% of placebo patients achieved an iPTH ≤ 250 pg/mL (p&lt;0.001) (Table 1, Figure 1). Secondary efficacy parameters also improved in patients treated with Sensipar®. These studies showed that Sensipar® reduced PTH while lowering Ca x P, calcium and phosphorus levels (Table 1, Figure 2). The median dose of Sensipar® at the completion of the studies was 90 mg.
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If blood appears after you pull the needle from your skin, press the injection site lightly with a finger.

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With the audiologist present, practice putting in and taking out the aid, cleaning it, identifying right and left aids, and replacing the batteries.
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However, this drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function.

Children with PDD vary widely in abilities, intelligence, and behaviors.
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Therefore it is doubtful that a single mechanism is responsible for this condition.

Despite the rarity of primary congenital glaucoma, the impact on a child&rsquo;s visual development can be extreme.
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Women with Bartholin abscesses do not usually have fever.

If our REM sleep is disturbed, the normal sleep cycle progression is affected during the next sleeping time, and there is a possibility of slipping directly into REM sleep and going through long periods of REM sleep until the duration of REM sleep that is lost is caught up.
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A transient hypotensive response is not a contraindication to further doses, which usually can be given without difficulty once the blood pressure has increased after volume expansion.
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Ultrasound is the best test to examine the gallbladder for stones.

The potential adverse effect on bone maturation should be discussed with the patient and parents prior to androgen administration.
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With modern therapy, over 90 percent of those with a retinal detachment can be successfully treated, although sometimes a second treatment is needed.
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On the basis of experience with a group of subjects with severely impaired renal function treated with ranitidine, the recommended dosage in patients with a creatinine clearance &lt;50 mL/min is 150 mg every 24 hours.
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As a subset of the NLM's PubMed bibliographic database, CAM on PubMed features more than 230,000 references and abstracts for CAM-related articles from scientific journals.
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Other features of the disorder may include learning disabilities, mental retardation, chronic lung problems, diabetes, and immune deficiency that leads to recurrent pneumonia and ear infections.
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With this information, the physician can indicate which foods, beverages or medication changes will be needed to reduce the risk of recurrence.

The most important vector (a vector is an animal that can transmit the disease) in the United States is the most prevalent flea of rock squirrels and California ground squirrels.
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To treat the ADH deficiency that results from any kind of damage to the hypothalamus or pituitary, a synthetic hormone called desmopressin can be taken by an injection, a nasal spray, or a pill.
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The NINDS also funds researchers who are using animal models of spinal cord injury to study strategies for replacement or regeneration of spinal cord nerve cells.

Such symptoms have usually been alleviated by a reduction in cimetidine dosage.
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Researchers are continuing to evaluate the efficacy, acceptability and operational feasibility of ofloxacin-containing multidrug regimens in field trials underway in 15 centres in eight leprosy endemic countries.
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The NCI Web site provides online access to information on cancer, clinical trials, and other Web sites and organizations that offer support and resources for cancer patients and their families.
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If a severe skin reaction is observed, treat with a topical antiseptic/antibiotic as appropriate.

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In one case, this result was reported after an initial dose of 5 mg propranolol.

Your doctor will decide if you can take RELPAX with your other medicines.
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At the peak of the disease, a patient may have over 300 skin lesions at one time.
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No significant differences in effectiveness and safety were observed between these patients and younger patients.

Patients should be periodically reassessed to determine the need for maintenance treatment and the appropriate dose for such treatment.
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This category also provides a buffer zone which prevents small uncontrolled technical factors from causing major discrepancies in interpretation.
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Plug in a small night light or use a flashlight if you need to walk to the bathroom during the night.

If irritation develops, OLUX Foam should be discontinued and appropriate therapy instituted.
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In the male fertility study, male rats were treated with fentanyl (0, 0.025, 0.1 or 0.4 mg/kg/day) via continuous intravenous infusion for 28 days prior to mating; female rats were not treated.
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Liver function studies are recommended during the 4 to 6В weeks after recovery, as well as the time of overdosage.

Teratogenicity studies in mice using the subcutaneous route resulted in fetotoxicity at the highest dose tested (1 mg/kg) and teratogenicity at all dose levels tested down to 0.03 mg/kg.
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SCA requires immediate treatment with a defibrillator, a device that sends an electrical shock to the heart.
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Teratogenicity studies were conducted in rats and rabbits at doses up to 800 mg/kg/day.
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Irinotecan is a derivative of camptothecin.
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Estrogen and estrogen/progestin therapy has been associated with an increased risk of cardiovascular events such as myocardial infarction and stroke, as well as venous thrombosis and pulmonary embolism (venous thromboembolism or VTE).
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Dandruff is generally fairly easy to diagnose.

Read the information each time you get more medicine.
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Previous PageGlossary Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Women's Health Find out what women really need.
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A decline in serum high-density lipoproteins (HDL) has been reported with many progestational agents.

If a dose should be missed, the patient should take only the next scheduled dose (without doubling it).
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No precise formula can be given to convert to use of Prolixin Decanoate; however, a controlled multicentered study,* in patients receiving oral doses from 5 to 60 mg fluphenazine hydrochloride daily, showed that 20 mg fluphenazine hydrochloride daily was equivalent to 25 mg (1 mL) Prolixin Decanoate every three weeks.
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LASIX (furosemide) Tablets 20 mg are supplied as white, oval, monogrammed tablets in Bottles of 100 (NDC 0039-0067-10), 500 (NDC 0039-0067-50), and 1000 (NDC 0039-0067-70). The 20 mg tablets are imprinted with "LasixВ®" on one side and "HOECHST" on the other, or with "LasixВ®" on one side.
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Digitalis: Clinical use of verapamil in digitalized patients has shown the combination to be well tolerated if digoxin doses are properly adjusted.
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Upper respiratory infections are blamed for some chemosensory losses, and injury to the head can also cause taste problems.

Some of your blood is put on a glass slide.
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It is anticipated that overdosage would result in severe neurotoxicity (possibly including paralysis, coma), myelosuppression, and potentially death.
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These hazards include fetal or neonatal jaundice, thrombocytopenia, and possibly other adverse reactions which have occurred in the adult.

Chlorpheniramine (Chlor-Trimeton), brompheniramine (Dimetapp), and dexbrompheniramine (Drixoral) are other antihistamines that you can buy over-the-counter.
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The VISP trial was methodologically complex, and a benefit of treatment of elevated homocysteine levels cannot be excluded.

In mildly asthmatic subjects, cetirizine at 5 to 20 mg blocked bronchoconstriction due to nebulized histamine, with virtually total blockade after a 20 mg dose.
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The search for new treatments begins in the laboratory, where scientists first develop and test new ideas.
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Most of them indicate the early stages of disease&nbsp;and need reasonable observation by a doctor.
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Although inherent spatial resolution of CTA studies is high, evaluation of distal cerebral arterial branches is limited relative to CA.
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Doctors who specialize in palliative medicine treat people with grave illness aggressively.

No data are available about the use of other combinations of antiplatelet agents in the management of acute ischemic stroke.
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An EKG detects and records the electrical activity of your heart.
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The goal for diuretic therapy is to lose between one to two pounds of weight per day depending upon the underlying medical conditions.

A TEE is a special type of echocardiogram that takes pictures of the back of the heart through the esophagus (the tube leading from the mouth to the stomach).
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Important Safety Information                Do not take UROXATRAL if you have liver problems or if you are taking antifungal drugs like ketoconazole or itraconazole, or HIV drugs like ritonavir.
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The Concepts in Medical Pharmacology wiki is intended to foster the development of a consensus on what "core concepts in pharmacology" all medical students should have mastered prior to graduation (and ideally should still remember ~5 years later).
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In addition, 27 males on MINIPRESS for up to 51 months did not have changes in sperm morphology suggestive of drug effect.
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Media type:&nbsp; PhotoMedia file 3:&nbsp;A close-up view of guttate psoriasis.
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This occurs when the nail grows in a hook over the end of the finger or toe.

Inhale lift arms up toward sky and exhale to lower.
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Long-term studies of women receiving combined HT with estrogen and progesterone showed an increased risk for heart attack, stroke, and breast cancer when compared with women who did not receive HT.
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When prepared as directed, carboplatin solutions are stable for 8 hours at room temperature 25В°C (77В°F).

Tardive dyskinesia may appear in some patients on long term therapy with antipsychotic drugs or may occur after therapy when these drugs have been discontinued.
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There are other medications in this family such asmetoprolol (Lopressor, Toprol XL) and nadolol (Corgard) that might have fewer side effects but are not as effective.

Acetaminophen (Tylenol) or ibuprofen (Motrin) or similar medications can be given for pain and swelling.
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If you hear a "popping" sound with the injury, cannot walk, or there is significant swelling, pain, fever, or open cuts, you should be examined in a hospital's emergency department.
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Two single-arm open-label studies of fludarabine phosphate injection have been conducted in adult patients with CLL refractory to at least one prior standard alkylating-agent containing regimen.

You may have to wait several days for lab results.
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Few women identify alcohol abuse as their chief complaint.

Over time, people with the disease lose their ability to think and reason clearly, make judgments, solve problems, communicate, concentrate, remember useful information, and take care of themselves.
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Lesch-Nyhan syndrome (LNS) is a rare, inherited disorder caused by a deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT).
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Dosing every 12 hours results in trough plasma concentrations which are approximately one-half of those at peak.

Control of symptoms can be key to optimal outcome.
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The half-life of micafungin, or the time needed for the concentration in the blood to be reduced by half, is approximately 14&ndash;17 hours.
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This is especially important if you already have a problem with low blood pressure or take medicines to treat high blood pressure.
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Phosphate is one of the three major intracellular electrolytes (along with potassium and magnesium) and the largest anion component found within the cells.
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The doctor will treat those injuries that are discovered on the physical examination.

Parents should tuck a child's pant legs into socks to prevent ticks from crawling up legs (this works for the parents, too!); long-sleeved shirts may also reduce exposure.
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Put in other terms, about 5 people out of 1,000, (0.5%)of the U.S. Caucasian population carry two copies of the hemochromatosis gene and are susceptible to developing the disease.
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The American Academy of Pediatrics (AAP) and its member pediatricians dedicate their efforts and resources to the health, safety, and well-being of infants, children, adolescents, and young adults.

Inactive Ingredients: Carnauba Wax, Hydroxypropyl Methylcellulose, Lactose, Magnesium Stearate, Microcrystalline Cellulose, Polyethylene Glycol 400, Polysorbate 80, Pregelatinized Starch, Red Ferric Oxide, Talc, Titanium Dioxide.
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These masses are usually rounded, with smooth borders, and either rubbery or slightly changeable in shape.
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Once the tumor resection is complete, the membranes surrounding the brain are closed and the skull is closed, often with the use of titanium plates and screws that help hold it rigidly in its desired position.
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There is some evidence to suggest that a recognizable correlation exists between vasoconstrictor potency and therapeutic efficacy in man.
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There may be wide interpatient variability in dosage requirements and these may increase or decrease with time (see PRECAUTIONS - Long-Term Use in the Intensive Care Unit [ICU]). Following recovery from neuromuscular block, readministration of a bolus dose may be necessary to quickly re-establish neuromuscular block prior to reinstitution of the infusion.
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These cases occur in people with no history of the disorder in their family.

Because many drugs are excreted in human-milk and because of the potential for serious adverse reactions in nursing infants from oxycodone hydrochloride and ibuprofen tablets, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
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Mycobacterium avium complex, Mycobacterium kansasii, and Mycobacterium fortuitum complex cause most of NTM infections in humans.
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Complete healing of the small intestine usually occurs in 3-6 months, although it may take up to 2 years in older persons.
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Cimetidine, caffeine, citalopram, ciprofloxacin, fluvoxamine, and erythromycin may increase plasma levels of FazaCloВ® (clozapine, USP), potentially resulting in adverse effects.

An experienced board certified facial plastic surgeon with good people skills is key during the first consultation.
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This summary section refers to specific treatments under study in clinical trials, but it may not mention every new treatment being studied.

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The events enumerated represent reports arising from both domestic and nondomestic use of oral or subcutaneous dosage forms of sumatriptan.

Ranexa is available for oral administration as film-coated, extended-release tablets containing 500 mg or 1000 mg of ranolazine.
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Chiropractic or    physical therapy treatments may be of help.
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Mean peak plasma concentrations of approximately 1.0 mcg/mL occur 1 to 4 hours after oral administration of a single 100 mg dose.

Idiosyncratic reactions are subdivided into minor, intermediate, and severe.
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During cystoscopy, the doctor uses a cystoscope—an instrument made of a hollow tube about the diameter of a drinking straw with several lenses and a light—to see inside the bladder and urethra.
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Bacteria have not been found to cause dandruff.
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The growth and division of cells is dependent in part on proteins called growth factors.

A major risk associated with Tequin is the development of severe diabetes.
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Treatment for these aneurysms has recently focused on procedures that are less invasive than conventional surgery.

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If you have cutaneous anthrax and have developed a fever and other symptoms throughout your body, the doctor may test your blood for the bacteria.
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IN THIS ARTICLEUrologic Dysfunction After Menopause OverviewUrologic Dysfunction After Menopause CausesUrologic Dysfunction After Menopause SymptomsWhen to Seek Medical CareQuestions to Ask the DoctorExams and TestsTreatmentSelf-Care at HomeMedical TreatmentMedicationsSurgeryOther TherapyNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsPictures of Menopause and Perimenopause - Slideshow Urologic Dysfunction After Menopause CausesUrinary tract infectionsUrinary tract infections are divided into 2 categories.
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An x-ray "movie" of the wires as they pass through the vein and into the heart helps the doctor place the wires.
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They carry used (oxygen-poor) blood to the right atrium of the heart.
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Familial hypercholesterolemia is a rare genetic condition that results in extremely high levels of cholesterol and heart attacks in childhood, adolescence, and young adulthood.

Patients in these three studies had moderate to severe bulimia with median binge-eating and vomiting frequencies ranging from 7 to 10 per week and 5 to 9 per week, respectively.
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You keep a notebook and note any symptoms you have and the time they occur.
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The Act also did not require premarket inspections and approval.

Recent transcranial Doppler ultrasonography studies suggest only a 30% complete recanalization rate for MCA occlusion after administration of intravenous rtPA, a 48% partial recanalization rate, and a 27% reocclusion rate.
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During this treatment, the entire retina, except for the macula (the center of the retina), is treated with laser spots to decrease the oxygen demand of the retina and remove the need for these new blood vessels to grow.
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Only a few men with acute bacterial prostatitis develop chronic bacterial prostatitis.
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Patients should be informed that anticholinergic agents, such as ENABLEX, may produce clinically significant adverse effects related to anticholinergic pharmacological activity including constipation, urinary retention and blurred vision.
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When applied to inflamed skin, lag time is no greater than 1 hour, Tmax is 4 hours, and both Cmax and AUC are approximately 3-fold higher.

Several psychiatrists began to see a pattern to the symptoms.
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Todd paralysis is a neurological condition characterized by a brief period of transient (temporary) paralysis following a seizure.
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Avelox was effective in the treatment of community acquired pneumonia (CAP) caused by multi-drug resistant Streptococcus pneumoniae MDRSP* isolates.
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No standard recommendation is available for adjuvant therapy, and it remains an area of intense clinical research.
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Fluvoxamine — Fluvoxamine, a CYP1A2 inhibitor, decreases the clearance of olanzapine.
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These respiratory changes eventually lead to serious acid-base disturbances.

In patients with life-threatening arrhythmias [sustained ventricular tachycardia/fibrillation (VT/VF)], sotalol was studied acutely [by suppression of programmed electrical stimulation (PES) induced VT and by suppression of Holter monitor evidence of sustained VT] and, in acute responders, chronically.
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Three enzyme deficiencies cause homocystinuria: cystathionine ОІ-synthetase, homocysteine methyltransferase, and MTHFR.
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Two hundred eleven patients received best medical therapy plus carotid endarterectomy, and 233 received medical therapy alone (including 650 mg of aspirin twice daily).
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This EEG activity was termed "frequency-following response" because its period (cycles per second) corresponds to the fundamental frequency of the stimulus.

Other data suggest that doubling the dose of naltrexone hydrochloride provides blockade for 48 hours, and tripling the dose of naltrexone hydrochloride provides blockade for about 72 hours.
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A certain amount of this anemia is normal and is referred to as "physiologic anemia of pregnancy," but excessive anemia during pregnancy increases the risk that the baby will be premature or have a low birth weight.
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Overall for the 471 patients, the median time to progression was 3.5 months (range: 0.03 – 17.1 months).
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Some of the more common side effects may include: Soft stools or diarrhea Mild stomach upsetYou should notify your doctor if you have any of the following side effects: Vomiting Severe watery diarrhea and abdominal cramps Allergic reaction (shortness of breath, hives, swelling of your lips, face, or tongue, fainting) Vaginal itching or discharge White patches on your tongue12345678910&laquo; Previous PageGlossaryNext Page &raquo;Next: Allergy &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Women's Health Find out what women really need.
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The value of vasopressor agents such as Norepinephrine or Phenylephrine Hydrochloride in treating hypotension is questionable since they increase vasoconstriction and decrease blood flow.
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Ingestion of the caustic inorganic mercury forms should not be treated with medications that induce vomiting (emetics); as vomiting may increase the tissue exposure to the caustic toxin.
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Head trauma can cause brain damage due to bleeding in and around the brain.
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IN THIS ARTICLEHay Fever OverviewHay Fever CausesHay Fever SymptomsWhen to Seek Medical CareExams and TestsHay Fever TreatmentSelf-Care at HomeMedical TreatmentMedicationsOther TherapyNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsPictures of Common Allergy Triggers - Slideshow Pictures of Pets and Allergies - Slideshow Pictures of Home Allegy - Slideshow Medical TreatmentThe best treatment overall is to avoid contact with your allergen.
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The elimination half-life of clarithromycin was about 3 to 4 hours with 250 mg administered every 12 hours but increased to 5 to 7В hours with 500 mg administered every 8 to 12 hours.

During colposcopy, further testing, including biopsies (sampling of abnormal-appearing areas for examination by a pathologist) are performed to determine whether cancer or precancerous changes are present.
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A range of two to four or even more doses may be required in severe cases when smooth control is difficult to obtain.
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IN THIS ARTICLEVentricular Septal Defect OverviewVentricular Septal Defect CausesVentricular Septal Defect SymptomsWhen to Seek Medical CareExams and TestsVentricular Septal Defect TreatmentMedical TreatmentMedicationsSurgeryNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsPreventionA woman can do nothing during pregnancy to prevent her baby from developing a ventricular septal defect.
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The progressive expansion of PKD cysts slowly replaces much of the normal mass of the kidneys, and can reduce kidney function and lead to kidney failure.
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GlossaryNext Page &raquo;Next: Crabs Symptoms &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Sex &amp; Relationships Get tips to boost your love life.
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TABLE 1 enumerates the most common treatment-emergent adverse events associated with the use of fluoxetine (incidence of at least 5% for fluoxetine and at least twice that for placebo within at least one of the indications) for the treatment of major depressive disorder, OCD, and bulimia in U.S. controlled clinical trials and panic disorder in U.S. plus non-U.S. controlled trials.
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A patient who was mildly hypertensive (the baseline blood pressure was 150/98) experienced a significant increase in blood pressure to 204/144В mmHg 225В minutes after administration of a 10-mg oral dose.
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To obtain the tissue sample, the needle is inserted through a catheter that enters the patient's jugular vein at the neck.
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As the blood vessels that supply nutrients to the heart tissue progressively narrow, the heart muscle may not receive enough oxygen and nutrients to pump efficiently and adequately.

ADDITIONAL DOSES OF NUROMAX OR ANY OTHER NEUROMUSCULAR BLOCKING AGENT SHOULD NOT BE GIVEN BEFORE THERE IS A DEFINITE RESPONSE TO T1, OR TO THE FIRST TWITCH.
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Studies in nondiabetic subjects and patients with diabetes demonstrated that Humalog has a more rapid onset of glucose–lowering activity, an earlier peak for glucose–lowering, and a shorter duration of glucose–lowering activity than Regular human insulin (see[#section-3.3 Figure 2]). The earlier onset of activity of Humalog is directly related to its more rapid rate of absorption.
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Some women are more sensitive to these hormones and they get worse NVP.

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Systolic and diastolic supine and standing blood pressures are all reduced.
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A medical-grade vacuum suctions tiny, broken up globules of fat into a canister.
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Increased estrogen exposure may increase the risk of adverse events, including venous thromboembolism.
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Some, like etanercept and infliximab, interfere with signaling among white blood cells, and others, like methotrexate, actually inhibit the production of white blood cells.
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These tubes branch into progressively smaller segments until they reach blind sacs called alveoli.

These agents are potent drugs given by mouth or injection.
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In general, a combination of local and distant acupuncture points are used together during a treatment, in order to maximize the effects at all three centers.
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Combination chemotherapy is treatment using more than one anticancer drug.
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IntroductionOnychomycosis&nbsp;is a fungal infection of the toenails or fingernails.
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The pharmacokinetics of XELODA and its metabolites have been evaluated in about 200 cancer patients over a dosage range of 500 to 3500 mg/m2/day.
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Heterotopic ossification has also been observed in non-traumatic conditons (e.g., infections of the central nervous system, peripheral neuropathy, tetanus, biliary cirrhosis, Peyronie’s disease, as well as in association with a variety of benign and malignant neoplasms).
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Surgery is required less often today,&nbsp;as better preventative anti-atherosclerotic medications and techniques have become available for treating blocked or damaged arteries.

These ligaments can be stretched or torn when the foot is planted and a sideways force is directed to the knee.
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For example, people who have pacemakers or other types of implants containing metal should not have an MRI scan because MRI machines contain powerful magnets.
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If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be warned of the potential hazard to the fetus.
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The use of potassium salts in patients with chronic renal disease or any other condition which impairs potassium excretion, requires particularly careful monitoring of the serum potassium concentration and appropriate dosage adjustment.
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There is no cure for West Nile and therefore little to gain by widespread testing of people with mild symptoms.
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IN THIS ARTICLEPalpitations OverviewTypes of PalpitationsPalpitation CausesPalpitation SymptomsExams and TestsPalpitations TreatmentSelf-Care at HomeMedical TreatmentNext StepsOutlookSynonyms and KeywordsAuthors and EditorsViewer Comments: Palpitations - Effective TreatmentsMedical TreatmentIn the acute setting, for a person with a supraventricular tachycardia or atrial fibrillation, the goal is to slow the rate and establish the diagnosis.
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The doctor may ask the person to use several pieces of tape to increase the likelihood of seeing the eggs.
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For a severe fracture, the doctor may prescribe&nbsp; stronger pain medication.
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UROXATRAL can cause a sudden drop in blood pressure, especially when starting treatment.

The miracle cures that are advertised should be viewed with skepticism.
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Radiation therapy usually is reserved for adenomas that are not cured by surgery and drug therapy.
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The safety of this drug during pregnancy has not been established.
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In multiple dose, placebo-controlled clinical studies, 264 patients were treated withВ tizanidine and 261 with placebo.
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These germ cell tumors are usually located in the sacrum (a triangular-shaped section of fused bone located between the hip bones at the base of the spine) and the coccyx (the fused bones located on the end of the sacrum; also called the tailbone).
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Symptoms and signs of TTP, such as fever, weakness, difficulty speaking, seizures, yellowing of skin or eyes, dark or bloody urine, pallor or petechiae (pinpoint hemorrhagic spots on the skin), should be reported immediately.
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The heart or lungs may fail and cause death, but this usually only happens in untreated people.
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Pharmacodynamics: The capacity of labetalol HCl to block alpha receptors in man has been demonstrated by attenuation of the pressor effect of phenylephrine and by a significant reduction of the pressor response caused by immersing the hand in ice-cold water ("cold-pressor test").
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Patients were randomized to receive either Gemzar 1000 mg/m2 on Days 1 and 8 of a 21–day cycle and carboplatin AUC 4 administered after Gemzar on Day 1 of each cycle or single–agent carboplatin AUC 5 administered on Day 1 of each 21–day cycle as the control arm.

Diuretics do not prevent development of toxemia of pregnancy, and there is no satisfactory evidence that they are useful in the treatment of developing toxemia.
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Intranasal administration of 1600 mcg (4 times the recommended dose of NASONEX Nasal Spray, 50 mcg) daily for 29 days, to healthy human volunteers, was well tolerated with no increased incidence of adverse events.
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A boxer's fracture involves a break in the neck of the metacarpal.
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Over-the-counter antacids do not prevent heartburn from returning or allow an injured esophagus to heal.
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The ventilatory rate and/or tidal volume is decreased, which results in cyanosis and hypoxia.
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Week one (Day 1): If you forget to apply your patch, YOU COULD BECOME PREGNANT — you must use back-up contraception for one week.
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Research continues on a variety of medications to help treat patients with acute respiratory distress.
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In a similarly designed trial, the Monitored Atherosclerosis Regression Study (MARS), patients were treated with diet and either lovastatin 80 mg daily or placebo.

Cholestyramine resin and colestipol HCl—may delay or decrease absorption of bendroflumethiazide.
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Similar results have also been reported in pigtail macaques.
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Cervicitis OverviewCervicitis, a common infection of the lower genital tract, is the inflammation of&nbsp;the cervix (this is the neck and outlet of a woman's uterus).
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However, the minimum bactericidal concentration (MBC) against relevant pathogens is generally 8-fold to 30-fold higher than the minimum inhibitory concentration (MIC).
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CAUTION: Preparation of a Refludan bolus injection requires dilution following reconstitution in order to obtain the final concentration of 5 mg/mL.
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Fractionated radiation therapy divides the total dose of radiation therapy into several smaller, equal doses given over several days.
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The most important consequence of the disease is probably social and psychological, as people may feel devastated by their changed appearance.
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Dosage adjustments for renal impairment are not routinely necessary (see Liver Disease and Renal Disease under CLINICAL PHARMACOLOGY, and Use in Patients With Concomitant Illness under PRECAUTIONS).
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SEMPREX-D Capsules (dark green opaque cap and white opaque body with a yellow band) contain acrivastine 8 mg and pseudoephedrine hydrochloride 60 mg.
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These red blood cells are prematurely destroyed, leading to hemolytic anemia.
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Don't expect too much from yourself.

Several cases reported no concomitant medications, and at least one case was confirmed by EEG.
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IN THIS ARTICLEDiabetic Eye Disease OverviewDiabetic Eye Disease CausesDiabetic Eye Disease SymptomsWhen to Seek Medical CareQuestions to Ask the DoctorExams and TestsDiabetic Eye Disease TreatmentSelf-Care at HomeMedical TreatmentMedicationsSurgeryNext StepsFollow-upPreventionOutlookSupport Groups and CounselingFor More InformationWeb LinksPicturesSynonyms and KeywordsAuthors and EditorsDiabetic Eye Disease CausesOver many years, high blood sugar and other abnormalities in metabolism found in people with&nbsp;diabetes mellitus&nbsp;may damage the blood vessels in the body.
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Hydromorphone was not mutagenic in the in vitro Ames reverse mutation assay or the human lymphocyte chromosome aberration assay.
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This summary section refers to specific treatments under study in clinical trials, but it may not mention every new treatment being studied.
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Long-term studies of women receiving combined HT with estrogen and progesterone showed an increased risk for heart attack, stroke, and breast cancer when compared with women who did not receive HT.
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Some people also experience sexual dysfunction with SSRIs.

Murmurs may provide information about leaking heart valves.
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For example, muscles that, when contracted, result in flexion of the wrist are stimulated synchronously with muscles that result in extension of the wrist.
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The normal sodium level is between 135-145 mEq/l, and levels below 110 mEq/l constitute a true emergency.
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If fludarabine is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus.
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Constipation makes intestinal muscles strain to move stool that is too hard.
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Although a general conclusion about the effects of age on the pharmacokinetics of selegiline is not warranted because of the size of the sample evaluated (12 subjects greater than 60 years of age, 12 subjects between the ages of 18 to 30), systemic exposure was about twice as great in older as compared to a younger population given a single oral dose of 10 mg.
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Gestation duration was increased at 48 mg/kg/day, approximately 8 times the MRHD.

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Diabetes control: Following a reasonable diet, taking your medications, checking your blood sugar regularly, exercising regularly, and maintaining good communication with your physician are essential in keeping your diabetes under control.
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Approximately 6% of deaths are in pregnant women, although only 1% of the population is pregnant.
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In many people, the effect is fairly modest but definite.

Propranolol has a distribution half-life (T1/2 alpha) of 5 to 10 minutes and a volume of distribution of about 4 to 5 L/kg.
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The normal reference range is typically provided and printed with the results of complete blood count for accurate interpretation.

Normally, cystine is reabsorbed back into the bloodstream after blood entering the kidneys is filtered to create urine.
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IN THIS ARTICLEBartholin Cyst OverviewBartholin Cyst CausesBartholin Cyst SymptomsWhen to Seek Medical CareExams and TestsBartholin Cyst TreatmentSelf-Care at HomeMedical TreatmentSurgeryNext StepsFollow-upPreventionOutlookMultimediaSynonyms and KeywordsAuthors and EditorsBartholin Cyst TreatmentSelf-Care at HomeHome treatment of Bartholin cysts and abscesses involves sitz baths, which promote drainage.
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Some studies suggest that oral contraceptive use has been associated with an increase in the risk of cervical intraepithelial neoplasia or invasive cervical cancer in some populations of women.
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Following intramuscular administration, increased mortality of the offspring at 1.8 times the upper human dose is attributed to CNS depression in the dams who neglected to remove placentae from their offspring.
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Meanwhile, population education remains the mainstay in trying to decrease the risk of heart disease and the subsequent development of pulmonary edema and heart failure.
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In hypertriglyceridemic patients, LDL-C may be low or normal despite elevated Total-C. In such cases, ALTOPREVВ® is not indicated.
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IgE (immunoglobulin E) controls the immune system's allergic response and is often high in atopic dermatitis.
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After a single dose, the glucuronide represents approximately 11% of the measured radioactivity in plasma.
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Read this PATIENT INFORMATION before you start using EstradermВ® (estradiol transdermal system) and read all the information that you get each time you refill Estraderm.
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Oral contraceptive pills (OCPs, birth control pills) are used in some women with PCOS to establish a regular menstrual cycle and to reduce the risk of endometrial hyperplasia and cancer by establishing regular menstrual periods.
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The risk to the average traveler is less than one case per million per year.

Hepatic enzymes should be obtained initially, and repeated at 24-hour intervals.
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Hearing loss and tinnitus may be experienced in one or both ears, and tinnitus may continue constantly or occasionally throughout a lifetime.
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Media type:&nbsp; Illustration1234567891011&laquo; Previous PageGlossaryNext Page &raquo;Next: Synonyms and Keywords &raquo; Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Women's Health Find out what women really need.
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Most people with Behçet's disease can lead productive lives and control symptoms with proper medicine, rest, and exercise.
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Drug or food interactions: Tell the doctor what medications are currently being taken because many drugs interact with atypical antidepressants.
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It was code named Agent US and was considered a 'humane' weapon.
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FORADIL AEROLIZER was studied in two pivotal, double-blind, placebo-controlled, randomized, multi-center, parallel-group trials in a total of 1634 adult patients (age range: 34-88 years; mean age: 63 years) with COPD who had a mean FEV1 that was 46% of predicted.
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The disease shingles (also known as "zoster") represents release of these viruses down the length of the skin nerve fiber and produces a characteristic painful rash.

This abnormal immune response leads to ongoing inflammation of the intestines.
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Treatment emergent psychotic or manic symptoms, e.g., hallucinations, delusional thinking, or mania in children and adolescents without a prior history of psychotic illness or mania can be caused by stimulants at usual doses.
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IN THIS ARTICLEAutomated External Defibrillators (AED) IntroductionChain of SurvivalDefibrillationAutomated External DefibrillatorsPublic Access DefibrillatorsHow to Operate an Automated External DefibrillatorAutomated External Defibrillator Use in ChildrenThe Future of DefibrillationFor More InformationWeb LinksMultimediaSynonyms and KeywordsReferencesAuthors and EditorsAutomated External DefibrillatorsIn the mid-1980s, a new generation of computerized defibrillators was introduced.
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In order to help the doctor see, a small amount of air and water may be placed in the intestine through the end of the scope.
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Finger Dislocation OverviewFinger dislocation is a common injury.
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Arthritis mutilans&nbsp;(a long-term&nbsp;psoriatic arthritis in which the joints are severely damaged and deformities can be seen, especially in the hands and feet) This may occur in as many as 16% of people with psoriatic arthritis and can be severe.

HistorySince antiquity humans have fashioned support devices to hold themselves up when they became sick or injured.
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An oral fertility and embryofetal developmentalВ study in rats revealed estrus cycle disturbances, post-implantation loss and reduction in litter size at the 45 mg/kg/day dose (38X MRHD based on AUC comparisons).
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When Cornelia de Lange syndrome is caused by mutations in the NIPBL or SMC3 gene, this condition is considered to have an autosomal dominant pattern of inheritance.
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Regardless of whether the bacteria&nbsp;are the cause, reducing acid in the stomach is another important focus of treatment.

Surgery for anorectal fistulae is not without side effects, including recurrence, reinfection, and incontinence.
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This form of jaundice occurs when the breastfed newborn does not receive adequate breast milk intake.

This acts to prevent absorption of the medication.
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Some people with cluster headaches have been helped by alternative or complementary therapies such as chiropractic, acupuncture, osteopathic manipulation, and herbal remedies, though none of these treatments is supported by reliable scientific evidence.
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This summary section refers to specific treatments under study in clinical trials, but it may not mention every new treatment being studied.

Reproductive–Infrequent: menstrual disorder, dysmenorrhea, intermenstrual bleeding, vaginal hemorrhage, amenorrhea, leukorrhea; Rare: female breast pain, menorrhagia, balanoposthitis, breast enlargement, atrophic vaginitis, acute female mastitis.
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Accordingly, monitoring of total concentrations may be misleading since free concentrations may be substantially elevated in patients with hepatic disease whereas total concentrations may appear to be normal.

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In animal studies, the S enantiomer has 15 to 50 times the activity of the R enantiomer in reducing myocardial contractility in isolated blood-perfused dog papillary muscle, respectively, and twice the effect in reducing peripheral resistance.
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The enzyme lactase, which aids with lactose digestion, is available in caplet and chewable tablet form without a prescription; Lactaid and Lactrase are two common brands.

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PATIENTS RECEIVING MONITORED ANESTHESIA CARE (MAC) SHOULD BE CONTINUOUSLY MONITORED BY PERSONS NOT INVOLVED IN THE CONDUCT OF THE SURGICAL OR DIAGNOSTIC PROCEDURE; OXYGEN SUPPLEMENTATION SHOULD BE IMMEDIATELY AVAILABLE AND PROVIDED WHERE CLINICALLY INDICATED; OXYGEN SATURATION SHOULD BE CONTINUOUSLY MONITORED; THE PATIENT SHOULD BE OBSERVED FOR EARLY SIGNS OF HYPOTENSION, APNEA, UPPER AIRWAY OBSTRUCTION AND/OR OXYGEN DESATURATION.
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In some studies in healthy men or women, plasma concentrations were elevated by approximately 40% in individuals 65В years and older compared to young adults (see WARNINGS).

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IN THIS ARTICLESleep Disorders in Women OverviewSleep Disorders in Women CausesSleep Disorders in Women SymptomsExams and TestsSleep Disorders in Women TreatmentSelf-Care at HomeMedical TreatmentMedicationsSurgeryNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsSelf-Care at HomeGuidelines for better sleep hygiene Sleep hygiene&nbsp;refers to&nbsp;habits and lifestyle that promote healthy sleep.
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Soaps and detergents may have a drying effect and worsen itching, and some perfumes and cosmetics may irritate the skin.

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The acute (short-term) type of ITP that occurs in children often goes away within a few weeks or months.

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In patients, there were no differences in either the pharmacokinetics or the pharmacodynamic performance of CONCERTAВ® when administered after a high fat breakfast.
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Relapse or return of illness was defined as a return of symptoms characteristic of panic disorder (primarily panic attacks) to levels approximately equal to those seen at baseline before active treatment was initiated.
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This is usually 2-4 weeks for children and 4-8 weeks for adults.

NOTE: Most strains of Clostridium difficile are resistant.
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Warn that visual symptoms may render such activities as driving a car or operating machinery more hazardous than usual, particularly under conditions of variable lighting (see WARNINGS).
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The FLNA gene provides instructions for producing the protein filamin A, which helps build the network of protein filaments (cytoskeleton) that gives structure to cells and allows them to change shape and move.
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Costello syndrome is considered to be an autosomal dominant condition, which means one copy of the altered gene in each cell is sufficient to cause the disorder.
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The space within the intravascular space is variable, based upon the muscle tension in the walls of the arteries.
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IN THIS ARTICLEInsect Bites OverviewInsect Bites CausesInsect Bites SymptomsWhen to Seek Medical CareExams and TestsInsect Bites TreatmentSelf-Care at HomeMedicationsNext StepsFollow-upPreventionOutlookSynonyms and KeywordsAuthors and EditorsWhen to Seek Medical CareIf you start to experience symptoms that are not just at the site of the bite or sting (and you don't have a history of severe reactions), seek medical attention.
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The skin under and around these bumps is red.

In order to stage a germ cell tumor, the patient may undergo a surgical procedure.
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Sea snakes are usually not aggressive unless provoked.
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They help relieve daytime urgency and frequency in addition to uncomplicated bedwetting.
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Most infections will not result in the virus being transmitted to the fetus.
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IN THIS ARTICLEEye Anatomy IntroductionEyelids and EyelashesConjunctivaScleraCorneaAnterior ChamberIris and PupilAnterior Chamber Angle/Trabecular MeshworkPosterior ChamberLensVitreous CavityRetina/Macula/ChoroidOptic NerveExtraocular MusclesFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsEyelids and EyelashesThe eyelids serve to protect the eye from foreign matter, such as dust, dirt, and other debris, as well as bright light that might damage the eye.
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Keep in mind that both fuels are almost always burned simultaneously, except during the most intense, short-term bursts of energy, like sprinting and weightlifting.
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With severe hyperkalemia, the clinical situation dictates the procedures to be employed.
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Given mainly to the spine, a chiropractic adjustment (sometimes referred to as a manipulation) involves using the hands or a device to apply a controlled, sudden force to a joint, moving it beyond its passive range of motion.
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These effects were not observed in similar studies conducted in dogs.

Sea Snake Bite OverviewSea snakes are usually 3-4 feet long with flat tails, valvelike nostril flaps, and scales.
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A fertility study in which male and female rats were administered doses of 3.8, 9.6, or 26.9 mg/kg/day (up to 24 times[#footnote-3 3] the maximum recommended human dose on a mg/m2 basis) showed no significant effect of felodipine on reproductive performance.
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BUTISOL SODIUMВ® (butabarbital sodium tablets, USP and butabarbital sodium oral solution, USP) Tablets and Oral Solution contain FD&amp;C Yellow No.
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After achieving an adequate control of the heart rate and a stable clinical status in patients with supraventricular tachycardia, transition to alternative antiarrhythmic agents such as propranolol, digoxin, or verapamil, may be accomplished.
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Allergy shots are suitable for both children older than 5 years and adults.
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Concomitant use of posaconazole and the antibiotic rifabutin (Mycobutin) elevates concentrations of rifabutin and decreases concentrations of posaconazole relative to either drug given alone.
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Only one in five patients, who develop a serious upper GI adverse event on NSAID therapy, is symptomatic.
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They're often used to treat less dangerous heart rhythms, such as those that occur in the upper chambers of the heart.

The result is a rhythmic flexion and extension of the wrist.
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Therapy with lipid-altering agents should be a component of multiple risk factor intervention in those individuals at significantly increased risk for atherosclerotic vascular disease due to hypercholesterolemia.
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ISSN 0095-6562. PMID 6151391. ^ Ackles, K. N. (1973). "Blood-Bubble Interaction in Decompression Sickness.
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Last Editorial Review: 5/30/200712345678910111213141516&laquo; Previous PageGlossary Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy Allergies &amp; Asthma Improve treatments &amp; prevent attacks.
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Preliminary evidence suggests that these agents, when used alone, have an acceptable safety profile, but considerably more research is needed to determine whether these agents have a role in the management of acute stroke in conjunction with other therapies.
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This resulted in abnormal development of the fetus, such as reduced fetal weight and incomplete bone formation of the skull, vertebra and other skeletal structures.
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Other reactions include hypersensitivity (including skin rash, urticaria, fever, arthralgia, exfoliative dermatitis, erythema multiforme with histopathological findings of necrotizing vasculitis, and thrombocytopenic purpura); anorexia; nausea; dizziness; headache; dyskinesia; drowsiness; blood pressure and pulse changes, both up and down; tachycardia; angina; abdominal pain; weight loss during prolonged therapy.
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When growth is complete - sometime during adolescence - the growth plates are replaced by solid bone.

Cardiopulmonary resuscitation (CPR) may be necessary.
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Constipation is a symptom, not a disease.

With chronic administration in Type II diabetic patients, the blood glucose lowering effect persists despite a gradual decline in the insulin secretory response to the drug.
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This can result in growth stimulation of the endometrium (lining tissues of the uterus), leading to dysfunctional uterine bleeding and breakthrough bleeding.
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To avoid inadvertent clomiphene citrate administration during early pregnancy, appropriate tests should be utilized during each treatment cycle to determine whether ovulation occurs.
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For patients with liver disease as the cause of cirrhosis, abstention from alcohol is an important first step in treatment to minimize further liver damage.
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Diets that provide recommended levels of magnesium are beneficial for bone health.
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Sometimes, a speech-language pathologist must teach patients to talk in different ways.

In some cases, a careful examination by a pediatrician is all that is needed.
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The white blood cell (WBC) differential refers to number of the different types of white blood cells are that typically seen in the blood.
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Descent to lower altitudes may save those afflicted with HACE.
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It is important to know the stage in order to plan treatment.

An oral dose of 100-200 micrograms (mcg) taken weekly should be sufficient.
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There is no evidence of teratogenicity or any other adverse effect on reproduction in female rats fed erythromycin base (up to 0.25% of diet) prior to and during mating, during gestation, and through weaning of two successive litters.
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Nitrogen Narcosis TreatmentAscend from the depth at which the symptoms become apparent.
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There are several well-documented risk factors for first ischemic stroke with clear data showing a reduction in stroke risk with treatment.
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Research is under way into vaccines that can boost a patient’s immune system so that it destroys the cancer cells.
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Coauthor(s):John Lafleur, MD, Research Director, Department of Emergency Medicine, Department of Emergency Medicine, Cornell University Medical Center.
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In offspring allowed to develop to maturity, fertility was impaired in the male and female rats treated in utero during organogenesis at 8 mg/kg.

These so-called spongy holes cause slow deterioration within the cattle brain, and eventually symptoms&nbsp;affecting the whole&nbsp;body.
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In a study in which both male and female rats were exposed to propranolol hydrochloride in their diets at concentrations of up to 0.05% (about 50 mg/kg body weight and less than the MRHD), from 60 days prior to mating and throughout pregnancy and lactation for two generations, there were no effects on fertility.
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The diary will include       the patient's personal assessment of their alertness at various times of the day on two consecutive days within the       two week period.
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Doses of XELODA omitted for toxicity are not replaced or restored; instead the patient should resume the planned treatment cycles.
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Sympathetic stimulation is a vital component supporting circulatory function in the setting of congestive heart failure, and beta-blockade may result in further depression of myocardial contractility and precipitate more severe failure.
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The response to treatment should then be evaluated by a suitable method (e.g., PES or Holter monitoring) prior to continuing the patient on chronic therapy.
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Previous PageGlossary Printer-Friendly Format&nbsp;|&nbsp; Email to a Friend Privacy Policy GI Disorders Get the latest treatment options.

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If the intestinal tract is damaged, the more &quot;aggressive&quot; treatment may be needed.
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Retrieved on 2008-03-17. ^ a b c d e f g h i j Dehart, R. L.; J. R. Davis (2002). Fundamentals Of Aerospace Medicine: Translating Research Into Clinical Applications, 3rd Rev Ed.
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Aspirin and/or acetaminophen, on the other hand, often successfully relieve isosorbide dinitrate-induced headaches with no deleterious effect on isosorbide dinitrate's anti-anginal efficacy.
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Many studies have shown a strong link between vegetarianism and a reduced risk for certain cancers, diabetes Type 2, hypertension, heart disease, and obesity.

In addition to fistulas, small tears called fissures may develop in the lining of the anus.
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These treatment effects appeared consistent across age and use of long-acting nitrates.
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UTIs in men are often a result of an obstruction—for example, a urinary stone or enlarged prostate—or from a medical procedure involving a catheter.

The interaction between SYMBYAX and other highly protein–bound drugs has not been fully evaluated.
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It is an intermediate-acting insulin combined with the more rapid onset of action of Regular human insulin.
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IN THIS ARTICLEWhat is yoga?How is yoga different from meditation?Do I have to practice all of the principles of yoga to benefit from it?I have never tried yoga before but want to do it now.
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Intracranial aneurysms also occur occasionally with Ehlers-Danlos syndrome type I[462] and Ehlers-Danlos syndrome type VI.
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Mutations in the GSS gene prevent cells from making adequate levels of glutathione, leading to the signs and symptoms of glutathione synthetase deficiency.
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Selective Laser Photocoagulation (S-LPC)Since the first laser ablation procedure was performed, multiple studies have compared serial amnioreduction with laser ablation of the communicating placental vessels.
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The long arm of the chromosome is labeled the “q arm.

Impairment of Fertility: A reproduction study was performed in male and female rats at subcutaneous doses up to 56 mg/kg/day or 330 mg/m2/day.
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In diabetes, excess glucose in the bloodstream can attach to hemoglobin and raise the level of hemoglobin A1c ("glycosylated hemoglobin").
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Individuals who are inactive or elderly: If you are inactive, yoga may be the ideal exercise for both mind and body to begin your activity life.
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Many affected people have dry, rough skin; dark-colored moles (nevi); wrinkled palms and soles; and a skin condition called keratosis pilaris, which causes small bumps to form on the arms, legs, and face.
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The disease is progressive and untreatable leading ultimately to death.
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Almost all cases have been asymptomatic and all patients recovered with no sequelae.

In hemodynamic studies, amlodipine besylate tablets have not been associated with a negative inotropic effect when administered in the therapeutic dose range to intact animals and man, even when co-administered with beta-blockers to man.
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The oculomucocutaneous syndrome associated with the beta-blocker practolol has not been reported with atenolol.
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Prolactin has been reported to be involved in stimulating and maintaining progesterone levels required for implantation in mice and, therefore, the impaired fertility at the high dose may have occurred because of depressed prolactin levels.
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Osteoarthritis is so common - especially in older people - that symptoms seemingly caused by the disease actually may be due to other medical conditions.
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The age range is broad, from children (rarely) to women 80 years and older, but most women with this disorder are between 20 and 50 years of age.
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Rolain JM, Brouqui P, Koehler JE, Maguina C, Dolan MJ, Raoult D. Recommendations for treatment of human infections caused by Bartonella species.

HOWEVER, A GRADUAL DROP IN BLOOD PRESSURE WILL USUALLY RESULT WHEN SUFFICIENT SEDATION HAS BEEN ACHIEVED.
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IN THIS ARTICLEBroken Toe OverviewBroken Toe CausesBroken Toe SymptomsWhen to Seek Medical CareExams and TestsBroken Toe TreatmentSelf-Care at HomeMedical TreatmentMedicationsOther TherapyNext StepsFollow-upPreventionOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsViewer Comments: Broken Toe - Describe Your ExperienceOther TherapyReduction If the toe fracture is displaced (the two ends of the broken bone are out of place) or rotated (the toe is pointing in the wrong direction), the doctor may need to put it back into place (reduction).
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Diabetic Eye Disease OverviewDiabetes mellitus is one of the leading causes of irreversible blindness worldwide, and, in the United States, it is the most common cause of blindness in people younger than 65 years of age.
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Coauthor(s):Jessica B Johnson, Medical Writer, eMedicine.
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The PES protocol utilized a maximum of three extrastimuli at three pacing cycle lengths and two right ventricular pacing sites.
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IN THIS ARTICLEAthlete's Foot OverviewAthlete's Foot CausesAthlete's Foot SymptomsWhen to Seek Medical CareExams and TestsAthlete's Foot TreatmentSelf-Care at HomeMedicationsNext StepsPreventionOutlookSynonyms and KeywordsAuthors and EditorsViewer Comments: Athlete's Foot - SymptomsAthlete's Foot TreatmentSelf-Care at HomeMany over-the-counter antifungal medications can be applied to the affected area.
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Infection has been noted in a wide variety of other animals, including other species of livestock and in domesticated pets.

Reports of irritation to the tracheal and bronchial tracts have been received and although hemoptysis has occurred in patients receiving acetylcysteine such findings are not uncommon in patients with bronchopulmonary disease and a causal relationship has not been established.
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If a woman is a carrier, she has a 50% chance that her sons will have hemophilia.
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Pemphigus foliaceus involves crusted sores or fragile blisters that often appear first on the face and scalp and later on the chest and other parts of the body.
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Since the disease is thought to begin in childhood, ways to prevent it must begin then.
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In some individuals, mostly those with mild tremors, the use of a wristband with weights in it might help to decrease the magnitude of the oscillations.

Together, the COBRA laws and the Emergency Medical Treatment and Active Labor Act (EMTALA) refer to federal laws related to patient screening and transfer.
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