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In adults, bones are stronger than ligaments (which connect bones to other bones) and tendons (which connect bones to muscles).
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No mortality occurred following single oral doses of montelukast up to 5000 mg/kg in mice (estimated exposure was approximately 335 and 210 times the AUC for adults and children, respectively, at the maximum recommended daily oral dose) and rats (estimated exposure was approximately 230 and 145 times the AUC for adults and children, respectively, at the maximum recommended daily oral dose).
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For these reasons, comparison of the incidence of antibodies to NeutroSpecTM with the incidence of antibodies to other products may be misleading.
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Last Editorial Review: 8/10/200512345678« Previous PageGlossary Printer-Friendly Format |  Email to a Friend Privacy Policy Women's Health Find out what women really need.
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If the heart stops beating, blood stops flowing to the brain and other vital organs.
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According to a groundbreaking article in the Journal of the American Medical Association (JAMA) in 1999, sexual problems are common in women and men, but especially in women.
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Aspirin is not recommended for the prevention of a first stroke in men (Class III, Level of Evidence A).
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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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Therefore, the oxygen levels fall and carbon dioxide levels rise to a level that signals the brain to wake the body up to take a breath (resulting in gasping for air).
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Researchers are continually improving MRI and other brain scans.

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There are several things you can do to increase the success of the therapy: Make a commitment to follow your allergist's recommendations to the letter.
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Various laboratory methods, including vasoconstrictor assays, are used to compare and predict potencies and/or clinical efficacies of the topical corticosteroids.
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In cases where lesions have calcified, there is less likelihood of enhancement.
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In general, a substantial increase above 2000 ng/mL should be regarded as overdosage, unless the physician is aware that the patient has taken no more than the maximum dose.
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The superioroblique originates from the lesser wing of the sphenoid just superior to the optic foramen.
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In one trial, 32 obese adults were randomized to one of three groups: eating a standard diet providing 400-500 mg calcium, eating a standard diet supplemented with 800 mg calcium, and eating a diet with 3 servings/day of dairy products to provide 1,200-1,300 mg calcium.
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In evaluating possible allergic reactions, also consider allergy to excipients (information on excipients is available to physicians on request).
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The number of deaths from any cause did not differ in the two treatment groups (approximately 6% of people died In each group).
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Minor head injuries are often treated at home as long as someone is available to watch the person.
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The use of steroids continues to make news and sports headlines as athletes and bodybuilders use them illegally to gain an advantage on the playing field.

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This approach is recommended for people who aren’t functioning well with rate control treatment or who have only recently started having AF.
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Depending on the type of glaucoma, medications or surgery are used.
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However, in the Phase II/III clinical studies, the change in median HR following treatment with ENABLEX was no different from placebo.
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At plasma concentrations of 1500 ng/mL, aPTT ratios were nearly 3.0 for healthy volunteers, 2.3 for patients with heparin-associated thrombocytopenia, and 2.1 for patients with deep venous thrombosis.
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Signs and symptoms of withdrawal are often more prominent after rapid decrease of dosage or abrupt discontinuance.
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It is best not to do anything if the person is coughing forcefully and not turning a bluish color.
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Partly because of this, coenzyme Q10 is used as adjuvant therapy for cancer.
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Heartburn is a burning pain in the center of the chest, behind the breastbone (see Media file 1). It often starts in the upper abdomen and spreads up into the neck.
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Areas with limited ambulances or ALS responders may not be able to transport patients beyond the local or regional area without leaving EMSS areas uncovered.

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The enzyme Taq polymerase builds new strands of DNA using the original strands as templates.
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The other metabolites, i.e., dihydrolysergic acid, dihydrolysergic amide, and a metabolite formed by oxidative opening of the proline ring are of minor importance.
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Properly guided programs of exercise and rest, medications, physical therapy, and surgery options can idealize long-term outcomes for arthritis patients.
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Acid suppression may enhance the effect of antimicrobials in eradicating Helicobacter pylori (H. pylori).
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IN THIS ARTICLEMotorcycles, Bicycles, and Head InjuryHistory of HelmetsEffectiveness of HelmetsControversies Regarding Helmet UseHelmet Use Among RidersIncreasing Helmet UseSynonyms and KeywordsReferencesAuthors and EditorsIncreasing Helmet UseAs with many other aspects of injury prevention, education is the key to long-term helmet use.
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Results of evaluations of laboratory parameters (e.g., ALT, AST, alkaline phosphatase, and total bilirubin, etc.
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There were differences in insulin response between the regimens for the breakfast and supper 4-hour postprandial periods, but these did not translate into differences in glucose control.
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It all depends upon what part of the brain is not functioning.
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For an acute heart attack, the EKG may confirm the diagnosis, although blood tests may be used to look for enzymes (troponin, myoglobin, CPK) that leak into the bloodstream from irritated heart muscle.

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They may result inheadaches or blurring of vision or nausea and vomiting.
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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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The goal for diuretic therapy is to lose between one to two pounds of weight per day depending upon underlying medical conditions.
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Because of the long elimination half-lives of the parent drug and its major active metabolite, changes in dose will not be fully reflected in plasma for several weeks, affecting both strategies for titration to final dose and withdrawal from treatment (see CLINICAL PHARMACOLOGY and DOSAGE AND ADMINISTRATION).
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Caution should be exercised when using DynaCirc CRВ® (isradipine) in congestive heart failure patients, particularly in combination with a beta-blocker.
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Buspirone is metabolized by the liver and excreted by the kidneys.
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In addition, this syndrome causes abnormalities of the kidneys, problems with the cardiovascular system, as well as abnormalities of the eyes and spine.
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In general, a substantial increase above 2000 ng/mL should be regarded as overdosage, unless the physician is aware that the patient has taken no more than the maximum dose.

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Preliminary studies indicate that the concomitant use of dobutamine and nitroprusside results in a higher cardiac output and, usually, a lower pulmonary wedge pressure than when either drug is used alone.
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Because such patients may be less aware of certain of the milder adverse effects of barbiturates, the incidence of these reactions may be somewhat higher in fully ambulatory patients.
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Overall, more than 60 million American adults experience GERD, making it one of the most common medical conditions.
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Treatment of symptoms such as fever, pain, or itching is usually all that is needed for fifth disease.
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For example, when quinidine and verapamil are coadministered in doses that are each well tolerated as monotherapy, hypotension attributable to additive peripheral О±-blockade is sometimes reported.
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Loss of tolerance should be considered in any patient who has not taken opioids for more than 5 days.
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Are X-rays Safe?The use of X-rays allows physicians to look inside the body to diagnosis an injury or illness.
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The doctor will check the incision the following week to look for possible wound infection.

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Patients, their families, and their caregivers should be encouraged to be alert to the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia (psychomotor restlessness), hypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation, especially early during antidepressant treatment and when the dose is adjusted up or down.
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If the larvae have migrated to the lungs, an illness resembling pneumonia with wheezing, cough, and fever may occur.
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SINGULAIR administered once daily in the evening was generally well tolerated with a safety profile similar to that of placebo.
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Healthy—non-PKD—kidneys transplanted into PKD patients do not develop cysts.
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If you are considered eligible for a transplant, every effort will be made to find a donor among your family members (who are most likely to match) and friends.
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The signs and symptoms of Crouzonodermoskeletal syndrome overlap with those of a similar condition called Crouzon syndrome.

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Success rates with the procedure are from 91-94% with up to 4.5 years of follow-up.
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Each year, between 250,000 and 450,000 Americans have sudden cardiac arrest (SCA).
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The computer used to collect the pictures of the heart is nearby or in another room.
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A vaginal incision is used for vaginal repair; a vaginal or abdominal incision is used for the variation called paravaginal repair.
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Throughout the pancreas are clusters of cells called the islets of Langerhans.
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Patients were randomized to receive either a flexible dose of Focalin XR (5 to 30 mg/day) or placebo once daily for 7 weeks.
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The effectiveness of ramelteon was determined in 405 adults with chronic insomnia.
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Patients who develop symptoms of hyperglycemia during treatment with atypical antipsychotics should undergo fasting blood glucose testing.
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It is recommended that increases in dose be gradual with periodic assessment of lipid/lipoprotein levels at intervals of not less than 4 weeks.
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A trained health care worker may place permanent or temporary sutures (stitches) to control the bleeding.
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They also provide practical tips on coping with cerebral palsy and navigating the medical, educational, and social systems that you will rely on for help for yourself or your child.
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The corticosteroids are a class of compounds comprising steroid hormones secreted by the adrenal cortex and their synthetic analogs.

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Each 50-mg capsule contains the inactive ingredients d-alpha tocopheryl polyethylene glycol 1000 succinate (TPGS), polyethylene glycol 400 (PEG 400) 246.7В mg, and propylene glycol 19В mg.
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In addition, administration of alprostadil reopened the closing ductus of new-born rats, rabbits, and lambs.
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Glucosamine - a substance that occurs naturally in the body, providing the building blocks to make and repair cartilage.
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For Ph+ ALL, the starting dose is typically 70 mg taken twice daily.
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In most cases, a medication (beta-blocker) that lowers blood pressure and relieves stress on the artery wall will be given to reduce the stress on the weakened part of the vessel.
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More patients in that group achieved cholesterol level goals, as outlined by American and European guidelines, compared to the number of patients achieving goals with the other statins.

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Chemotherapy can also be given before surgery to shrink the cancer so that it can be removed during surgery; this is called neoadjuvant chemotherapy.
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Patients with severe malaria are not candidates for oral therapy.
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Serotonin syndrome symptoms may include mental status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea).
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Cohort studies provide a measure of attributable risk, which is the difference in the incidence of disease between oral-contraceptive users and nonusers.
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For this reason, autosomal dominant PCKD is often called “adult polycystic kidney disease.
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Most of the 4,325 subjects randomly assigned to receive either dutasteride or placebo completed 2В years of double-blind treatment (70% and 67%, respectively).
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Nitrogen narcosis can lead to death.
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If ITP has not responded to steroids, removing the spleen will reduce the destruction of platelets, but it also may make you more likely to get certain types of infections.
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The decision to use ranolazine in women who are breast feeding must take into account any possible effects on the child and the importance of the drug to the mother.

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Coronary angiography can show how well blood is being pumped out of the heart's main pumping chambers, which are called ventricles.
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Obtain an ECG and immediately initiate cardiac monitoring.
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Oct suppl):1. 52. Collaborative Group for the Study of Stroke in Young Women.
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IN THIS ARTICLEHypopituitary OverviewHypopituitary CausesHypopituitary SymptomsWhen to Seek Medical CareExams and TestsHypopituitary TreatmentMedical TreatmentMedicationsSurgeryNext StepsFollow-upOutlookFor More InformationWeb LinksSynonyms and KeywordsAuthors and EditorsOutlookIf hormone replacement therapy is adequate, the prognosis is good.
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Inasmuch as extracellular potassium varies in the 3-6 mmol/L range, while intracellular potassium concentrations average about 145 mmol/L, small changes in extracellular potassium concentration have a greater effect on the ICF-to-ECF potassium concentration ratio than similar small changes in intracellular potassium concentration.
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Cervical dysplasia is not typically associated with any symptoms; therefore, regular cervical cancer screening with a PAP smear and pelvic examination is recommended.
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No information is available from controlled clinical studies regarding the use of Nalfon in patients with advanced renal disease.

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A history of typical migraine exists in 86% of families studied.
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IN THIS ARTICLEBirth Control IntroductionBehavioral MethodsBarrier DevicesSpermicidesIntrauterine DevicesHormonal MethodsPermanent MethodsEmergency ContraceptionAbortionFuture MethodsFor More InformationWeb LinksMultimediaSynonyms and KeywordsAuthors and EditorsIntrauterine DevicesAn intrauterine device (IUD) is a small T-shaped plastic device that is placed in the uterus to prevent pregnancy.
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When the surgery is done to improve appearance, we reshape the nose on an individual basis to achieve a more desirable, natural, non-surgical shape.
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Tap water or distilled water may be used if no saline solution is available.
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Ferritin v It is a major storage form of iron found in bone marrow, spleen and liver v It is colorless and not visible microscopically v It gives a faint bluish tint to tissues, when stained with ferrocyanide method v It has outer coat of protein known as apoferritin and core contains iron.
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In STARS, patients were randomized to receive one of three regimens for 4 weeks: aspirin alone, aspirin plus coumadin, or aspirin plus ticlopidine.
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Therefore, height and weight should be monitored periodically in pediatric patients receiving fluoxetine.

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Editors: 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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If a person is taking any medication for atrial flutter and experiences a change or worsening of the symptoms, a health care provider should be called.
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Sleep state misperception: Persons complain of insomnia subjectively, while sleep duration and quality are completely normal.
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These effects are usually transient and rarely require discontinuation of therapy.
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When the heart stops oxygen isn't pumped to the brain.
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Some encephalopathies may be easily reversible, while others can progress and cause permanent structural changes in the brain, and even death; the outlook depends on the underlying cause of encephalopathy and its potential for treatment.

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