Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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Abnormal MotionThe wrist has two units of motion, each contributing a relative value to itsfunction. Complete loss of wrist function is considered a 60% impairmentof the upper extremity. Flexion/extension is considered to be 70% ofwrist motion, or 42% of the upper extremity. Radial/ ulnar deviation isconsidered to be 30% of wrist motion, or 18% of the upper extremity.Joint-Flexion and ExtensionMeasure the maximum flexion and extension the goniometer readings(Figures 29 & 30, p. 31). Round the figures to the nearest 10°.From Figure 31 (p. 32), match the measured flexion and extensiondegrees (V) to their corresponding impairments of flexion (I F %) andextension (I E %).Add flexion and extension impairment values to obtain theimpairment of the upper extremity.If the wrist is ankylosed, measure the position and match it to thecorresponding ankylosis (I A %) impairment in Figure 31 (p. 32). Ankylosisin the functional position (10° extension to 10° flexion) is given the lowestvalue, or 21% impairment of motion. Wrist ankylosis in 60° flexion or 60°extension is a 100% loss of wrist flexion/extension function. This isequivalent to a 70% impairment of wrist motion and 42% impairment ofthe upper extremity.Example: Wrist extension of 10° and flexion of 10°:I E % = 8% impairment of the upper extremityI F % = 8% impairment of the upper extremity.8% + 8% = 16% impairment of the upper extremity.Example:impairment.Wrist ankylosis in 40° flexion: I A % = 33% upper extremity
Joint-Radial and Ulnar DeviationMeasure the maximum radial and ulnar deviation and record thegoniometer readings (Figures 32 & 33, p. 32). Round the figures to thenearest 10°.From Figure 34 (p. 33), match the measured ulnar and radial deviationdegrees (V) to their corresponding impairment of radial deviation (I RD %)and ulnar deviation (I UD %)Add the impairment values of radial and ulnar deviation to obtain theimpairment of the upper extremity.If the wrist is ankylosed, measure the position and match it to thecorresponding ankylosis impairment value (IA%) in Figure 34 (p. 33).Ankylosis in the functional position (0° to 10° ulnar deviation) is given thelowest value, or 9% impairment of motion. Wrist ankylosis in either 30°
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NeurologyEdited by Professor Emerit
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That I only found when studying Wil
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fig. 2: origins and distribution of
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Vasodilatation - ØIntestineslongit
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those two modes, its contact with t
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epressive sexual education/impaired
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"The vegetative“ (autonomic) "ner
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4.1. TechniqueOver the years, lots
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medication which either only battle
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the ANS' level, stress means sympat
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In therapy, we work from the tensio
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Naturally, besides the intensive tr
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neck furthermore intercepts the flo
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Robert A. Dew puts asthma down to t
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Looking at the vernacular gives the
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5.5. Peptic Ulcer5.5.1. Pulsation o
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appears "openly dependent" or, if c
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During the resolution of the blocks
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Heike S. Buhl M.D., born 1955. Trai
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TitleDiagnosing and Treating Injure
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ody electrolyte strength will gener
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As presented, the peak of the first
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This situation has an important imp
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fibers. Sequential action potential
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and active tissue under electrode B
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Action potentials of injured cardia
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a nearby electrode and a distant re
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The distances between the poles of
Page 57 and 58: ecorded simultaneously the membrane
Page 59 and 60: When there are conditions of hypoad
Page 61 and 62: Trauma and injuries are a natural a
Page 63 and 64: BOOKS1. An Advanced Treatise in Qua
Page 65 and 66: One of the easiest ways to learn ab
Page 67 and 68: HOMEOPATHIC TREATMENT OF PAINAbstra
Page 69 and 70: DESCRIPTION: PAIN - HEAT IMPROVESNU
Page 71 and 72: BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
Page 73 and 74: tissues to bring about a lowering i
Page 75 and 76: CAUSES OF HEADACHE PAIN (Vindicate)
Page 77 and 78: ARTICLES AND STUDIES1. A Practical
Page 79 and 80: impairment or "disability" evaluati
Page 81 and 82: criteria:The third step is the comp
Page 83 and 84: 5. Estimate of the expected date of
Page 85 and 86: ImpairmentThe Extremities, Spine, a
Page 87 and 88: 3. Explanation for concluding that
Page 89 and 90: 3.1b Principles and Methods of Impa
Page 91 and 92: The range of motion should be recor
Page 93 and 94: IA is a function of V when Vext = V
Page 95 and 96: Interphalangeal Joint-Flexion and E
Page 97 and 98: Example: Thumb metacarpophalangeal
Page 99 and 100: Note: Because the relative value of
Page 101 and 102: Determine the length of the finger
Page 103 and 104: position (0 cm) to: Lost Retained o
Page 105 and 106: If the metacarpophalangeal joint is
Page 107: 40 of ring finger 450 of little fin
Page 111 and 112: Flexion IA%=21%Lateral deviation IA
Page 113 and 114: extremity.Flexion and ExtensionMeas
Page 115 and 116: the upper extremity, and 15% impair
Page 117 and 118: Add the impairment values for flexi
Page 119 and 120: Internal and External RotationMeasu
Page 121 and 122: shoulder motions (flexion/ extensio
Page 123 and 124: The peripheral spinal nerves consti
Page 125 and 126: obtained history, a thorough medica
Page 127 and 128: Example: In an injury, a patient su
Page 129 and 130: associated with those particular ne
Page 131 and 132: Ulnar or Radial Deviation%Digit Imp
Page 133 and 134: Joint Instability% Joint Impairment
Page 135 and 136: Example: Implant resection arthropl
Page 137 and 138: Intrinsic tightness in the hand may
Page 139 and 140: Extensor TendonSubluxation Severity
Page 141 and 142: With the patient plantar-flexing th
Page 143 and 144: 0° 30° 0° 4510° 20° 10° 3020
Page 145 and 146: Center the goniometer over the meta
Page 147 and 148: Example: If 50% of the distal phala
Page 149 and 150: of the toe being tested (Figure 61c
Page 151 and 152: Center the goniometer over the late
Page 153 and 154: Inversion and Eversion (Subtalar Jo
Page 155 and 156: 10° active dorsi-flexion 410° act
Page 157 and 158: Place the goniometer base as if mea
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Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
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Example: T12 flexion measurements o
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3. Record the "0" readings first at
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3.4 The PelvisThe following shows i
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Addendum to Chapter 3A. Introductio
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1. If applicable, use Table 49 (p.
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B. Repeat the above steps for secon
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2. Consult the Ankylosis Section of
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impairment of the whole person.Exam
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Ankylosis1. Place the goniometer ba
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6. Add the impairment values contri
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FINAL IMPAIRMENT RATING FOR WHOLE M
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Combined value of spinal impairment
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There is a neutral or relaxed perio
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SPHENOBASILAR/CRANIAL BASE TORSIONT
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IMPAIRMENT OF THE NERVOUS SYSTEMThe
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upper extremities, controlling blad
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2. Neurological disorder results in
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4) Neurological: Grades = 5=normal
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4) Neurological:Sensation: (right/l
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technique on the part of the physic
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Direct TechniqueWith the patient co
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CONTRAINDICATIONSThe only contraind
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In order to determine the presence
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IX Glosso- pharyngealPharynx muscle
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ReflexesMuscle stretch reflexes, cu
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Abdominal skin reflex (exteroceptiv
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Sensory symptomsPersistant or episo
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Pyramidal tract signsEponym Manoeuv
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doubts of survival7. Psychotic symp
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· Foramen jugulare syndrome (Siebe
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For cranial nerve stimulation the c
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Demonstration of specific antibodie
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4.6.2 Explosive type4.6.3 Postural
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8.4.2 Caffeine withdrawal headache8
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Headache: differential diagnosisDes
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Diagnostic criteria of drug-induced
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convexity), glioblastoma, oligodend
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Hypothalamic regulatory hormonesHyp
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0 = normal1 = stride down to 30-45
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Parkinsonism: causesAetiology or Pa
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Paradoxical hyperkinesiaSudden good
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Meige syndrome(bilateral facial spa
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ThalamotomyScale for quantification
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Eating10 = independent (with aids)5
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InfectionsMeningitisOtitis media, m
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OculomotorDependent on surgery, var
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AreflexiaSlowed nerve conduction ve
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Causes of lumbosacral root disorder
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Compartment syndromescompartmentsAu
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Lateral root of median nerve (C5-C7
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Palsy without pronator, teres invol
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Baker's cyst (in rheumatoid arthrit
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Gluteal nerve lesionsIntramuscular
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Differential diagnosis of important
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2. C8 root syndromeMotor lossAs for
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Congenital and usually inherited my
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(iv) Type 7.erythrocytes involved.P
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Myopathies (polymyositis, dermatomy
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denervated muscles.)Prostigmine may
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Polyneuropathy (rarely)Hypothyroidi
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Multiple sclerosis - CAMBS scaleDis
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Intrathecal IgG production ≥90Oli
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THE CV-4 TECHNIQUEThe still point a
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NEUROLOGY TESTBlood pressure should
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To find out about the different neu
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support, clergy support, counseling
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HYGIENESelf-care deficit (specify l
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___________________________________
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ObjectiveHard -formed stoolStrainin
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Definition: [ failure of the heat t
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___________________________________
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Work overloadUnrealistic perception
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Inappropriate or poorly communicate
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Decreased skin turgorIncreased puls
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Definition: The client is unable to
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DEFINING CHARACTERISTICSInternal (i
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SUPPORTING DATAETIOLOGYLack of expo
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Satiety immediately after ingesting
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DEFINING CHARACTERISTICSSubjectiveX
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Does not defend self-care practices
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Cognitive perceptualCultural or spi
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SUPPORTING DATAETIOLOGYEnvironmenta
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Mechanical factorsShearing forcesPr
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Changes in postureFrequent yawningN
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DEFINING CHARACTERISTICSObjectiveSk
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Toxic reactions to medicationBatter
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______Self-concept, disturbance in:
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Bed rest or immobilityDEFINING CHAR
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Unmet needs[Physiological factors,
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___________________________________
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___________________________________
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Inability to speak in sentencesDoes
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Decision and actions by family whic
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ETIOLOGYSituational transition and/
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Hypotension [postural]Increased pul
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Central venous pressure changesJugu
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ObjectiveCryingDevelopmental regres
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Abnormal blood profile: altered clo
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Children playing without gates at t
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Reluctance to attempt movement[C/o
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SubjectiveReported or observed dysf
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diagnosis that adjustment to parent
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Acute Phase:Emotional reactions: an
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SubjectiveVerbalization of:Change i
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SUPPORTING DATAETIOLOGYEnvironmenta
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ETIOLOGYExternal (environmental) fa
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Interrupted sleep[Falls asleep duri
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Alteration in behavior or mood evid
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DEFINING CHARACTERISTICSSubjectiveF
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6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Hibbs (positive) (negative) for (rt
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PROGNOSIS:MODERATE:The prognosis fo
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RECIPESBETTER BUTTERFor those of yo
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or flakes. Begin with 1/2 teaspoon
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in waterfor an elegant main course.
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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