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As with so many health professionals today, medical librarians and arguably librarians in general ; are knowledge filters. We are gurus at knowing which resource is best for answering a question. Increasingly, some are approaching this from an evidence standpoint, using reliable sources that have been proven to answer a type of question well, time after time or using key library literature to work on a question or problem. Other librarians test answering questions with new resources. April's Berry came to light around the time I was preparing for the annual Mini Medical MiniMed ; School Library Session at UMDNJ-George F. Smith Library. Any person can enroll and pay to attend MiniMed for one night a week usually 5: 30 9 ; for about ten weeks each Spring. The 2-hour library session is usually on a Sunday or Saturday. Students include those in their twenties or thirties who are thinking of attending medical school to septuagenarians aiming to learn more about health information, searching for it and the best places to obtain it. ; If the library session is taught in an unstructured fashion a challenge for this planner librarian ; , many questions arise and the attendees are usually very interested in learning how to answer these questions. A sample of this year's questions included the following? Which website would allow me to get health information about people from different countries? Where can I locate information on New Jersey hospitals and details regarding errors in each hospital? I want to see if my doctor has been sued or had legal action against him. How would I get more information about a lawsuit where this doctor paid out a settlement? Where can I find an online video of cardiac catherization? Where can I locate images related to health topics? Is there a resource where I can get information on a rare condition? Okay, let's get to ending April 2006 with New Jersey Division of Consumer Affairs! : state.nj oag ca The Consumer Affairs site may not possess an appealing interface or great web design, but the health information proves rich. There are links on various consumer issues from "Dealing with High Gas Prices" to "Do Not Call Information" to a "Free Credit Report, " and "ID Theft Information." Professionals may find a link for "Online License Renewal." Continued p. 9.

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The focus group, or roundtable discussion, is a type of group interview used in order to quickly obtain opinions on a certain topic which can then often be employed as the basis for further analysis e.g. in-depth interviews ; . The size of the group usually varies from 5 to 10 people. The presumption is that in a group of this size there are usually a couple of people who express themselves easily and can talk in a group, thereby inspiring the other, for example, rxlist.
Table 2 summarizes the findings for each country and drug. Complete data for each drug is presented in the annexes. Prices presented are not necessarily the lowest found in each country. Before taking generic vasotec , tell your doctor if you are taking any of the following drugs: a potassium supplement such as k-dur, klor-con, and others; salt substitutes that contain potassium; any of the diuretics water pills ; triamterene dyrenium, maxzide, dyazide ; , spironolactone aldactone ; , or amiloride midamor any other diuretic water pill ; such as hydrochlorothiazide hctz, hydrodiuril, others ; , furosemide lasix ; , bumetanide bumex ; , indapamide lozol ; , and others; or lithium lithobid, eskalith, others and isoflavone.
1 mg 500 mg tablet 2 mg 500 mg tablet 4 mg 500 mg tablet 2mg 1000 mg tablet 4mg 1000 mg tablet 8mg 4mg tablet 8mg 2mg tablet 4mg tablet 4mg 2mg tablet 4mg 1mg tablet 8 mg tablet 4 mg tablet 2 mg tablet 300 mg tablet 150 mg tablet 75 mg tablet 0.5 mg tablet Admin Pack 30 mcg vial ; as 4 vials per kit Admin Pack 30 mcg syringe ; as 4 syringes per kit 6.25mg tablet 12.5 mg tablet 20gm aerosol 25gm spray.
TNA REGIONAL CONFERENCE DALLAS, TX Save the date! TNA will hold a one-day regional conference at UT Southwestern Medical Center in Dallas on Saturday, February 18, 2006 for patients, supporters, and health care providers to attend. Registration brochures with all of the details will be mailed out in November. The last regional conference we had in Dallas, November 2003, featured primarily speakers from the DFW area. We sold out of seats 5 weeks before the conference. This conference will feature some of the best health care providers throughout the state of Texas. We've booked an auditorium for this meeting but our membership has tripled in size since November 2003. So, if you plan on attending, make sure to save your seat by registering as soon as you get your registration brochure in November and isoniazid, for example, side effect.

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Twenty-one mean-age-matched healthy subjects 12 men, 9 women; mean age 65.8 y; age range 48"83 served as 9.6 y ; controls. None of the controls had a current or past history of neuropsychiatric disorders or a family history of movement.

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And 4 species new to Shenandoah County. Seven ecological communities were named using the DNH's classification system. Findings establish the watershed's environmental quality and biodiversity, providing a basis for its protection and management. Supported by: Potomac Conservancy through the Potomac Watershed Partnership, the Virginia Foundation for Independent Colleges, and donations to Shenandoah University for environmental research, outreach and service-learning. ; THE 2005 VIRGINIA SOCIETY OF ORNITHOLOGY BREEDING BIRD FORAY IN RUSSELL AND WISE COUNTIES. Andrew S. Dolby, Dept. of Biological Sciences, University of Mary Washington, Fredericksburg VA 22401. The 2005 Virginia Society of Ornithology Breeding Bird Foray was conducted June 4-12 in Russell and Wise Counties. Twelve participants recorded species richness and abundance by both auto and foot. While effort was spread throughout Russell County, Wise County's high elevation High Knob Recreation Area and heavily forested Guest River Gorge were targeted. For both counties combined, 114 species were reported, representing 13 orders and 37 families. European Starlings were most abundant, followed by Common Grackles and American Robins. For 11 species, only one individual each was reported. Blue Jays were found along the greatest number of survey routes. In general, edge and disturbance-tolerant species predominated in Russell County, but more forest interior and high elevation species were detected at the Wise County sites. Direct signs of breeding activity were observed for 52 species, from sightings of male-female pairs to active nests containing viable nestlings. Similar species totals were reported during several previous southwestern Virginia forays spanning 1966 through 1992. However, many species were at far lower abundance in 2005. This apparent reduction in abundance may be attributable to habitat loss in both breeding and non-breeding ranges. Several species consistently detected during previous surveys in the region, but absent in 2005, were united by their dependence on spruce-fir forest. It is hypothesized that continued decline of this habitat type in the southern Appalachians has resulted in regional reductions in their populations, thus decreasing their overall likelihood of detection. LARGE MAMMAL DISTRIBUTION, TRAP SUCCESS, AND HABITAT USE DETERMINED BY REMOTELY TRIGGERED INFRA-RED CAMERAS ON SALT POND MOUNTAIN, GILES CO., VA. Erika L. Holub & Marcella J. Kelly, Dept. of Fisheries and Wildlife Science, VPI & SU, Blacksburg VA 24061. In order to evaluate trap success across species and among camera types as well as predict occurrence of target species, we established 15 remotely triggered infra-red camera stations across a 27 km2 study area comprised of Jefferson National Forest land, Mountain Lake Biological Station MLBS ; land, and other private land in Giles Co., VA. We monitored camera stations for 83 days August to October 2005 ; for a total 891 trap nights TN ; . Overall trap success for all animals combined was 51 per 100TN. As expected, white-tailed deer Odocoileus virginianus ; , had the highest trap success 21.32 ; followed by all the target carnivores black bear Ursus americanus ; 1.97 ; , coyote Canis latrans ; 1.01 ; , bobcat Lynx rufus and ketotifen. Opioids Opioids may have a role for patients with severe intractable dyspnoea235 [evidence level I]. However, opioids may be associated with drowsiness, nausea, vomiting, dizziness, constipation and, in two of the four multiple dose studies, an opioid withdrawal syndrome. P: Prevent deterioration, because brand name.

Smoking have a considerably higher death rate than men who have never smoked or men who have smoked only cigars or pipes. A total of 3, 002 deaths occurred among men with a history of regular cigarette smoking. If they had died at the same rate as men who never smoked, only 1, 980 would have died. So 1, 022 additional deaths 52% above expectancy ; occurred among regular smokers of cigarettes. A breakdown of causes of deaths suggests that 56% of the total effect of regular cigarette smoking on the overall death rate may be attributed to the effect on diseases of the coronary arteries. Approximately 26% of the total effect of cigarette smoking on the over-all death rate may be attributed to the effect of cigarette smoking on deaths from cancer. The death rate from lung cancer was much higher among men with a history of regular cigarette smoking than among men who never smoked regularly. Regular cigarette smokers also had a higher death rate from cancer of sites other than the lungs than did men who never smoked. The authors feel a cause and effect relationship has been established between regular cigarette smoking and diseases of the coronary arteries and between such smoking and lung cancer. More information is needed before such statements of relationships can be made about cancer of sites other than the lungs and other diseases. KITCHELL and lamictal. Nicotine dependence diagnosed with lozol of unrecorded the issuance prevention.

To fulfill the promise of pharmabiotics, normal hostflora interactions need to be better understood. The scope and importance of the metabolic activity of the intestinal flora has been shown by its apparent role in obesity. It is also likely that hostdietflora interactions are involved in colorectal carcinogenesis. Despite remarkable advances, the incidence of this great killer has changed little, perhaps because a key component of the pathogenesis residing within the lumen of the colon has received inadequate attention. "Mining" the flora for metabolites that have an impact on host physiology is a promising source of new therapeutics. Examples include the production of antimicrobial peptides, 21 conjugated linoleic acid, 46 and immunoregulatory molecules that control the maturation of the host immune system.47 Similarly, once the molecular mechanisms of probiotic action in IBS and other disorders are understood, the potential to move from "bugs to drugs" will become a reality. For some conditions, such as aggressive IBD, engineered probiotics may be required. In designing such organisms, much can be learned from the sophisticated mechanisms deployed by pathogenic bacteria to overcome or evade host defenses. Bad bugs may even be used to do good things.48 The anti-inflammatory properties of probiotics can also be improved by directed mutation rather than by genetic modification. For example, the d-alanine content of lipoteichoic acid, a component of the bacterial cell wall, has been found to modulate the immune response and determine protec and lamotrigine.

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Abstract: ECG body surface maps BSM ; is one of the noninvasive methods for the detection of ischemic heart disease. In the present work we registered the BSM in 25 patients, 18 men, mean age 56.8 3183 ; years, 7 women, mean age 58.7 4372 ; years with coronary artery disease and in 23 healthy persons, 17 men, mean age 55 4660 ; years, 6 women, mean age 57 4270 ; years. Using diagnostic system Cardiag we measured 32 parameters of heart electric field ECG, VCG, isopotential, isointegral, and isoarea maps ; . The results of BSM examination were compared with the results of coronary angiography CAG ; and other noninvasive methods. Twenty-four patients were BSM positive, 5 of them with negative CAG. In one case both BSM and CAG were negative. None of persons with positive CAG were BSM negative. The values of positive BSM in patients with negative CAG approached more to the values of positive CAG persons than to controls. Despite of small number of persons examined in our study one can conclude that the BSM method detects the damage of myocardium by another way than the CAG. Key words: ECG VCG body surface maps-ischemic heart disease coronary angiography Supported by grants No. 106 94 1554 and 106 96 1584 Grant Agency of Czech Republic. Mailing address: Jaroslav Slavcek, MD., Ph.D., Institute of Physiology of the First Medical Faculty, Charles University, Albertov 5, 128 00, Prague 2, Czech Republic, Phone: + 420 224 968 Fax: + 420 224 918 e-mail: jaroslav.slavicek lf1.cuni.cz. 340 Excluded from this regulation are beverages based on coffee, tea or coffee or tea extract where the name under which the product is sold includes the term "coffee" or "tea". Combination of alcohol and energy drinks like Red Bull [276] Young adults increasingly use energy drinks in the hope to reduce the intensity of the depressant effects of alcohol. Objective motor coordination and visual reaction time is, however, not improved traffic safety is thus endangered when alcohol is consumed together with energy drinks like Red Bull and GSK Lucozade Energy. A Brazilian study leaded by Sionaldo Eduardo Ferreira studied the effect of energy drinks on symptoms of alcohol intoxication. The study cocludes that the ingestion of alcohol plus energy drink significantly reduced subjects' perception of headache, weakness, dry mouth, and impairment of motor coordination. However, the ingestion of the energy drink did not significantly reduce the deficits caused by alcohol on objective motor coordination and visual reaction time. The ingestion of the energy drink did not alter the breath alcohol concentration in either group. Energy drinkscannot reduce the harmful effects of alcohol on motor coordination, the person is drunk but does not feel as drunk as he really is. Energy drinks also dangerously increase the amount and the speed of ingestion -of alcoholic beverages. Earlier findings demonstrate that even a small volume 250ml ; of a specially formulated energy drink Solstis, GlaxoSmithKline, Brentford UK, providing 75 mg caffeine and 37.5 g glucose ; can have a consistent effect on sleepiness, lane keeping and speed choice in traffic. These findings are important, and if supported by further research could have implications for future highway safety. This study, however, gives no information about a simultaneous consumption of energy drinks and alcohol intoxication as it highlights the effect on sleepiness in absence of alcohol.[273] Energy drinks as nutritional healthcare product The GSK company promotes its Lucozade glucose energy and sports drinks under the category of nutritional healthcare product giving them a touch of health and fittness. [274] Important coffe groups[275] There are four important coffee groups: Robusta, Columbian Milds, Other Milds and Brazilian Naturals. Coffee from the species Coffea arabica are richer in flavor than their Coffea robusta conterparts. C. arabica has many different varietals, each with unique characteristics. Some well-known ara and levothyroxine. Prognosis The primary adverse outcomes of angina pectoris are unstable angina, myocardial infarction MI ; , recurrent MI, and sudden death resulting from arrhythmias. Prognosis for angina pectoris depends on the number of coronary vessels affected, severity of obstruction, left ventricular function, and the presence of complex arrhythmias. If ventricular function is normal and the patient is stable, prognosis is very good. Damage to the left main coronary artery or proximal anterior descending artery indicate high risk. Lifestyle, Diet, and Habits If a woman has been assessed and is overweight, not physically active, or calcium deficient, consumes alcohol, or smokes, she is still a candidate for estrogen therapy. Smoking has not been found to interfere with the positive effects of estrogen on bone mineral density in postmenopausal women. Alcohol consumption, calcium intake, physical activity, and body weight also have not been found to interfere with the positive effects of estrogen. Environment Conjugated estrogen may produce photosensitivity. Patients who are outdoors frequently need to take precautions against the sun's ultraviolet rays until tolerance to the drug is determined. The nurse needs to be aware of and lithobid and lozol, for example, fda. 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As a journalist and medical writer, i apalled, though not surprised, to witness how relevant and critical information gets swept under the carpet for the sole purpose of maintaining an existing market and avoiding to rock the boat and lithium. I will never forget the day that my daughter Katie was diagnosed with Tuberous Sclerosis at the tender age of just 4 months old. My family and I were shocked and devastated at the endless list of ifs and maybes that TS presents itself with. Our minds went into complete overdrive wondering what life had in store for my beautiful baby daughter. We kept on imagining the worst possible scenario and could not see beyond it. We went through a roller coaster of emotions, tears, anger, guilt and frustration as to why this had to happen to Katie. Janet and Hilary were very kind and tried to put things into perspective for us although at the time it is hard to take it in after such a shock and all we could see was despair. We cannot forget that TS can cause such a variety of problems but we have learnt to live for each day and not look too far into the future. Katie is such a loving baby and seems to be learning new things all the time, which gives us great enjoyment to watch. At her recent 8 month check, the health visitor was very pleased with her progress and she even does things that a 10 12 month old can do. Katie brings so much happiness into the lives of everyone that she meets and no matter what happens she will always be our darling Katie, so I would say to other parents whose child has been diagnosed with TS that early treatment is absolutely vital and after a while you will be able to put it to the back of your mind and see your child as the special angel that they are and always will be. Thanks Anna for telling us your thoughts.
Immunoprecipitation ChIP ; . We also plan to determine the functional role of c-maf in endothelial cells by analysis of primary endothelial cells from c-maf KO mice. Recently this bZip transcription factor was characterized as a human oncogene in multiple myeloma patients. While c-maf has a well established role in lens development and cellular differentiation, elucidation of its role in angiogenic endothelium will help us to better understand normal physiology and to determine novel targets for antiangiogenic therapy. Poster #1064 Mechanisms of Diminished Expression of the DNA Repair Gene MGMT in Cutaneous Malignant Melanoma Robin H. Edwards, M.D., University of Pennsylvania, Philadelphia, PA, USA; Renee Ward, University of Pennsylvania , Philadelphia , PA, USA; Angelica Medina, University of Pennsylvania , Philadelphia , PA, USA; Galene Athanasiadis, University of Pennsylvania , Philadelphia, PA, USA; Phyllis Gimotty , University of Pennsylvania , Philadelphia , PA, USA; Jeffrey Botbyl, University of Pennsylvania , Philadelphia, PA, USA; Hong Wu, Fox Chase Cancer Center, Philadelphia, PA, USA; Meenhard Herlyn, The Wistar Institute, Philadelphia, PA, USA; Barbara Weber, University of Pennsylvania, Philadelphia, PA, USA The DNA repair enzyme MGMT O6-methylguanine DNA methyltransferase ; functions in the repair of endogenous and exogenous DNA alkylation and is critical in preventing G to A transition mutations that contribute to genomic instability. The MGMT gene promoter is aberrantly methylated in a variety of tumor types, leading to repression of MGMT transcription and generation of mutations in the KRAS and TP53 genes. We have previously shown that 1 ; mRNA expression of MGMT is markedly reduced in a majority 17 27; 63% ; of malignant melanoma cell lines using Affymetrix expression arrays 2 ; Western blot analysis of MGMT in these melanoma cell lines shows absent expression in the same set of cell lines showing decreased mRNA expression and 3 ; MGMT immunohistochemical staining of primary melanocytic lesions representing all stages of progression common nevi, atypical nevi, radial growth phase, vertical growth phase, metastatic melanoma ; shows a statistically significant decrease in MGMT expression beginning at the radial growth phase stage, and is markedly diminished to absent in the majority of radial growth phase RGP ; 7 10; 70% ; , vertical growth phase VGP ; 9 15; 60% ; , and metastatic 20 27; 74% ; melanomas evaluated. To address the mechanism of MGMT loss, we first examined the potential contribution of gene promoter methylation to the observed decrease in MGMT expression using methylation-specific PCR MS-PCR ; . DNAs from a panel of 14 malignant melanoma cell lines representing all stages of melanoma tumor progression 3 RGP, 6 VGP, 5 metastatic ; were analyzed by MS-PCR. Methylated alleles were detected in 1 3 radial growth phase, 1 6 vertical growth phase, and 0 5 metastatic melanoma cell lines. These data suggest that aberrant gene promoter methylation as detected by MS-PCR is likely to be an uncommon mechanism responsible for diminished expression of the MGMT gene in cutaneous malignant melanoma, and that methylation, when present, may occur in early stages of tumor progression RGP ; . To determine the contribution of allelic loss to decreased MGMT expression, we have used array-based comparative genomic hybridization aCGH ; together with TaqMan quanititative PCR methodologies. aCGH data from 23 cell lines show loss in the region adjacent to or flanking MGMT in 12 23 52% ; of the lines BAC clones 0.6-1.7 Mb flanking MGMT gene ; . TaqMan analysis of MGMT shows one-copy loss in 35 67 52% ; of cell lines analyzed. Hemizygous deletion detected by both flanking BACs with aCGH was predictive of one-copy loss by TaqMan in 6 7 cell lines. Retention of two allelic copies detected by both flanking BACs predicted for absence of allelic loss by TaqMan in 7 9 cell lines. Taken together, these data suggest that loss of MGMT early in melanomagenesis may be a component of genomic instability, and that allelic loss frequently, and promoter methylation less frequently contribute to, but do not entirely account for, diminished MGMT mRNA expression seen in the majority of the cell lines. Lozol home basic facts advanced reading lpzol site compare prices from 200 + pharmacies buy now.
Cost abstracted based on drugstore accessed 1-4-07, because high blood pressure. 16 a coordinate duty to the ERISA obligation to administer the plan as a fiduciary. While the independent review procedure helps to ensure that claims are fairly resolved, the tort remedy serves to promote careful medical decision-making. These are different goals, reached by different means. The independent review process has continued to expand, and has effectively reversed or adjusted many HMO benefits determinations. The tort remedy, however, has not been widely used. Indeed, the only two jury verdicts so far rendered under the THCLA resulted in one jury award of punitive damages and one exoneration. Mark A. Hall & Gail Agrawal, The Impact of State Managed Care Liability Statutes, HEALTH AFFAIRS, Sept. Oct. 2003, at 138, 141. This scant use of the statute refutes Aetna's and CIGNA's warnings that the THCLA and laws like it will ruin HMOs by imposing liability whenever patients are unsuccessfully treated under HMO-provided medical benefit plans. II. CONGRESS DID NOT CLEARLY AND MANIFESTLY INTEND TO DISPLACE STATE TORT LAWS LIKE THE THCLA WITH SUCH PREEMPTIVE FORCE AS TO TRANSFORM THEM INTO FEDERAL ACTIONS UNDER ERISA. Davila's and Calad's THCLA claims do not target eligibility determinations under their respective health plans, but the negligent exercise of medical judgment by their HMOs that affected the quality of their immediate medical treatment. Davila and Calad do not seek redress for the improper processing of benefits claims, or to enforce rights guaranteed them by ERISA, but to recover damages for personal injuries proximately caused by their HMOs' negligent medical judgment and the resulting impairment of their medical treatment. The question presented in this case is whether Congress, in establishing a scheme of civil-enforcement remedies in ERISA 502 a ; , intended to displace state-law claims of this nature with such preemptive force as to transform them into federal actions and isoflavone.
NRSG 211 - Nursing the Older Adult You will explore the nursing care required to support older adults and their families experiencing common health alterations and loss, grief and or death. You will review the growth and development of the older adult. You will explore issues related to older adults including the healthy adaptive older person, the effects of ageism, elder abuse and neglect, the caregiver role and institutionalization. You will examine drugrelated issues affecting older adults.

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Editor, --Drs Absalom and Troy make some interesting comments. We attempted to include all of those direct and indirect costs which we could measure. Rowe1 included the costs associated with nursing time, operating time and other staff costs, although these were average values for the day unit and not individually measured costs. Indeed, these costs are extremely difficult to measure objectively and there is no certainty that alterations in time actually result in increases or savings in staff costs in real life. Savings will probably only be realized if fewer staff are employed or hours are reduced ; and extra costs will only be incurred if extra staff or paid overtime are required. Two patients in group 3 were indeed admitted overnight. The reasons for these admissions were described briefly in our article and must be considered before their inclusion in the cost analysis. The first patient who had been recovering satisfactorily for some time ; developed somnolence and respiratory depression only after administration of fentanyl to treat postoperative pain. This problem may well have been avoided by the use of an alternative form of analgesia or a lower dose of fentanyl. It did not appear to be related to the use of sevoflurane. The second patient was operated on relatively late in the day and arrived in the recovery unit shortly before the day unit was due to close. Because of the late hour, the patient was transferred to an inpatient surgical ward and admitted overnight. Performing this operation at a more appropriate hour of the day would have prevented this admission. It was therefore felt that neither of these admissions were directly attributable to the anaesthetic which the patient received and so the cost of admission was not included. Postoperative nausea and vomiting played no part in either admission. With regard to other indirect costs, we did not include the costs of vaporizers as these items are generally supplied `free' by the anaesthetic vendor. This is rarely the case with i.v. infusion pumps. While not really free, the vaporizer price is already reflected in the drug purchase cost. Modern sevoflurane vaporizers require very little servicing. In the UK, Blease recommend two service visits per year, at a total cost including VAT ; of 63.45 Blease Medical, personal communication ; . This represents less than $0.5 per working day and was therefore negligible for our purposes. Scavenging is used universally in all hospitals. The best evidence for possible hazards from trace concentrations and therefore the best justification for scavenging ; comes from nitrous oxide. As nitrous oxide was common to all three groups, the cost of scavenging was a common cost to all three groups as was the anaesthetic machine, anaesthetist, breathing circuit, etc. ; . We do not consider inclusion of nitrous oxide a flaw in this study. We did discount the environmental impact of this and every other drug, technique and item of equipment used; that is a separate issue entirely. We included nitrous oxide in all groups as it is used commonly with both i.v. and inhalation anaesthesia. Either technique could have been conducted without nitrous oxide and it is pointless to speculate on the effects of this measure on. Wei L. Lien Division of Chest Medicine, Department of Internal Medicine, Kaohsiung Municipal United Hospital, Kaohsiung, Taiwan.

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