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The woman sitting in front of you tells you that she has been experiencing abdominal pain, abdominal swelling, gastrointestinal symptoms, and pelvic pain. What is your next move?
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In reviewing patient files from the last month, how many chlamydia tests were performed at your facility, and how many yielded positive results? If your clinic is seeing an increase in screens, as well as a higher incidence of infection, you are part of a larger nationwide trend.
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Sprains & Strains: What they are and what to do about them. Altern Med Alert 2006;9(1):S1-S2.
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O'Mathuna DP. Topical DMSO for pain. Altern Med Alert 2006;9(1):1-4.
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Marcolina ST. Wild chamomile mouth rinse and oral glutamine suspension for chemotherapy-induced mocositis. Altern Med Alert 2006;9(1):4-9.
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Greenfield RH. Something's fishy--a supplement for UC? Altern Med Alert 2006;9(1):10-11.
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Greenfield RH. Green without a sheen? Organics and children. Altern Med Alert 2006;9(1):11-12.
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Greenfield RH. Placebo effect: The brain and pain. Altern Med Alert 2006;9(1):12.
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By Michael H. Crawford, MD
Synopsis: Damage to the tricuspid valve caused by electrophysiologic device leads may be a cause of predominant right heart failure due to severe TR and may not be recognized on routine echocardiography.
Source: Lin G, et al. Severe Symptomatic Tricuspid Valve Regurgitation Due to Permanent Pacemaker or Implantable Cardioverter-Defibrillator Leads. J Am Coll Cardiol. 2005;
45:1672-1675.
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By John P. DiMarco, MD, PhD
Synopsis: Data are consistent with the concept that autonomic imbalance predisposes persons to life-threatening arrhythmias.
Source: Jouven X, et.al. Heart-Rate Profile During Exercise as a Predictor of Sudden Death. N Engl J Med. 2005;352:1951-1958.
